MRI perfusion in evaluating ovarian masses: diagnostic performance of wash out rate
By
Heba Sabet
Moawia Gameraddin
Fahad H. Alhazmi
Walaa Alsharif
Nagham N. Omar
Ahmed Sobh
Sultan A. Alshoabi
Awadia Gareeballah
Maisa Elzaki
Hadeel A. Ghunaim
Awatif M. Omer
Amel F. H. Alzain
Reem M. Elkady
May 28, 2026
Clinical Scorecard: Assessment of Ovarian Masses Using MRI Perfusion: Diagnostic Efficacy of Wash-Out Rate
At a Glance
Category Detail
Condition Ovarian masses Key Mechanisms MR perfusion parameters including wash-out rate (WOR) and signal intensity max (SI max) Target Population Female patients with indeterminate adnexal lesions Care Setting Radiology department of a university hospital
Key Highlights
WOR >6.03 provides 86.2% accuracy in differentiating benign from malignant lesions. SI max >1391.07 shows 73.2% accuracy in lesion characterization. Significant correlation found between pathological diagnosis and imaging features. Guideline-Based Recommendations
Diagnosis
Use conventional MRI sequences to evaluate morphological criteria. Incorporate semi-quantitative MR perfusion parameters for improved accuracy. Management
Consider conservative surgery for young women wishing to preserve fertility. Monitoring & Follow-up
Monitor imaging features and perfusion parameters for changes in lesion characteristics. Risks
Avoid unnecessary radical surgery through accurate preoperative characterization. Patient & Prescribing Data
Women with complex cystic and solid adnexal lesions
DCE MR Sequence enhances diagnostic accuracy for ovarian masses.
Clinical Best Practices
Utilize DCE MRI in conjunction with conventional MRI for lesion assessment. Apply cutoff values for WOR and SI max to guide surgical decisions. Related Resources & Content
