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. 2021 Mar 16;31(9):6962–6973. doi: 10.1007/s00330-021-07737-9

Table 4.

Distribution of individual MRI features amongst the given non-contrast MRI score (n=350 lesions) according to assessment of reader 1

Variable Score 2^ (n = 281) Score 3 (n = 12) Score 4 (n = 28) Score 5 (n = 29)
Lesion size (mm), median (IQR) 60 (41, 86) 80 (40, 121) 66 (46, 100) 94 (53, 130)
Purely endometriotic mass 71 (25.3%)* 1 (8.3%) 0 (0.0%) 0 (0.0%)
Fatty mass 79 (28.1%) 0 (0.0%) 1 (3.6%) 0 (0.0%)
Solid mass 24 (8.5%) 4 (33.3%) 5 (17.9%) 13 (44.8%)
Simple cystic mass 34 (13.2%) 0 (0.0%) 0 (0.0%) 0 (0.0%)
Multiple septa 89 (34.6%) 5 (62.5%) 12 (52.2%) 14 (87.5%)
Thick or irregular septa# - 4 (50%) 8 (36%) 12 (75%)
Cystic fluid composition

Serous

Mucinous

Blood

Fat

Pus

77 (30.0%)

23 (8.9%)

74 (28.8%)

79 (30.7%)

4 (1.6%)

2 (25.0%)

5 (62.5%)

1 (12.5%)

0 (0.0%)

0 (0.0%)

13 (56.5 %)

1 (4.3%)

7 (30.4%)

1 (4.3%)

1 (4.3%)

12 (75.0%)

3 (18.8%)

1 (6.2%)

0 (0.0%)

0 (0.0%)

Solid tissue in the mass 55 (19.6%) 10 (83.3%) 28 (100%) 29 (100%)
Intermediate T2 signal of solid tissue 12 (22%) 5 (50%) 27 (96%) 29 (100%)
High DWI signal of solid tissuea 24 (44%) 3 (30%) 28 (100%) 29 (100%)
Diffusion restriction in the solid tissue 23 (42%) 3 (30%) 28 (100%) 29 (100%)
Ascites 8 (2.8%) 1 (8.3%) 2 (7.1%) 21 (72.4%)
Peritoneal implants 0 (0.0%) 0 (0.0%) 0 (0.0%) 13 (44.8%)

Lymphadenopathy

Pelvic LAD

Para-aortic LAD

Inguinal LAD

2 (0.7%)

2 (0.7%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

8 (27.6%)

7 (24.1%)

2 (7.1%)

1 (3.4%)

DWI diffusion-weighted imaging, LAD lymphadenopathy

^In definition of non-contrast MRI score, scores 2, 3, 4 and 5 refer to benign/likely benign, indeterminate, suspicious and highly suspicious masses, respectively

*Unless otherwise specified, data are numbers of lesions with the relevant MRI feature, with percentages in parenthesis

#Thick or irregular septa was not evaluated for score 2 lesions

aDWI signal of the solid tissue is evaluated on high b value (800–1000s/mm2) DWI images