Differentiation of Benign and Malignant Uterine Corpus Tumors: Value of 1H-MR Spectroscopy at 3T

Mayumi Takeuchi¹, Kenji Matsuzaki¹, Masafumi Harada¹, Hiromu Nishitani¹

We evaluated 32 uterine corpus tumors (14 malignant including 11 endometrial carcinomas and 3 myometrial tumors; 18 benign including 5 endometrial and 13 myometrial masses) by 1H-MR spectroscopy at 3T. Choline peaks were observed in all 32 lesions, and tended to show higher peaks in malignant tumors. The choline concentration in malignancy (8.77+/-1.91 mM) was significantly higher than that in benign lesions (4.82+/-2.23 mM) (p<0.0001). Using a cut off value of 7.00 mM for malignant lesions had a sensitivity of 93%, specificity of 83%, PPV of 94%, and NPV of 81%.