Accuracy of MR Imaging in endometrial cancer: our experience

Authors

  • Santhanam Sampath Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India
  • Devendra Nema Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India
  • Raju Agarwal Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India
  • Prasad Lele Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20171441

Keywords:

Diffusion weighted imaging, DCE MRI, Endometrial carcinoma, Myometrial invasion, Staging

Abstract

Background: MRI is a useful modality for preoperative imaging in endometrial cancer. We report our experience in Indian population managed at a tertiary care center regarding accuracy of preoperative MRI in prediction of deep myometrial invasion and cervical stromal invasion.

Methods: 30 patients with endometrioid adenocarcinoma endometrium on endometrial biopsy underwent preoperative MRI in the week preceding surgery. MRI impression of depth of myometrial invasion, cervical stroma involvement and positive nodes were compared with final histopathology findings to calculate the accuracy of MRI.

Results: The accuracy of MRI for estimation of tumour size was 72% and for detection of myometrial invasion was 76%. The accuracy for detection of cervical, adnexal and nodal involvement was 96%, 100% and 96% respectively.

Conclusions: MRI is an accurate modality for preoperative assessment in endometrial cancer and can significantly assist in surgical planning.

Author Biography

Santhanam Sampath, Department of Obstetrics and Gynecology, Command Hospital, Lucknow, Uttar Pradesh, India

Assistant Professor, Gynae Oncology

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Published

2017-03-30

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Original Research Articles