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Year :2017
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Month :
July-August
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Volume :
6
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Issue :
3
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Page :
RO43 - RO46
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MRI Evaluation of Soft Tissue Masses of Hand and Wrist
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Correspondence Address :
Meghanaa Jayakumar, BR Nagaraj,
Dr. Meghanaa Jayakumar,
1B, Santrupti Apartments, First Cross, Malleshwaram,
Bengaluru-560003, Karnataka, India.
E-mail: meghpsbb@rediffmail.com
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Introduction: Introduction: Masses around the wrist and hand are commonly encountered in clinical practice. MRI plays an important role in detection, diagnosis and delineation of these soft tissue masses.
Aim: To evaluate role of MRI in imaging soft tissue masses of hand and wrist and describe MR imaging findings of such lesions.
Materials and Methods: A prospective study was carried out in the Department of Radiodiagnosis, BMC&RI from December 2014 to May 2016. After obtaining consent, 43 patients with hand and wrist masses were studied with 1.5 T Siemens MRI machine using appropriate sequences and contrast. Radiological diagnosis was compared with histopathology.
Results: The study included 44% males and 56% females. Mean age was 30.4±10.2 years. Five lesions were hyperintense on T1W images. Five lesions were hypointense on T2W imaging. The most common soft tissue mass encountered in the study was ganglion cyst. A correct diagnosis was possible on MRI in 95% of cases.
Conclusion: Benign soft tissue lesions of hand and wrist are more common than malignant lesions. MRI is an excellent imaging modality for evaluation of such hand and wrist masses because it can detect, define and provide definite diagnosis in lesions like lipoma, ganglion cyst, GCTTS and neurogenic tumour.
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