JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2014, Vol. 52 ›› Issue (8): 81-84.doi: 10.6040/j.issn.1671-7554.0.2014.012

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3.0 T MR diffusion weighted imaging in staging of endometrial carcinoma and the correlation with pathology

DENG Kai, ZHANG Chengqi, LI Wei, WANG Guangli, DONG Guiqing, SHI Hao, PANG Tao   

  1. CT-MR Division, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, Shandong, China
  • Received:2014-01-07 Revised:2014-07-03 Online:2014-08-10 Published:2014-08-10

Abstract: Objective To investigate the value of 3.0 T diffusion weighted imaging (DWI) in staging of endometrial carcinoma and the correlation with pathology. Methods The data of 30 patients with histologically proved endometrial carcinoma were analyzed retrospectively. The staging diagnosis of DWI was compared with pathologic results,and the ADC values in different pathologic categories and differential grades of endometrial carcinoma were also compared. Results The staging accuracy of DWI was 83.3%. The ADC value in the 30 patients with endometrial carcinoma was (0.856±0.080)×10-3 mm2/s. There was no significant difference in different pathologic categories(P>0.05). In differential grades of endometrial carcinoma, there was significant difference(P<0.01). Conclusion DWI has considerable value in staging of endometrial carcinoma, and the ADC value can preliminarily demonstrate the grade malignancy of the tumors.

Key words: Neoplasms by histologic type, Diffusion weighted imaging, Endometrial carcinoma, Stage

CLC Number: 

  • R445.2
[1] Dogan D, Inan N, Sarisoy H T, et al. Preoperative evaluation of myometrial invasion in endometrial carcinoma: diagnostic performance of 3T MRI[J]. Abdom Imaging, 2013, 38(2):388-396.
[2] Whittaker C S, Coady A, Culver L, et al. Diffusion-weighted MR imaging of female pelvic tumors: a pictorial review[J]. Radiographics, 2009, 29(3):759-774.
[3] 高海燕,李惊喜. 磁共振扩散加权成像在女性盆腔病变中的应用[J].实用医学影像杂志,2011,12(5):332-335.
[4] 吴海静,张国楠. 子宫内膜癌的新分期与临床意义[J].实用妇产科杂志,2011,27(6):407-410.
[5] Yayci E, Güzin K, Suer N. Evaluation of depth of myometrial invasion by magnetic resonance imaging in patients with endometrial carcinoma[J]. Eur J Gynaecol Oncol, 2012, 33(5):480-484.
[6] 王立侠,欧阳汉,吴令英,等. 磁共振成像定位子宫内膜癌浸润深度的价值[J]. 中华肿瘤杂志,2006,28(5):373-376.
[7] 邓凯,张成琪. 磁共振扩散加权成像在子宫内膜癌分期中的应用[J]. 中华临床医师杂志:电子版,2012,6(21):6843-6845.
[8] Shen S H, Chiou Y Y, Wang J H, et al. Diffusion-weighted single-shot-planar imaging with parallel technique in assessment of endometrial cancer[J]. AJR Am J Roentgenol, 2008, 190(2):481-488.
[9] Kodama J, Seki N, Nakamura K, et al. Prognostic factors in pathologic parametrium-positive patients with stage ⅠB-ⅡB cervical cancer treated by radical surgery and adjuvant therapy[J]. Gynecol Oncol, 2007, 105(3):757-761.
[10] Kisu I, Banno K, Lin L Y, et al. Preoperative and intraoperative assessment of myometrial invasion in endometrial cancer: comparison of magnetic resonance imaging and frozen sections[J]. Acta Obstet Gynecol Scand, 2013, 92(5):525-535.
[11] Mcveigh P Z, Syed A M, Mibsevic M, et al. Diffusion weighted MRI in cervical cancer[J]. Eur Radiol, 2008, 18(5):1058-1064.
[12] 刘颖,白人驹. 磁共振扩散加权成像在子宫肿瘤诊断中的应用[J]. 国际医学放射学杂志,2009,32(4):369-373.
[13] Tamai K, Koyama T, Saga T, et al. Diffusion-weighted MR imaging of uterine endometrial cancer[J]. J Magn Reson Imaging, 2007, 26(3):682-687.
[14] 贺李,余深平,庄晓曌,等. 子宫颈癌3.0T磁共振弥散加权成像与病理的初步相关研究[J]. 中华临床医师杂志:电子版,2011,5(2):363-367.
[15] 李雅,柴维敏,陈克敏. 3.0T MRI术前诊断子宫内膜癌肌层浸润的价值[J]. 诊断学理论与实践,2011,10(1):39-44.
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