Evidence map›Paper›PMID 42559385›Full record

ArticleJournal of clinical imaging science2026

Computed tomography and magnetic resonance imaging features of struma ovarii: A retrospective case series.

Lihua Xiang, Xin He, Nan Jiang, Ying Shen, Guangzheng Li, Ling Yang

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Article in Journal of clinical imaging science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lihua XiangDepartment of Radiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Xin HeDepartment of Radiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Nan JiangDepartment of Radiology, First Affiliated Hospital of Soochow University, Suzhou, China.ORCID https://orcid.org/0000-0002-8849-7976
Ying ShenFaculty of Medical College, Soochow University, Suzhou, China.
Guangzheng LiDepartment of Radiology, First Affiliated Hospital of Soochow University, Suzhou, China.
Ling YangDepartment of Radiology, First Affiliated Hospital of Soochow University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Struma ovarii (SO) is an extremely rare clinical condition. This study retrospectively analyzes clinical and imaging data from 11 misdiagnosed cases of struma ovarii to identify key diagnostic and differential imaging features. Material and Methods: A retrospective analysis was performed on the clinical and imaging features of 11 patients with initially misdiagnosed but postoperatively confirmed ovarian struma, who were treated at our hospital. Imaging features analyzed included lesion size, computed tomography (CT) density, calcification status, magnetic resonance imaging (MRI) signal characteristics (cystic/solid components), enhancement intensity, and lymph node or distant metastasis. Clinical features analyzed comprised patient symptoms and laboratory test results. Results: All 11 unilateral ovarian lesions measured 10.77 ± 4.43 cm. MRI demonstrated markedly hypointense foci on T2-weighted images in the cyst wall septa in 90.9% of cases (10/11), isointense to mildly hyperintense signal on T1-weighted images in cystic cavities in 63.6% (7/11), and small to moderate volume ascites in 81.8% (9/11). On contrast-enhanced MRI, the solid components exhibited a honeycomb-like enhancement pattern: enhancement was comparable to the myometrium in 4 cases, greater in 4 cases, and slightly lower in 3 cases. One case demonstrated restricted diffusion on diffusion-weighted imaging along with multiple pelvic disseminated nodules. On non-contrast CT, all cases showed slightly high-density foci (66.56 ± 8.23 HU), with punctate or nodular calcifications in 54.5% (6/11). In the subset of three patients who underwent contrast-enhanced CT, marked enhancement of the solid components was observed in all cases. Conclusion: The radiological manifestations of SO demonstrate distinct characteristic features. When combined with clinical findings, these imaging features may assist in diagnosis and improve diagnostic accuracy.

Indexed as

Computed tomographyDifferential diagnosisImaging diagnosisMagnetic resonance imagingOvarian tumorStruma ovarii

Identifiers

PMID42559385
PMCPMC13440790

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.