Preoperative staging of endometrial carcinoma: diagnostic effect of T2-weighted fast spin-echo MR imaging.

Abstract:

PURPOSE:To evaluate the usefulness of T2-weighted fast spin-echo magnetic resonance (MR) imaging with a 512 x 256 matrix for assessment of the preoperative stage of endometrial carcinoma. MATERIALS AND METHODS:Twenty-eight women with histopathologically proved endometrial carcinoma underwent preoperative T2-weighted fast spin-echo, dynamic T1-weighted fast spin-echo, and postcontrast T1-weighted spin-echo MR imaging with a phased-array surface coil. The uterine long-axis planes in each sequence were reviewed at separate sessions by three radiologists blinded to the histopathologic data. RESULTS:For the diagnosis of myometrial invasion, no statistically significant differences were found among T2-weighted imaging, dynamic imaging, and postcontrast T1-weighted imaging. For the diagnosis of deep myometrial invasion, T2-weighted and dynamic images showed higher specificity than postcontrast T1-weighted images (T2-weighted, 89%; dynamic, 88%; and postcontrast T1-weighted, 80%). For cervical invasion, T2-weighted and dynamic images showed larger areas under receiver operating characteristic curves than did postcontrast T1-weighted images (T2-weighted, 0.78; dynamic, 0.71; and postcontrast T1-weighted, 0.67). CONCLUSION:T2-weighted imaging is useful for identifying the stage of endometrial carcinoma.

journal_name

Radiology

journal_title

Radiology

authors

Takahashi S,Murakami T,Narumi Y,Kurachi H,Tsuda K,Kim T,Enomoto T,Tomoda K,Miyake A,Murata Y,Nakamura H

doi

10.1148/radiology.206.2.9457210

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

539-47

issue

2

eissn

0033-8419

issn

1527-1315

journal_volume

206

pub_type

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