Athina C. Tsili MD, Abstract Co-Author: Nothing to Disclose

Constantine Tsampoulas MBBCh, Presenter: Nothing to Disclose

Alexandra Chaidou, Abstract Co-Author: Nothing to Disclose

Constantia Veliou, Abstract Co-Author: Nothing to Disclose

Evagelos Paraskevaidis, Abstract Co-Author: Nothing to Disclose

Stauros C. Efremidis MD, PhD, Abstract Co-Author: Nothing to Disclose

To evaluate the accuracy of 16-slice CT in local staging of endometrial carcinoma and more specifically in the assessment of the depth of myometrial invasion and presence of cervical infiltration

This prospective study includes 20 consecutive women with newly diagnosed endometrial carcinoma referred for CT examination of the abdomen. All examinations were performed on a 16-slice CT scanner and the protocol included scanning of the abdomen after intravenous administration of iodinated contrast material, during the portal phase, using a detector collimation of 16 X 0.75 mm and a pitch of 1.2. Sagittal, parasagittal and oblique reformatted images were evaluated by two radiologists in consensus for the depth of myometrial invasion, whether superficial or deep and the presence of cervical infiltration. Imaging findings were correlated with the histopathologic results. For statistical analysis the Fischer exact test was used.

The sensitivity, specificity and overall diagnostic accuracy of multislice CT in evaluating myometrial invasion were 100%, 75% and 95%, respectively; for assessing cervical infiltration were 78%, 82% and 80%, respectively. There was significant agreement between CT findings and histopathologic results in assessing both myometrial invasion and cervical infiltration (p < .05).

16-slice CT proved accurate in local staging of endometrial carcinoma.

: Multislice CT scanners improved greatly the diagnostic performances of CT in detection and local staging of gynecologic malignancies

Tsili, A, Tsampoulas, C, Chaidou, A, Veliou, C, Paraskevaidis, E, Efremidis, S, 16-slice CT in Local Staging of Endometrial Carcinoma.  Radiological Society of North America 2007 Scientific Assembly and Annual Meeting, November 25 - November 30, 2007 ,Chicago IL. http://archive.rsna.org/2007/5008519.html