Cervical carcinoma: determination of recurrent tumor extent versus radiation changes with MR imaging
Autor: | Henry Dirk Sostman, J T Soper, Therese M. Weber, D L Clark-Pearson, G A Meyer, R L Ballard, Charles E. Spritzer |
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Rok vydání: | 1995 |
Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Uterine Cervical Neoplasms Adenocarcinoma Sensitivity and Specificity Recurrent Tumor Cervical carcinoma Carcinoma Humans Medicine Neoplasm Invasiveness Radiology Nuclear Medicine and imaging Radiation Injuries Aged Retrospective Studies Aged 80 and over Observer Variation Epithelioma medicine.diagnostic_test business.industry Magnetic resonance imaging Middle Aged medicine.disease Recurrent Cervical Carcinoma Magnetic Resonance Imaging Mr imaging Surgery Radiation therapy Carcinoma Squamous Cell Female Radiology Neoplasm Recurrence Local business |
Zdroj: | Radiology. 194:135-139 |
ISSN: | 1527-1315 0033-8419 |
Popis: | To evaluate the effectiveness of magnetic resonance (MR) imaging for assessment of the present and extent of tumor recurrence as determined with pathologic and surgical findings.MR findings were retrospectively examined in 37 patients with a history of cervical carcinoma. Inter- and intraobserver variability was analyzed. Surgical or pathologic results were acquired in 34 of these patients; the remaining three patients were clinically followed up for at least 4 years.MR imaging allowed correct detection of recurrent tumor in 18 of 21 patients who had histologically documented recurrence. It helped correctly exclude recurrent disease in 15 of 16 patients. Sensitivity and specificity for detection of recurrence was 86% and 94%, respectively. Good intra- and interobserver agreement was demonstrated.MR imaging is a useful modality for differentiation of recurrent cervical carcinoma from radiation changes. Determination of the extent of recurrence with MR imaging may offer clinical assistance in the selection of optimal therapy. |
Databáze: | OpenAIRE |
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