PREOPERATIVE STAGING OF UTERINE CERVICAL-CARCINOMA - COMPARISON OF CT AND MRI IN 99 PATIENTS

被引:187
作者
KIM, SH [1 ]
CHOI, BI [1 ]
HAN, JK [1 ]
KIM, HD [1 ]
LEE, HP [1 ]
KANG, SB [1 ]
LEE, JY [1 ]
HAN, MC [1 ]
机构
[1] SEOUL NATL UNIV HOSP,DEPT OBSTET & GYNECOL,SEOUL 110744,SOUTH KOREA
关键词
MAGNETIC RESONANCE IMAGING; COMPARATIVE STUDIES; UTERUS; NEOPLASMS; COMPUTED TOMOGRAPHY; CERVIX;
D O I
10.1097/00004728-199307000-00022
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objective: The aim of this study was to compare CT and MRI at 0.5 T in the preoperative staging of uterine cervical cancer in a large series of patients. Materials and Methods: Ninety-nine patients with uterine cervical carcinoma underwent CT, MRI. and surgical exploration. Results: Both CT and MR findings were compared using surgical-pathologic findings as gold standards. Magnetic resonance imaging was superior to CT in tumor detection (sensitivity 75 vs. 51%. p < 0.005), in parametrial evaluation (accuracy 87 vs. 80%, p < 0.005). in overall tumor staging (accuracy 77 vs. 69%, p < 0.025), and in pelvic lymph node evaluation (accuracy 88 vs. 83%, p < 0.01). Magnetic resonance imaging had an accuracy of 76% in assessment of the thickness of cervical stromal invasion. Conclusion: Magnetic resonance imaging was superior to CT in preoperative staging of uterine cervical carcinoma and MRI should be used instead of CT for preoperative staging of this disease.
引用
收藏
页码:633 / 640
页数:8
相关论文
共 10 条
[1]   BODY MR IMAGING AND THE LOCAL STAGING OF NEOPLASMS [J].
AISEN, AM .
RADIOLOGY, 1990, 176 (03) :617-619
[2]   INVASIVE CERVICAL-CARCINOMA - COMPARISON OF MR IMAGING AND SURGICAL FINDINGS [J].
HRICAK, H ;
LACEY, CG ;
SANDLES, LG ;
CHANG, YCF ;
WINKLER, ML ;
STERN, JL .
RADIOLOGY, 1988, 166 (03) :623-631
[3]   CARCINOMA OF THE UTERUS - USE OF GADOPENTETATE DIMEGLUMINE IN MR IMAGING [J].
HRICAK, H ;
HAMM, B ;
SEMELKA, RC ;
CANN, CE ;
NAUERT, T ;
SECAF, E ;
STERN, JL ;
WOLF, KJ .
RADIOLOGY, 1991, 181 (01) :95-106
[4]   GYNECOLOGIC MAGNETIC-RESONANCE-IMAGING [J].
JANUS, C .
UROLOGIC RADIOLOGY, 1991, 13 (01) :29-40
[5]   UTERINE CERVICAL-CARCINOMA - COMPARISON OF CT AND MR FINDINGS [J].
KIM, SH ;
CHOI, BI ;
LEE, HP ;
KANG, SB ;
CHOI, YM ;
HAN, MC ;
KIM, CW .
RADIOLOGY, 1990, 175 (01) :45-51
[6]   CLINICAL STAGE-I CARCINOMA OF THE CERVIX - VALUE OF MR IMAGING IN DETERMINING DEGREE OF INVASIVENESS [J].
LIEN, HH ;
BLOMLIE, V ;
KJORSTAD, K ;
ABELER, V ;
KAALHUS, O .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 156 (06) :1191-1194
[7]   CERVICAL-CARCINOMA - MR IMAGING WITH AN ENDORECTAL SURFACE COIL [J].
MILESTONE, BN ;
SCHNALL, MD ;
LENKINSKI, RE ;
KRESSEL, HY .
RADIOLOGY, 1991, 180 (01) :91-95
[8]   CARCINOMA OF THE CERVIX - VALUE OF MR IMAGING IN DETECTING PARAMETRIAL INVOLVEMENT [J].
SIRONI, S ;
BELLONI, C ;
TACCAGNI, GL ;
DELMASCHIO, A .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 156 (04) :753-756
[9]   CARCINOMA OF THE CERVIX - STAGING WITH MR IMAGING [J].
TOGASHI, K ;
NISHIMURA, K ;
SAGOH, T ;
MINAMI, S ;
NOMA, S ;
FUJISAWA, I ;
NAKANO, Y ;
KONISHI, J ;
OZASA, H ;
KONISHI, I ;
MORI, T .
RADIOLOGY, 1989, 171 (01) :245-251
[10]   CARCINOMA OF THE CERVIX - DYNAMIC MR IMAGING [J].
YAMASHITA, Y ;
TAKAHASHI, M ;
SAWADA, T ;
MIYAZAKI, K ;
OKAMURA, H .
RADIOLOGY, 1992, 182 (03) :643-648