Ovarian cystic teratomas: value of chemical fat saturation magnetic resonance imaging

Abstract

Chemical fat saturation (FS) magnetic resonance imaging (MRI) for the characterization of ovarian cystic teratoma was evaluated in 19 patients with 22 lesions. The tumour was evaluated for signal intensity, location and size; the presence of chemical shift artefact, debris and fat-fluid level. Ovarian cystic teratoma was diagnosed prospectively if the mass contained fat and/or more than one type of internal pattern on (1) SE T1-, T2-, (2) SE T1-, T2-, FS T1-weighted images. A correct diagnosis was reached in 17 of 22 tumours on conventional T1- and T2-weighted images, and in 21 of 22 tumours when fat-saturation images were added. When fat-saturation images were added, four of five tumours misdiagnosed on conventional images were then correctly diagnosed. These tumours contained only small amounts of fat. Fat-saturation images could detect smaller amounts of fat than conventional images. However, one tumour did not show decreased intensity on fat saturation images, and was not diagnosed even when fat-saturation images were added. Fat saturation images have been shown to be of value in diagnosing cystic teratomas.