Evidence map›Paper›PMID 27994912›Full record

ArticleBalkan medical journal2016

Diffusion Tensor Imaging of the Uterine Zones Related to the Menstrual Cycle and Menopausal Status at 3 Tesla MRI.

Özgür Kılıçkesmez, Zeynep Fırat, Ayşegül Oygen, Duygu Kara Bozkurt, Tevfik Güzelbey, Bengi Gürses, Neslihan Taşdelen

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Article in Balkan medical journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Özgür KılıçkesmezDepartment of Diagnostic and Interventional Radiology, İstanbul Training and Research Hospital, İstanbul, Turkey.
Zeynep FıratDepartment of Radiology, Yeditepe University Medical School, İstanbul, Turkey.
Ayşegül OygenDepartment of Radiology, Yeditepe University Medical School, İstanbul, Turkey.
Duygu Kara BozkurtDepartment of Radiology, Yeditepe University Medical School, İstanbul, Turkey.
Tevfik GüzelbeyDepartment of Radiology, Yeditepe University Medical School, İstanbul, Turkey.
Bengi GürsesDepartment of Radiology, Yeditepe University Medical School, İstanbul, Turkey.
Neslihan TaşdelenDepartment of Radiology, Yeditepe University Medical School, İstanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiffusion and diffusion tensor imaging techniques (DTI) are widely available and used both in central nervous system and body imaging, including gynecological diseases.

aimsThe aims of this study were to assess the capability of DTI of uterine zones in relation to the menstrual cycle and ascertain the normal apparent diffusion coefficient and fractional anisotropy values at 3T magnetic resonance imaging (MRI). STUDY

designProspective clinical study.

methodsA total of 13 young reproductive and 12 postmenopausal healthy volunteers were included in the study. MRI examination included sagittal T2-weighted and single-shot echo planar imaging DTI obtained under free breathing. Fractional anisotropy (FA) values of the endometrium, junctional zone, and myometrium were determined.

resultsThe median (minimum-maximum) FA of the endometrium, myometrium, and junctional zone of the reproductive group were 0.31 (0.260-0.465), 0.42 (0.302-0.664), and 0.58 (0.420-0.745), respectively, in the proliferative phase and 0.26 (0.180-0.413), 0.48 (0.357-0.656), and 0.59 (0.490-0.675)], respectively, in the secretory phase. In the postmenopausal group, the FA values of the endometrium, myometrium, and junctional zone were 0.275 (0.136-0.425), 0.255 (0.191-0.553), and 0.27 (0.129-0.397), respectively. Apparent diffusion coefficient (ADC) values of the endometrium, myometrium, and junctional zone of the reproductive group were 1.25±0.254 (0.970-1.463), 1.67 (1.213-1.854), and 1.23 (0.853-1.301), respectively, in the proliferative phase and 1.32±0.283 (1.165-1.706), 1.55 (1.360-1.791), and 1.17 (1.163-1.705), respectively, in the secretory phase. In the postmenopausal group, the ADC values of the endometrium, myometrium, and junctional zone were measured as 1.100±0.192 (0.850-1.302), 1.14 (0.864-1.283), and 1.09 (0.912-1.291). The FA values of the endometrium and myometrium were lower in the secretory phase of the reproductive group, while ADC values were higher. However, both the FA and ADC values were lower in the postmenopausal group.

conclusionThe present study showed that uterine DTI is feasible when used quantitatively. While FA values tend to decrease, ADC values increase significantly in all zones in the secretory phase except the junctional zone. Zonal FA and ADC values of postmenopausal women are lower in comparison to those in young women.

Indexed as

Diffusion tensor imagingfractional anisotropymenstrual cycleuterus

Identifiers

PMID27994912
PMCPMC5156455

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