ABSTRACT
Purpose: 10 evaluate the accuracy of multidetector CT [MDCT] with multiplanar reformation in defection and evaluation of malignant ovarian masses and to correlate the findings with histopathological results and surgery
Patient and methods: MDCT was performed to 48 patients with clinically and sonographically suspected malignant ovarian masses. All scans were performed on a 16 row CT scanner at the South Egypt Cancer Institute, Assiut University. The axial and reformatted images were evaluated for mass detection and the relationship to adjacent structures
Results: Surgical and histopathological examination demonstrated 45 malignant ovarian masses and 3 benign ovarian masses [which excluded from our results], MDCT detected 4 metastatic cases among the malignant masses, MDCT examination of the remaining 41cases shows 92.6% accuracy in detection of ovarian masses. The sensitivity and specificity of MDCT as regared, detection of peritoneal deposits was [91.6%. 100% respectively], LN involvement was [100%, 90.6% respectively], and pelvic organ infiltration was [44%, 9.4% respectively]. Also MDCT reported 85.4% accuracy in tumor staging
Conclusion: MDCT is a highly sensitive and specific diagnostic method in evaluation of malignant ovarian masses and successfully stage the tumor in consistent with surgery and histopathology