Ehab Ali Abdel Gawad Ahmad MBBCh, MSc, Abstract Co-Author: Nothing to Disclose

Hosny Saied Abdelghany MD, Presenter: Nothing to Disclose

Mohamed A Shweel, Abstract Co-Author: Nothing to Disclose

Enas A. Abd El-Gawad MD, Abstract Co-Author: Nothing to Disclose

Abdel Rahman M Alshima, Abstract Co-Author: Nothing to Disclose

To assess the accuracy of MRI for the evaluation of patients with suspected cervical uterine malignancy

Fifteen females (6 month to 60 years) presented with vaginal bleeding and were suspicious for cervical uterine malignancy sent for pelvic MRI. MRI was performed with 1 Tesla closed MR Imager (Gyroscan, Intera, Philips, Holland). Histopathologic analysis of the operatively or D&/C obtained specimens was also performed. A pelvic phased array coil was used in most patients. The following sequences were obtained; Axial T2W FSE MR imaging from the renal hilum to the symphysis pubis or beyond, Sagittal T2W fast FSE MR imaging from one femoral head to the other, Coronal T2W FSE MR imaging of the pelvis from the aortic bifurcation to the symphysis, Axial T1W spin echo MR imaging from the renal hilum to the symphysis pubis or beyond to cover larger masses. MRI was used to detect the presence of cervical lesion, Exophytic or endophytic lesions, extension to the surrounding (stromal invasion & parametrial infiltration), extension to the uterus, involvement of the upper two thirds of the vagina, rectal and bladder infiltration and regional lymph nodes.

In terms of detection of cervical carcinoma MR imaging had a sensitivity of 100%, and specificity of 85.7% , positive predictive value 88.8 % and negative predictive value of 100% in detection of parametrial infiltration. MRI has a sensitivity of 100%, specificity of 90% , positive predictive value 83.8 % and negative predictive value of 100% in detection of vaginal infiltration. 86 .6 % was Accuracy and 13.4 % was the error percentage of MRI in detection of the cervical carcinoma in relation to surgical and histopathological finding

MRI is capable of identification of cervical lesions and determine the stromal invasion & parameterial infiltration,& infiltration of vagina &rectal and bladder infiltration and regional lymph-adenopathy which all influence the staging and subsequently the appropriate surgical procedure 

MRI is a reliable method for diagnosis and staging of patients with suspected cervical uterine malignancy

Ahmad, E, Abdelghany, H, Shweel, M, Abd El-Gawad, E, Alshima, A, Role of Magnetic Resonance Imaging in Diagnosis of Cancer Cervix with Histopathologic Confirmation.  Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL. http://archive.rsna.org/2011/11034357.html