The value of GBCA in MRI images

Endometrial CA diffusion

Axial diffusion b value 800 s/mm² shows endometrial lesion with high signal (yellow arrow).

For more information on GBCA - Gadolinium-Based Contrast In Breast MRI: What Ob/Gyns Need To Know

Endometrial CA ADC

ADC map with low signal (yellow arrow) consistent with water restricting lesion associated with neoplasm.

Endometrial CA early post contrast VIBE

Hyperenhancement of uterus and endometrial cancer in uterine cavity (arrow).

Endometrial CA late post contrast VIBE

Late post contrast VIBE image better depicts the myometrial invasion at the anterior and fundal aspect of uterus (yellow arrow) with wash out of the contrast in mass compared to the enhancement of the normal uterine body.

Fibroid Sag T2

Sagittal T2 Haste showing large ventral fibroid (yellow arrows) with characteristic low signal in swirling configuration.  Fibroid abuts the low signal junctional zone surrounding the bright endometrium (red arrow).

Endometrioma Sag T2

Zonal anatomy of uterus is well depicted on sagittal T2 Haste image with central bright endometrium, low signal junctional zone and heterogeneous bright secretory phase myometrium.  Posterior to uterus is the ovary containing a well defined intermediate signal lesion (arrow).

Endometrioma Ax T1

Axial T1 shows several multiple high signal well circumscribed masses  in both adnexa, the largest corresponding to intermediate T2 lesion on sagittal view consistent with endometriomas.

Endometriomas ax T2 FS

Axial T2 Fat Saturation showing differing signal in right adnexal endometriomas varying from high to low signal reflecting various stages of oxygenation of blood products.

Septate uterus long axis T2

Long axis T2 through the uterus demonstrates zonal anatomy with muscular and membranous septum extending to cervix.