Document Detail


Correlation of clinical and MRI staging in cervical carcinoma treated with radiation therapy: a single-center experience.
MedLine Citation:
PMID:  20683815     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE To correlate clinical and MRI findings in patients with cervical carcinoma treated with radiation therapy (RT). MATERIALS AND METHODS Forty-two patients with pretreatment IB-IVA cervical carcinoma were included in this retrospective study. Pre- and post-treatment MRI findings of the patients were reevaluated and compared with clinical staging. Six-month, one-year, and two-year follow-up imaging by MR was performed for 36, 20, and 7 patients, respectively. The correlation between clinical and MRI findings was assessed by a Spearman's rho (rank correlation) test. Univariate analyses were performed to identify the prognostic significance of the tumor volume and lymph node status. RESULTS Pre-treatment correlations between MRI and clinical findings for diagnoses without parametrial invasion, with parametrial invasion, and with pelvic sidewall invasion were 71.0%, 64.7%, and 15.8%, respectively. According to the Spearman's rho (rank correlation) test, the parametrial invasion correlation was poor (r = 0.410, P < 0.01). The correlation of clinical and MRI findings at 6 months was 88.9% (r = 0.674, P < 0.0001). CONCLUSION In advanced cervical cancer, the correlation of clinical and MRI staging prior to neoadjuvant RT was low despite a high correspondence in the assessment of local response after RT.
Authors:
Gülgün Engin; Seden Küçücük; Hatice Olmez; Zehra Işık Haşıloğlu; Rian Dişçi; Işık Aslay
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Publication Detail:
Type:  Journal Article     Date:  2010-08-04
Journal Detail:
Title:  Diagnostic and interventional radiology (Ankara, Turkey)     Volume:  17     ISSN:  1305-3612     ISO Abbreviation:  Diagn Interv Radiol     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101241152     Medline TA:  Diagn Interv Radiol     Country:  Turkey    
Other Details:
Languages:  eng     Pagination:  44-51     Citation Subset:  IM    
Affiliation:
From the Department of Radiology, İstanbul University İstanbul Faculty of Medicine, İstanbul, Turkey.
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