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- Title
Diagnosis and Staging of Carcinoma Uterine Cervix by MRI.
- Authors
Billal, Sadananda; S., Sanathkumar; G., Pallavi
- Abstract
In this study, we wanted to evaluate the efficacy of MRI in the assessment of important prognostic factors in carcinoma cervix like tumour size, involvement of parametrium, pelvic side wall, adjacent organs and the lymph nodal status and how it alters the plan of management and correlate MRI findings with clinical FIGO staging of carcinoma cervix. Methods This was a hospital-based cross-sectional study conducted among histopathologically proven cases of carcinoma cervix presented to the Department of Radiodiagnosis attached to Mysore Medical College and Research Institute for 18 months from January 2020 to June 2021. Results The most common histopathological type in both newly diagnosed cases and post-treatment cases was squamous cell carcinoma and the remaining was constituted by adenocarcinoma. In our study, there were 18 biopsy-proven new cases, 32 old cases. MRI proved the best in identifying mass better than clinical identification. The accuracy, sensitivity and positive predictive value of MRI in newly diagnosed cases in our study were 83.33%, 88.24%, and 93.75%, respectively. Conclusion MRI is better at delineating the invasion of adjacent organs. MRI can replace cystoscopy and sigmoidoscopy in identifying bladder and rectal wall invasion. A combination of T2W imaging and diffusion-weighted imaging would be the optimal technique for imaging both new and posttreatment cases. T2W and diffusion-weighted images are the best sequences not only in identifying recurrence, but also in excluding false positives in already treated patients.
- Subjects
CERVIX uteri; DIFFUSION magnetic resonance imaging; MAGNETIC resonance imaging; BLADDER cancer; SQUAMOUS cell carcinoma; DIAGNOSIS; CERVIX uteri tumors
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 2, p991
- ISSN
0975-3583
- Publication type
Article