Staging of Early Endometrial Carcinoma: Assessment with T2-weighted and Gadolinium-enhanced T1-weighted MR Imaging
| Autor: | Eun-Jung Lee, Kyung Sub Shinn, Jae Young Byun, Sung E. Nam Koong, Bum-Soo Kim |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Adult
Gadolinium DTPA medicine.medical_specialty Gadolinium Contrast Media chemistry.chemical_element T1 weighted Carcinoma medicine Humans Radiology Nuclear Medicine and imaging Aged Neoplasm Staging Retrospective Studies Chi-Square Distribution medicine.diagnostic_test business.industry Stage I Endometrial Carcinoma Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Mr imaging Endometrial Neoplasms Postmenopause Premenopause chemistry Female Radiology Mr images T2 weighted business |
| Zdroj: | RadioGraphics. 19:937-945 |
| ISSN: | 1527-1323 0271-5333 |
| DOI: | 10.1148/radiographics.19.4.g99jl06937 |
| Popis: | This study evaluated the usefulness of T2-weighted and gadolinium-enhanced T1-weighted magnetic resonance (MR) images correlated with patients' menopausal status in assessing the depth of myometrial invasion in stage I endometrial carcinoma. MR images of 46 patients with stage I endometrial carcinoma were retrospectively reviewed. Twenty-five patients were premenopausal, and 21 were postmenopausal. The staging accuracy without regard to menopausal status was 59% for T2-weighted images and 61% for gadolinium-enhanced T1-weighted images. However, when staging accuracy was evaluated separately in the premenopausal and postmenopausal patient groups, T2-weighted imaging had an accuracy of 80% in the premenopausal group and gadolinium-enhanced T1-weighted imaging had an accuracy of 81% in the postmenopausal group. Therefore, T2-weighted imaging was more accurate in premenopausal patients and gadolinium-enhanced T1-weighted imaging was more accurate in postmenopausal patients. The overall accuracy of staging with MR imaging improved to 80% when patients' menopausal status was considered. Therefore, menopausal status should be considered when T2-weighted and gadolinium-enhanced T1-weighted MR images are used to stage early endometrial carcinoma. |
| Databáze: | OpenAIRE |
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