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MRI for local staging of endometrial carcinoma: Is endovenous contrast medium administration still needed?
Bonatti, Matteo; Stuefer, Josef; Oberhofer, Nadia; Negri, Giovanni; Tagliaferri, Tiziana; Schifferle, Günther; Messini, Sergio; Manfredi, Riccardo; Bonatti, Giampietro.
Afiliación
  • Bonatti M; Department of Radiology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy. Electronic address: matteobonatti@hotmail.com.
  • Stuefer J; Department of Radiology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
  • Oberhofer N; Department of Physics of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
  • Negri G; Department of Pathology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
  • Tagliaferri T; Department of Gynecology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
  • Schifferle G; Department of Radiology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
  • Messini S; Department of Gynecology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
  • Manfredi R; Department of Radiology of the University of Verona, Piazzale L.A. Scuro 10, 37134 Verona, Italy.
  • Bonatti G; Department of Radiology of Bolzano Central Hospital, 5 Böhler St., 39100 Bolzano, Italy.
Eur J Radiol ; 84(2): 208-14, 2015 Feb.
Article en En | MEDLINE | ID: mdl-25440994
PURPOSE: To compare the diagnostic performance of T2-weighted images (T2-WI)+contrast-enhanced T1-weighted images (CE T1-WI) with the one of T2-WI+diffusion-weighted images (DWI) in the assessment of myometrial and cervical stromal infiltration by endometrial carcinoma (EC). MATERIALS AND METHODS: Institutional review board approved our retrospective study; requirement for informed consent was waived. 56 patients with histologically proven EC who underwent preoperative MRI and surgery at our Institution over a 34 months period were included. Two radiologists independently evaluated T2-WI+CE T1-WI and T2-WI+DWI of each patient. Confidence in imaging evaluation (0-3), depth of myometrial invasion (0.05) whereas both imaging sequences combinations showed the same diagnostic performance in recognizing cervical stromal infiltration (accuracy, sensitivity and specificity of 0.95, 0.98 and 0.80, p>0.05). CONCLUSION: T2-WI+DWI can reliably replace the "classical" combination T2-WI+CE T1-WI for local staging of endometrial carcinoma.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Imagen por Resonancia Magnética / Neoplasias Endometriales / Medios de Contraste / Invasividad Neoplásica Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Eur J Radiol Año: 2015 Tipo del documento: Article Pais de publicación: Irlanda
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Imagen por Resonancia Magnética / Neoplasias Endometriales / Medios de Contraste / Invasividad Neoplásica Tipo de estudio: Diagnostic_studies / Observational_studies Límite: Adult / Aged / Aged80 / Female / Humans / Middle aged Idioma: En Revista: Eur J Radiol Año: 2015 Tipo del documento: Article Pais de publicación: Irlanda