Role of Magnetic Resonance Imaging in Diagnosis of Endometrial and Cervical Malignancies

Document Type : Original Article

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Abstract

Background: Endometrial and cervical cancers are common worldwide for gynecological cancers. MRI has been shown to be the most accurate non-invasive technique for endometrial and cervical cancer staging, which is necessary to make the right medical treatment decision, since accurate staging is crucial for the appropriate treatment. Functional MRI (dynamic contrast, diffusion-weighted imaging) in perfect combination with conventional MRI are used to make correct diagnosis and accurate staging.
Objective: The aim of the study is to assess the role of magnetic resonance imaging (MRI) in staging of endometrial and cervical cancer.
Methods: This study was carried out at Radio diagnosis Department, Zagazig University Hospitals, the present study was carried on 37 patients of endometrial and cervical cancer. Conventional MRI, contrast enhanced MRI and diffusion weighted imaging were done.
Results: The combination of conventional and functional MR images is particularly beneficial for the evaluation of endometrial and cervical carcinoma stages. This study included 37 female patients with postmenopausal bleeding, vaginal abnormal bleeding, vaginal abnormal discharge and pelvic pain due to several pathologies, 24 cases of endometrial carcinoma and 13 cases of cervical cancer. All patients underwent conventional MRI, MRI with contrast and diffusion weighted imaging. Biopsies were made for all cases for tissue characterization and histological types identification.
Conclusion: Our results show that magnetic resonance imaging is the best technique for initial endometrial and cervical tumor staging. In order to obtain high diagnostic accuracy, adequate patient preparation, protocol optimization and MRI reporting expertise are essential.

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