Abstract
To evaluate carcinoma of the cervix using magnetic resonance imaging (MRI), correlate with clinical approach of International Federation of Gynecology and Obstetrics (FIGO) staging system and to study the impact of MRI findings on patient management. Pathologically confirmed, 75 cases of carcinoma cervix referred to our institute from April 2007 to March 2008 were prospectively studied. Clinical FIGO stage was assigned to each patient by gynaecologists blinded to MRI findings. MRI stage (based on FIGO and TNM) was allotted by radiologists blinded to clinicopathological details. For patients who were operated, histopathological stage was taken as gold standard. For patients who were not operated, gynaecologists decided on a gold standard stage based on all available clinical and imaging data. MR staging was correlated with FIGO staging, with focus on significant alterations in treatment strategy caused due to MRI findings. MRI staging had an accuracy of 89.3% (67/75), while clinical FIGO staging had 61.3% (46/75) accuracy. MRI staging and FIGO staging concurred in 65.6% of the patients and differed in 34.4% of the patients. In about 30.6% (23/75) of the patients, there were relevant additional MRI findings not suspected clinical...Continue Reading
References
Apr 1, 1990·Radiology·S H KimC W Kim
Apr 1, 1989·Radiology·K TogashiI Konishi
Dec 1, 1981·Gynecologic Oncology·C K ChungR Mortel
Jul 1, 1995·Obstetrics and Gynecology·L L SubakJ L Stern
Mar 1, 1994·Radiology·S H KimM C Han
Nov 15, 1993·International Journal of Radiation Oncology, Biology, Physics·H HricakT L Phillips
Jul 15, 1996·International Journal of Radiation Oncology, Biology, Physics·N A MayrW T Yuh
Feb 1, 1997·AJR. American Journal of Roentgenology·S H Kim, M C Han
Jun 1, 1997·Clinical Radiology·C RoyD Jacqmin
Aug 23, 1997·Lancet·F LandoniC Mangioni
Jan 10, 1998·Radiology·J ScheidlerM F Reiser
Nov 17, 1998·Clinical Radiology·S PostemaJ Baptist Trimbos
Apr 14, 1999·CA: a Cancer Journal for Clinicians·D M ParkinJ Ferlay
Dec 12, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·V NicoletO Prosmanne
Jun 28, 2001·Gynecologic Oncology·M TrattnerR Winter
Oct 8, 2003·Gynecologic Oncology·Shandra BipatJaap Stoker
Oct 14, 2004·Journal of Computer Assisted Tomography·Seung Hong ChoiHak Jong Lee
Feb 18, 2009·Radiology·Masatoshi HoriHironobu Nakamura
Citations
Aug 25, 2012·Journal of Clinical Imaging Science·Mohammed A ShweelEmad M Ibrahim
Jul 16, 2014·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Patricia NoëlGuillaume St-Laurent
Oct 28, 2014·Journal of Magnetic Resonance Imaging : JMRI·Sanne M SchreuderShandra Bipat
May 13, 2015·The British Journal of Radiology·C S GardnerP R Bhosale
Jul 22, 2016·Clinical Imaging·Nesrin AtcıKenan Serdar Dolapçıoğlu
Nov 5, 2015·BMC Cancer·Charlotte NgoUNKNOWN RAIDs consortium http://www.raids-fp7.eu/
Jun 26, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Jignesh MevaRoshan Ba
May 4, 2013·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Philippe TummersHelena van Doorn
Oct 28, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Giulio SozziVito Chiantera
Mar 25, 2019·Abdominal Radiology·Patricia BalcacerBabak Litkouhi
Sep 23, 2018·Journal of Global Oncology·Shruti JollyKatherine Maturen
Feb 4, 2019·International Journal of Gynecological Cancer : Official Journal of the International Gynecological Cancer Society·Martina Aida AngelesAlejandra Martinez
Aug 2, 2014·Asian Pacific Journal of Cancer Prevention : APJCP·Ahmad Soltani ShiraziMohammad Davoodi
Aug 29, 2012·Nuclear Medicine Communications·Burcu E AkkasGulin U Vural
Aug 23, 2017·Insights Into Imaging·Evelyn DappaAndreas M Hötker
Jan 18, 2020·The Indian Journal of Radiology & Imaging·Ankush JajodiaVenkata Pradeep Babu Koyyala
Aug 3, 2021·Abdominal Radiology·Rachel SteinChandana Lall
Nov 25, 2021·Asia-Pacific Journal of Clinical Oncology·Neha MohanRamachandran K