Evaluation of carcinoma cervix using magnetic resonance imaging: correlation with clinical FIGO staging and impact on management
- PMID: 22339747
- DOI: 10.1111/j.1754-9485.2011.02333.x
Evaluation of carcinoma cervix using magnetic resonance imaging: correlation with clinical FIGO staging and impact on management
Abstract
Aim: To evaluate carcinoma of the cervix using magnetic resonance imaging (MRI), correlate with clinical approach of International Federation of Gynecology and Obstetrics (FIGO) staging system and to study the impact of MRI findings on patient management.
Method and material: Pathologically confirmed, 75 cases of carcinoma cervix referred to our institute from April 2007 to March 2008 were prospectively studied. Clinical FIGO stage was assigned to each patient by gynaecologists blinded to MRI findings. MRI stage (based on FIGO and TNM) was allotted by radiologists blinded to clinicopathological details. For patients who were operated, histopathological stage was taken as gold standard. For patients who were not operated, gynaecologists decided on a gold standard stage based on all available clinical and imaging data. MR staging was correlated with FIGO staging, with focus on significant alterations in treatment strategy caused due to MRI findings.
Results: MRI staging had an accuracy of 89.3% (67/75), while clinical FIGO staging had 61.3% (46/75) accuracy. MRI staging and FIGO staging concurred in 65.6% of the patients and differed in 34.4% of the patients. In about 30.6% (23/75) of the patients, there were relevant additional MRI findings not suspected clinically. The common significant MRI findings were detection of pelvic lymphadenopathy and clinically unsuspected bowel/bladder invasion. The management protocol was significantly altered in 86.9% (20/23) of the patients with additional MRI findings constituting 26.6% (20/75) of the total population.
Conclusion: MRI is highly accurate in evaluating carcinoma of the cervix. MRI findings significantly altered therapeutic decisions in 26.6% of the patients. MRI should be considered prior to treatment planning in every patient.
© 2012 The Authors. Journal of Medical Imaging and Radiation Oncology © 2012 The Royal Australian and New Zealand College of Radiologists.
Similar articles
-
Primary uterine cervical cancer: correlation of preoperative magnetic resonance imaging and clinical staging (FIGO) with histopathology findings.Coll Antropol. 2013 Jun;37(2):561-8. Coll Antropol. 2013. PMID: 23941005
-
Tumor diameter and volume assessed by magnetic resonance imaging in the prediction of outcome for invasive cervical cancer.Gynecol Oncol. 2001 Sep;82(3):474-82. doi: 10.1006/gyno.2001.6267. Gynecol Oncol. 2001. PMID: 11520143 Clinical Trial.
-
[Value of magnetic resonance imaging in preoperative staging of endometrial carcinoma according to International Federation of Gynecology and Obstetrics (2009) staging criteria].Nan Fang Yi Ke Da Xue Xue Bao. 2012 Jun;32(7):1048-51. Nan Fang Yi Ke Da Xue Xue Bao. 2012. PMID: 22820597 Chinese.
-
[Invasive carcinoma of the cervix uteri (stage IB-IIB): evaluation using magnetic resonance].Radiol Med. 1990 Sep;80(3):314-20. Radiol Med. 1990. PMID: 2236692 Review. Italian.
-
Magnetic resonance imaging in cervical carcinoma: diagnosis, staging, and follow-up.Magn Reson Q. 1994 Mar;10(1):22-42. Magn Reson Q. 1994. PMID: 8161484 Review.
Cited by
-
Added value of radiological staging to clinical examination in different histopathological subtypes of uterine cervical cancer: A retrospective study.Eur J Obstet Gynecol Reprod Biol X. 2025 Mar 6;26:100376. doi: 10.1016/j.eurox.2025.100376. eCollection 2025 Jun. Eur J Obstet Gynecol Reprod Biol X. 2025. PMID: 40129448 Free PMC article.
-
Recent Advances and Adaptive Strategies in Image Guidance for Cervical Cancer Radiotherapy.Medicina (Kaunas). 2023 Sep 27;59(10):1735. doi: 10.3390/medicina59101735. Medicina (Kaunas). 2023. PMID: 37893453 Free PMC article. Review.
-
Improving Global Outcomes in Cervical Cancer: The Time Has Come for International Federation of Gynecology and Obstetrics Staging to Formally Incorporate Advanced Imaging.J Glob Oncol. 2018 Sep;4:1-6. doi: 10.1200/JGO.2016.007534. Epub 2017 Mar 21. J Glob Oncol. 2018. PMID: 30241155 Free PMC article. No abstract available.
-
Role of ADC values in assessing clinical response and identifying residual disease post-chemo radiation in uterine cervix cancer.Indian J Radiol Imaging. 2019 Oct-Dec;29(4):404-411. doi: 10.4103/ijri.IJRI_339_19. Epub 2019 Dec 31. Indian J Radiol Imaging. 2019. PMID: 31949343 Free PMC article.
-
A prospective study of the value of pre- and post-treatment magnetic resonance imaging examinations for advanced cervical cancer.Clujul Med. 2016;89(3):410-8. doi: 10.15386/cjmed-558. Epub 2016 Jul 28. Clujul Med. 2016. PMID: 27547062 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous