Correlation of Pelvic Magnetic Resonance Imaging Findings with Histopathology Findings for Adnexal Pathologies Among Women Attending Kilimanjaro Christian Medical Centre

John Jangala Valentine; Clement Frank Kalambo; Felister Gerald Uisso; Adnan Mehboob Sadiq

doi:10.62127/aijmr.2026.v04i02.1247

Correlation of Pelvic Magnetic Resonance Imaging Findings with Histopathology Findings for Adnexal Pathologies Among Women Attending Kilimanjaro Christian Medical Centre

Author(s)	Dr. John Jangala Valentine, Dr. Clement Frank Kalambo, Dr. Felister Gerald Uisso, Dr. Adnan Mehboob Sadiq
Country	Tanzania
Abstract	ABSTRACT Aim: This study evaluated correlation of pelvic MRI findings with histopathological findings of adnexal pathologies among women attending Kilimanjaro Christian Medical Centre (KCMC), Tanzania, from 2022 to 2024. Methodology: A hospital‑based cross‑sectional study was conducted among women who underwent pelvic MRI and subsequent histopathology for suspected adnexal pathology at Kilimanjaro Christian Medical Centre (KCMC) during 2022–2024. Data were collected and analyzed using SPSS version 26. Descriptive statistics summarized patient demographic characteristics, clinical characteristics, Pelvic MRI findings, and histopathological findings while Chi-square test was used to compare the diagnostic accuracy between pelvic MRI and histopathology, 95% confidence intervals, and p-values of 0.05 as a cut-off level of statistical significance for associations between pelvic MRI findings and histopathology findings. Results: Among 130 participants, pelvic MRI demonstrated predominantly cystic lesions (86.2%), followed by solid (50.0%) and mixed/complex lesions (46.9%); hemorrhage and calcification were less frequent (13.8% and 6.9%) respectively. Pelvic MRI classified 87.7% as benign and 12.3% as malignant, while histopathology confirmed 86.9% benign and 13.1% malignant. Agreement between Pelvic MRI and histopathology was almost perfect (Cohen’s kappa = 0.89; p<0.001). Conclusion: Pelvic MRI at Kilimanjaro Christian Medical Centre shows the majority of adnexal pathologies evaluated were benign, with pelvic MRI correctly identifying lesion types in most cases which showed strong concordance with histopathology for characterization of adnexal pathologies that can support preoperative risk stratification and clinical decision‑making, particularly for distinguishing benign from malignant pathologies.
Keywords	Pelvic MRI; Adnexal pathology; Histopathology; Diagnostic accuracy; KCMC, Tanzania
Discipline	Medical / Pharmacy
Published In	Volume 4, Issue 2, March-April 2026
Published On	2026-04-08
DOI	https://doi.org/10.62127/aijmr.2026.v04i02.1247

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Correlation of Pelvic Magnetic Resonance Imaging Findings with Histopathology Findings for Adnexal Pathologies Among Women Attending Kilimanjaro Christian Medical Centre

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