ABSTRACT
Magnetic resonance (MR) imaging may aid in preoperative treatment planning of endometrial carcinoma by accurately estimating tumor volume, depth of myometrial invasion, and extrauterine extension. Preoperative MR scans were obtained on 24 women with clinical stage I endometrial cancer. MR scans were evaluated for uterine size, as an indirect measure of tumor volume, and depth of myometrial invasion. MR detected deep invasion (greater than or equal to 50% of myometrial thickness) with a sensitivity of 71% and specificity of 83% (accuracy 79%) when compared with the pathologic findings. MR staging may assist in deciding which patients should have lymph node dissection at surgery and may aid in decisions regarding adjunctive radiation therapy.
Subject(s)
Carcinoma/diagnosis , Magnetic Resonance Imaging , Uterine Neoplasms/diagnosis , Adult , Aged , Carcinoma/secondary , Female , Humans , Hyperplasia , Lymphatic Metastasis , Middle Aged , Neoplasm Invasiveness , Neoplasm Staging , Preoperative CareABSTRACT
We compared a new dual-screen, dual-emulsion film system for X-ray mammography with a widely used single-screen, single-emulsion combination for routine contact mammography in 100 patients with a variety of mammographic findings. By using a five-point rating scale (1 = poor, 5 = excellent), four blinded readers found the conventional combination superior in density (by 0.46 points on the rating scale), resolution (by 0.64 points), contrast (by 0.46 points), visibility of calcification (by 0.50 points), visibility of soft-tissue masses (by 0.37 points), and overall quality (by 0.47 points). No difference was seen in the graininess of the films. In our study, the conventional system was consistently found to be slightly better than the dual-screen, dual-emulsion combination. The dual-emulsion mammograms required more careful scrutiny, particularly for detection of faint microcalcifications.