Diffusion-weighted imaging in hemorrhagic abdominal and pelvic lesions: restricted diffusion can mimic malignancy

Chandana Lall, Vlad Bura, Thomas K. Lee, Priya Bhosale, Silvana C. Faria, Joon Il Choi, Zhen Jane Wang

    Research output: Contribution to journalReview articlepeer-review

    10 Scopus citations

    Abstract

    Diffusion-weighted imaging (DWI) is an increasingly utilized sequence in the assessment of abdominal and pelvic lesions. Benign lesions containing hemorrhagic products, with conglomerates of tightly packed blood cells or fibers, can have restricted water diffusion on DWI and apparent diffusion coefficient maps. Such lesions can have restricted diffusion erroneously attributed to malignancy. This review illustrates benign hemorrhagic lesions displaying restricted diffusion, with histopathologic correlation in relevant cases.

    Original languageEnglish (US)
    Pages (from-to)1772-1784
    Number of pages13
    JournalAbdominal Radiology
    Volume43
    Issue number7
    DOIs
    StatePublished - Jul 1 2018

    Keywords

    • Abdominal hemorrhagic tumors
    • Benign hemorrhagic lesions
    • Benign lesions with diffusion restriction
    • DWI cancer mimics
    • DWI of abdominal hemorrhage
    • Pelvic hemorrhagic tumors

    ASJC Scopus subject areas

    • Radiological and Ultrasound Technology
    • Radiology Nuclear Medicine and imaging
    • Gastroenterology
    • Urology

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