Vaginosonography versus MRI in Pre-Treatment Evaluation of Early-Stage Cervical Cancer: An Old Tool for a New Precision Approach?

Autor: Ailyn M. Vidal Urbinati, Ida Pino, Anna D. Iacobone, Davide Radice, Giulia Azzalini, Maria E. Guerrieri, Eleonora P. Preti, Silvia Martella, Dorella Franchi
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Diagnostics, Vol 12, Iss 12, p 2904 (2022)
Druh dokumentu: article
ISSN: 12122904
2075-4418
DOI: 10.3390/diagnostics12122904
Popis: This study aims to analyze the sensitivity of vaginosonography (VGS) and magnetic resonance imaging (MRI) in the preoperative local evaluation of early-stage cervical cancers and to assess their accuracy in the detection of tumors, size of the lesions and stromal invasion by comparing them with the final histopathology report. This single-center study included 56 consecutive patients with cervical cancer who underwent VGS and MRI from November 2012 to January 2021. VGS significantly overestimated the lesion size by 2.7 mm (p = 0.002), and MRI underestimated it by 1.9 mm (p = 0.11). Both MRI and VGS had a good concordance with the pathology report (Cohen’s kappa of 0.73 and 0.81, respectively). However, MRI had a false-negative rate (38.1%) that was greater than VGS (0%) in cases of cervical tumor size
Databáze: Directory of Open Access Journals
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