MAGNETIC-RESONANCE-IMAGING IN THE PREOPERATIVE ASSESSMENT OF CLINICAL STAGE-I ENDOMETRIAL CARCINOMA

被引:7
作者
HARRILL, CD [1 ]
KOPECKY, KK [1 ]
WEAVER, SR [1 ]
SUTTON, GP [1 ]
机构
[1] INDIANA UNIV,MED CTR,DEPT RADIOL,INDIANAPOLIS,IN 46204
关键词
Endometrial carcinoma; Magnetic resonance; Staging;
D O I
10.1016/0895-6111(90)90059-K
中图分类号
R318 [生物医学工程];
学科分类号
0831 ;
摘要
Magnetic resonance (MR) imaging may aid in preoperative treatment planning of endometrial carcinoma by accurately estimating tumor volume, depth of myometrial invasion, and extrauterine extension. Preoperative MR scans were obtained on 24 women with clinical stage I endometrial cancer. MR scans were evaluated for uterine size, as an indirect measure of tumor volume, and depth of myometrial invasion. MR detected deep invasion (≥50% of myometrial thickness) with a sensitivity of 71% and specificity of 83% (accuracy 79%) when compared with the pathologic findings. MR staging may assist in deciding which patients should have lymph node dissection at surgery and may aid in decisions regarding adjunctive radiation therapy. © 1990.
引用
收藏
页码:191 / 195
页数:5
相关论文
共 11 条
[1]  
Silverberg, Lubera, Cancer statistics 1989, Ca-A Cancer J. for Clinicians, 39, pp. 3-20, (1989)
[2]  
Cowles, Magrina, Masterson, Capen, Comparison of clinical and surgical staging in patients with endometrial carcinoma, Obstet. Gynecol., 66, pp. 413-416, (1985)
[3]  
Pettersson, Annual report on the results of treatment in gynecological cancer, 20, (1988)
[4]  
Nori, Hilaris, Tome, Lewis, Birnbaum, Fuks, Combined surgery and radiation in endometrial carcinoma: an analysis of prognostic factors, Int. J. Radiation Oncology Biol. Phys., 13, pp. 489-497, (1987)
[5]  
Dore, Moro, D'Andrea, La Fianza, Franchi, Bolis, CT evaluation of myometrial invasion in endometrial carcinoma, J. Comput. Assist. Tomogr., 11, pp. 282-289, (1987)
[6]  
Lehtovirta, Cacciatore, Wahlstrom, Ylostalo, Ultrasonic assessment of endometrial cancer invasion, J. Clin. Ultrasound, 15, pp. 519-524, (1987)
[7]  
Walsh, Goplerud, Computed tomography of primary, persistent, and recurrent endometrial malignancy, Am. J. Roentgenol., 139, pp. 1149-1154, (1982)
[8]  
Requard, Wicks, Mettler, Ultrasonography in the staging of endometrial adenocarcinoma, Radiology, 140, pp. 781-785, (1981)
[9]  
Hricak, Stem, Fisher, Shapeero, Winkler, Lacey, Endometrial carcinoma staging by MR imaging, Radiology, 162, pp. 297-305, (1987)
[10]  
Worthington, Balfe, Lee, Et al., Uterine neoplasms: MR imaging, Radiology, 159, pp. 725-730, (1986)