rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2019-100-2-116-124rentrad-451Research ArticleОБЗОРЫREVIEWSРоль МРТ диффузионно-взвешенного исследования и МР-исследования с динамическим контрастным усилением в корреляции с системой Adnexa MR scoring system в диагностике опухолей яичниковThe Role of Diffusion-weighted MRI and Follow-up Contrast-enhanced MRI in Correlation with the Adnexa MR Scoring System in the Diagnosis of Uterine Appendage Tumorshttps://orcid.org/0000-0003-3532-8201ОлимовБ. П.OlimovB. P.

Олимов Бехруз Парвизович, аспирант

ул. Баррикадная, 2/1, стр. 1, Москва, 125993

Bekhruz P. Olimov, Postgraduate

ul. Barrikadnaya, 2/1, stroenie 1, Moscow, 125993

AlimovBP90@gmail.comhttps://orcid.org/0000-0003-3459-8832КоссовФ. А.KossovF. A.

Коссов Филипп Андреевич, аспирант

ул. Баррикадная, 2/1, стр. 1, Москва, 125993

Filipp A. Kossov, Postgraduate

ul. Barrikadnaya, 2/1, stroenie 1, Moscow, 125993

https://orcid.org/0000-0002-9097-0267СтрельцоваО. Н.Strel’tsovaO. N.

Стрельцова Ольга Николаевна, кандидат медицинских наук, врач-рентгенолог, НИИ клинической и экспериментальной радиологии 

Каширское ш., 23, Москва, 115478

Ol’ga N. Strel’tsova, Cand. Med. Sc., Radiologist, Research Institute of Clinical and Experimental Radiology

Kashirskoe shosse, 23, Moscow, 115478

https://orcid.org/0000-0001-7534-4818ПановВ. О.PanovV. O.

Панов Вадим Олегович, кандидат медицинских наук, доцент кафедры радиологии и рентгенологии, ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ведущий научный сотрудник, НИИ клинической и экспериментальной радиологии ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России

ул. Баррикадная, 2/1, стр. 1, Москва, 125993, Каширское ш., 23, Москва, 115478

Vadim O. Panov, Cand. Med. Sc., Associate Professor of Chair of Radiology, Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation; Leading Researcher, Research Institute of Clinical and Experimental Radiology, N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation

ul. Barrikadnaya, 2/1, stroenie 1, Moscow, 125993, Kashirskoe shosse, 23, Moscow, 115478

https://orcid.org/0000-0002-8467-6942ПаниченкоИ. В.PanichenkoI. V.

Паниченко Игорь Валерьянович, доктор медицинских наук, НИИ клинической онкологии им. Н.Н. Трапезникова

Каширское ш., 23, Москва, 115478

Igor’ V. Panichenko, Dr. Med. Sc.

Kashirskoe shosse, 23, Moscow, 115478

https://orcid.org/0000-0002-0480-8467БуйденокЮ. В.BuydenokYu. V.

Буйденок Юрий Владимирович, доктор медицинских наук, профессор, ведущий научный сотрудник, НИИ клинической и экспериментальной радиологии

Каширское ш., 23, Москва, 115478

Yuriy V. Buydenok, Dr. Med. Sc., Professor, Leading Researcher, Research Institute of Clinical and Experimental Radiology

Kashirskoe shosse, 23, Moscow, 115478

https://orcid.org/0000-0003-3931-1431ТюринИ. Е.TyurinI. E.

Тюрин Игорь Евгеньевич, доктор медицинских наук, профессор, заведующий кафедрой радиологии и рентгенологии, ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ведущий научный сотрудник, НИИ клинической и экспериментальной радиологии ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава России

ул. Баррикадная, 2/1, стр. 1, Москва, 125993, Каширское ш., 23, Москва, 115478

Igor’ E. Tyurin, Dr. Med. Sc., Professor, Chief of Radiology Chair, Russian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation; Leading Researcher, Research Institute of Clinical and Experimental Radiology, N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation

ul. Barrikadnaya, 2/1, stroenie 1, Moscow, 125993, Kashirskoe shosse, 23, Moscow, 115478

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian FederationRussian FederationФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииРоссияN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian FederationRussian FederationФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России; ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н.Н. Блохина» Минздрава РоссииРоссияRussian Medical Academy of Continuing Professional Education, Ministry of Health of the Russian Federation; N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian FederationRussian Federation2019220520191002116124Copyright © Олимов Б.П., Коссов Ф.А., Стрельцова О.Н., Панов В.О., Паниченко И.В., Буйденок Ю.В., Тюрин И.Е., 20192019Олимов Б.П., Коссов Ф.А., Стрельцова О.Н., Панов В.О., Паниченко И.В., Буйденок Ю.В., Тюрин И.Е.Olimov B.P., Kossov F.A., Strel’tsova O.N., Panov V.O., Panichenko I.V., Buydenok Y.V., Tyurin I.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/451

Проанализированы данные зарубежных и отечественных исследований, опубликованных за последние 10 лет, посвященных основным методам и подходам лучевой диагностики объемных образований яичников, как на основе ультразвукового исследования с цветовым доплеровским картированием, так и использования комплексных подходов магнитно-резонансной томографии (МРТ) в комбинации рутинной МРТ, диффузионно-взвешенных исследований и динамической МРТ с контрастным усилением. Показано, что только комплексное внедрение вышеуказанных методов лучевой диагностики позволяет достичь необходимой чувствительности и специфичности диагностики опухолей яичников. Рассмотрена система оценки с использованием индекса риска злокачественности опухолей яичников с учетом менопаузального статуса, онкомаркера СА-125 и данных УЗИ. Представлена Adnexa MR scoring system, основанная на системе BI-RADS (Breast Imaging Reporting and Data System), со схемами подсчета и анализа риска злокачественности опухолей яичников с учетом определенных МР-критериев.

The paper analyzes the data available in the foreign and Russian literature over the past 10 years on main radiodiagnostic techniques and approaches in case of ovarian space-occupying lesions, by using both ultrasonic color Doppler mapping and complex MRI approaches in combination with routine MRI, diffusion-weighted MRI studies, and follow-up contrast-enhanced MRI. It shows that only the comprehensive introduction of the above radiodiagnostic techniques can achieve the necessary sensitivity and specificity of diagnosis of ovarian tumors. The system for assessing the risk index for ovarian tumor malignancy is discussed, by taking into account the menopausal status, the tumor marker CA-125, and ultrasonographic findings. The paper presents the Adnexa MR scoring system based on the breast imaging-reporting and data system (BI-RADS) that gives schemes for calculating and analyzing the risk of ovarian tumor malignancy in terms of certain MR criteria.

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The authors declare that there are no conflicts of interest present.