Evaluation of endometrial thickness in postmenopausal women by using 3.0-T MRI

SA Journal of Radiology

 
 
Field Value
 
Title Evaluation of endometrial thickness in postmenopausal women by using 3.0-T MRI
 
Creator Nakamura, Junko Yoshikawa, Takeharu Maeda, Eriko Akai, Hiroyuki Ohtsu, Hiroshi Hayashi, Naoto Ohtomo, Kuni
 
Subject — —
Description Background: The accepted threshold for normal endometrial thickness is 5 mm; lesions with endometrial thickness 5 mm are considered benign, whilst those 5 mm areconsidered malignant. However, endometrium ≥ 5 mm on transvaginal ultrasonography inpostmenopausal woman is considered as asymptomatic endometrial thickening. However, recent studies suggest that asymptomatic endometrial thickness of even 8 mm – 11 mm in postmenopausal women may be normal.Objectives: The present study investigated the normal endometrial thickness range in 297 asymptomatic postmenopausal women using 3.0-T magnetic resonance imaging (MRI) T2-weighted sagittal images measured retrospectively by a single radiologist.Method: The data were classified according to patient age and postmenopausal duration, and the medical records and follow-up MR images were reviewed to assess the clinical outcome.Results: The mean endometrial thickness was 2.4 ± 0.1 mm (range: 0.1–11.6). The endometriumin 21 of 297 subjects was ≥ 5 mm thick. Follow-up MR images were obtained in 17 of these 21 women, and their endometrial thickness was found to have decreased in all of them. To date,none of the subjects has been diagnosed with endometrial cancer.Conclusion: Although 5 mm is considered the conservative threshold of normal endometrial thickness on MRI of postmenopausal women, this figure should not, to avoid excessive false-positive diagnoses, be assumed as an indication of malignancy.
 
Publisher AOSIS
 
Contributor
Date 2014-12-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/sajr.v18i1.603
 
Source South African Journal of Radiology; Vol 18, No 1 (2014); 4 pages 2078-6778 1027-202X
 
Language eng
 
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https://sajr.org.za/index.php/sajr/article/view/603/892 https://sajr.org.za/index.php/sajr/article/view/603/898 https://sajr.org.za/index.php/sajr/article/view/603/899 https://sajr.org.za/index.php/sajr/article/view/603/865
 
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Rights Copyright (c) 2014 Junko Nakamura, Takeharu Yoshikawa, Eriko Maeda, Hiroyuki Akai, Hiroshi Ohtsu, Naoto Hayashi, Kuni Ohtomo https://creativecommons.org/licenses/by/4.0
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