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389919

Role of Diffusion and T2-Weighted Magnetic Resonance Imaging in Preoperative Assessment of Myometrial Invasion and Staging of Endometrial Carcinoma

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Assessment of myometrial invasion in pa-tients with endometrial carcinoma could be done by magnetic resonance imaging (MRI) study. Several studies have demon-strated that combining DWI with T2 weighted MRI plays an important role in the detection the depth of myometrial invasion and staging of endometrial carcinoma. Aim of Study: The aim of this study is to evaluate the role of the combined T2WI and DWI in assessment of the depth of myometrial invasion and staging of endometrial carcinoma at the preoperative staging. Patients and Methods: Thirty eight cases were included; patients referred to Radiology Department of Mansoura Uni-versity Hospital. There were postmenopausal female patients with age ranged from 53 to 76 years. All patients were subject-ed to proper history taking and DWI and T2 MRI. This study was using a 1.5 T Philips Ingenia MRI scanner. Results: There is statistically significant difference be-tween myometrial invasion in pateients with endometrial car-cinoma by T2 MRI, Dynamic contrast enhanced (DCE) MRI, DWI MRI regarding the pathology results. Combination of T2 and DWI MRI in assessment of myometrial invasion in patients with endometrial carcinoma has accuracy, sensitivity, speci-ficity, PPV and NPV of 94.7%, 86.7%, 100%, 100% and 92% respectively. Conclusion: DWI is important complementary, and sup-plementary tools to T2 MRI, not replacing, and thus; It should be done as routine image modality side by side to conventional imaging for assessment of myometrial invasion in cases of en-dometrial carcinoma.

DOI

10.21608/mjcu.2024.389919

Keywords

T2, Dynamic contrast enhancement, diffusion weighted imaging, MRI, Myometrial invasion, Endometrial carcinoma

Authors

First Name

MARWA A.M. ELNAGGAR, M.Sc.*; NERMIN Y. SOLIMAN, M.D.**; MAGED R. ELSHAMY, M.D.***

Last Name

FATMA M.H. SHERIF, M.D.**

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Affiliation

The Department of Diagnostic & Interventional Radiology, Ministry of Health*, Faculty of Medicine, Mansoura University** and Department of Obstetrics & Gynecology, Faculty of Medicine, Mansoura University***

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Volume

92

Article Issue

09

Related Issue

51209

Issue Date

2024-09-01

Receive Date

2024-10-31

Publish Date

2024-09-01

Page Start

921

Page End

929

Print ISSN

0045-3803

Online ISSN

2536-9806

Link

https://mjcu.journals.ekb.eg/article_389919.html

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https://mjcu.journals.ekb.eg/service?article_code=389919

Order

389,919

Type

Original Article

Type Code

263

Publication Type

Journal

Publication Title

The Medical Journal of Cairo University

Publication Link

https://mjcu.journals.ekb.eg/

MainTitle

Role of Diffusion and T2-Weighted Magnetic Resonance Imaging in Preoperative Assessment of Myometrial Invasion and Staging of Endometrial Carcinoma

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Article

Created At

30 Dec 2024