Cervical carcinoma: Determination of recurrent tumor extent versus radiation changes with MR imaging

Therese M. Weber, Henry Dirk Sostman, Charles E. Spritzer, Robert L. Ballard, G. Andrew Meyer, Daniel L. Clarke-Pearson, John T. Soper

Research output: Contribution to journalArticle

64 Scopus citations

Abstract

PURPOSE: To evaluate the effectiveness of magnetic resonance (MR) imaging for assessment of the presence and extent of tumor recurrence as determined with pathologic and surgical findings. MATERIALS AND METHODS: MR findings were retrospectively examined in 37 patients with a history of cervical carcinoma. Inter- and intraobserver variability was analyzed. Surgical or pathologic results were acquired in 34 of these patients; the remaining three patients were clinically followed up for at least 4 years. RESULTS: MR imaging allowed correct detection of recurrent tumor in 18 of 21 patients who had histologically documented recurrence. It helped correctly exclude recurrent disease in 15 of 16 patients. Sensitivity and specificity for detection of recurrence was 86% and 94%, respectively. Good intra- and interobserver agreement was demonstrated. CONCLUSION: MR imaging is a useful modality for differentiation of recurrent cervical carcinoma from radiation changes. Determination of the extent of recurrence with MR imaging may offer clinical assistance in the selection of optimal therapy.

Original languageEnglish (US)
Pages (from-to)135-139
Number of pages5
JournalRadiology
Volume194
Issue number1
DOIs
StatePublished - Jan 1 1995

Keywords

  • Magnetic resonance (MR), tissue characterization, Pelvic organs, MR
  • Uterine neoplasms, diagnosis
  • Uterine neoplasms, therapy

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology

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