Accuracy and correlation between magnetic resonance imaging and ultrasound in the diagnosis of uterine fibroids

al-Khafaji, Ali Talib and al-Hajjaj, Duraid Manea (2025) Accuracy and correlation between magnetic resonance imaging and ultrasound in the diagnosis of uterine fibroids. World Journal of Biology Pharmacy and Health Sciences, 22 (3). pp. 137-145. ISSN 2582-5542

The uterus, an essential female reproductive organ, is responsible for the menstrual cycle &fetal development during pregnancy. Fibroma, a non-cancerous growth in the uterus, can cause symptoms like constipation, irregular vaginal bleeding, pain, recurrent miscarriages, &frequent urination. MRI and Ultrasound imaging are used to evaluate fibroids, with small fibroids often not being diagnosed due to no symptoms. Methods: The study aimed to analyze the accuracy &correlation between MRI &ultrasound in diagnosing fibroids in 100 women in Iraq from June to September 2023. The clinical sites of fibroids were classified into intramural, submucosal, submucosal pedunculation, subserosal, subserosal pedunculation, &cervical types. Data was collected f&analyzed using Stats Direct statistical package version 3.1.22. Results: The study analyzed 100 cases of uterine fibroids, , The study found a statistical relationship between the variables using US &MRI efficiency. Kappa level was < 1, indicating substantial agreement between the model &variables. The efficiency for determining fibroid in intramural fibroid was 100%, with a PPV, NPV, sensitivity, specificity, &accuracy of 100 , while in cervix fibroid was 100%, with a sensitivity of 100%, specificity of 100%, &accuracy of 100%. Conclusions: • MRI is very accurate in diagnosis. • Sensitivity, specificity, negative predictive value, and positive predictive value of US &MRI in the diagnosis of fibroids were determined and compared. MRI showed higher • Advantages of ultrasound compared to MRI include its lower cost, easier access, faster process • Benefits of MRI are superior accuracy, while disadvantages higher costs &longer examination times.