Magnetic Resonance Imaging in Carcinoma of Cervix
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Cervical carcinoma is the third most common gynecological malignancy ( after endometrial and ovarian carcinoma ) and is typically seen in younger women , often with serious consequences. MR imaging has become essential in the pretreatment evaluation of the extent and depth of disease to help decide the appropriate management strategy and indicate prognosis. The multiplanar capabilities and excellent soft-tissue contrast on magnetic resonance imaging (MRI) of the pelvis provide superb depiction of the female pelvic anatomy and often lead to specific diagnosis without ionizing radiation. MRI is often used as a problem-solving tool in patients where ultrasound is inconclusive or suboptimal. It is optimal for evaluation of important prognostic factors such as lesion volume and metastatic lymph node involvement that will help determine the treatment strategy. Although the International Federation of Gynecology and Obstetrics (FIGO) staging system is clinically based, the revised 2009 FIGO staging encourages imaging as an adjunct to clinical staging. MRI can stratify patients to the optimum treatment group of primary surgery or combined chemotherapy and radiotherapy. Tumours stage IIa and below are treated with surgery. This review aims to familiarize the radiologist with the MR imaging features of cervical cancer that influence in accurately staging these tumors, decide management and analyse post surgical recurrence rate. The study was done on 50 patients diagnosed clinically with cervical cancer between December 2017 to May 2018 on a 1.5 Tesla MRI machine.
Authors and Affiliations
Dr. Mahak Sood, Dr. Ankita Boricha, Dr. Anjana Trivedi, Dr. Chetna Dodiya
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