84.21%.â‘¡The accuracy,sensitivity and specificity of MRI assessment forendometrial carcinoma confined to superficial myometrial invasion were85.53%,81.63%,92.59%, respectively, to deep myometrial invasion was85.53%,92.59%,81.63%, respectively.â‘¢The accuracy, sensitivityandspecificity of MRI assessment for the endometrial carcinoma confined tocervical invasion was88.16%,63.64%,92.31%, respectively.ConclusionsMRI is a valuable method in the preoperative diagnosis and the staging ofendometrial carcinoma, and could play an important role for the clinical inselecting proper therapy. And MRI is noninvasive and no radiation and canreveal the tumor invasions clearly on multiplanes. MRI should be regarded as aroutine preoperative imaging study for endometrial carcinoma. Part TwoTHE VALUE OF MRI IN THE PREOPERAYIVEDIAGNOSIS AND STAGING OF CERVICAL CARCINOMAObjectiveTo explore the value of MRI in evaluation of the staging and lymph nodeinvolvement in the cervical carcinoma.Marerials and methodsEighty eight cases of cervical cancer in Shanghai Ruijin Hospital fromJanuary2010to December2012were collected. All patients underwent pelvicMRI examination before operation.The result of MRI was compared withsurgical pathologic reports. The data were analyzed using SPSS13.0statisticalsoftware.â‘ the accuracy, sensitivity and specificity of MRI in evaluation thestaging in the cervical carcinoma were analyzed, respectively,â‘¡the accuracy,sensitivity and specificity of MRI in evaluation parametrial invasion in thecervical carcinoma were analyzed, respectively,Andâ‘¢the accuracy, sensitivityand specificity of MRI in detecting LN involvement were analyzed, respectively.ResultsIn eighty eight patients with cervical carcinoma proved by surgicalpathology, the age of the patients range from27to73.â‘ The accuracy of MRI in evaluation the cervical carcinoma of stagingâ… b, â…¡ a, â…¡ b, â…¢ a, â…¢ b andâ…£a,â…£b was76.92%,60.26%,69.23%,100%,97.44%,97.44%,98.72%,respectively, the total accuracy was73.08%,â‘¡the accuracy, sensitivity andspecificity of MRI assessment for the cervical carcinoma confined toparametrial invasion was71.59%,31.82%,84.85%, respectively,â‘¢the accuracy,sensitivity and specificity respectively of MRI in detecting LN involvement was82.95%,60%,87.67%, respectively.ConclusionsMRI is a valuable method in the preoperative diagnosis and the staging ofcervical carcinoma, and could play an important role for the clinical in selectingproper therapy. And MRI is noninvasive and no radiation and can reveal thetumor invasions clearly on multiplanes.MRI should be regarded as a routinepreoperative imaging study for cervical carcinoma. |