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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | Magnetic Resonance Imaging in Assessment of myometrial invasion and lymph node metastasis in endometrial carcinoma |
| Authors Name: | Dr.Reshma.P , Dr. Josey Verghese , Dr.Beenamol , Dr.Renjini , Dr.Vaishak |
| Unique Id: | IJSDR2208009 |
| Published In: | Volume 7 Issue 8, August-2022 |
| Abstract: | Objectives: To evaluate the percentage agreement of MRI and histopathology findings in myometrial invasion and pelvic lymph node metastasis in endometrial carcinoma. Materials and Methods: Eighty three patients of Govt. T. D. Medical College Alappuzha, identified as clinical suspects of cancer endometrium, were subjected to radiological evaluation with magnetic resonance imaging. For histopathological evaluation, hysterectomy and pelvic lymphadenectomy biopsies were taken. The study was conducted over a period of 18 months. Diagnostic validity of MRI was assessed using histopathology as gold standard . Furthermore,the main causes of error in staging based on MRI results was also analysed. Results: Diagnostic accuracy of MRI with T2WI ,DWI and DCE in assessing the depth of myometrial invasion was 94% in present study and the diagnostic accuracy of MRI for lymph nodal staging was 92.8% in present study and could be further increased by accounting ADC values in case of smaller lymph nodes. Conclusion: DCE and DWI plays key role and has a significant added value to conventional MRI in staging endometrial cancer.DCE and DWI has high diagnostic accuracy in differentiating between benign and malignant uterine tumors, and nodal pathology.Combination of DWI and DCE MRI rather than using either of them helps in accurately staging the endometrial cancer by overcoming the pitfalls. |
| Keywords: | Keywords: Carcinoma endometrium, Magnetic Resonance Imaging(MRI), Dynamic Contrast Enhancement(DCE), Diffusion Weighted Imaging(DWI), FIGO, TNM, Myometrial invasion(MI). |
| Cite Article: | "Magnetic Resonance Imaging in Assessment of myometrial invasion and lymph node metastasis in endometrial carcinoma", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 8, page no.48 - 82, August-2022, Available :http://www.ijsdr.org/papers/IJSDR2208009.pdf |
| Downloads: | 000337214 |
| Publication Details: | Published Paper ID: IJSDR2208009 Registration ID:201107 Published In: Volume 7 Issue 8, August-2022 DOI (Digital Object Identifier): Page No: 48 - 82 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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