Đặc điểm hình ảnh và giá trị của cộng hưởng từ 1.5T trong phân loại giai đoạn ung thư cổ tử cung

SUMMARY

A prospective descriptive study of 47 cervical cancer patients, were taken 1.5T MRI before surgery, and has result pathology after surgery in the Ha Noi Oncology hospital.

Results: The min and max ages are 32 and 69, the average age is 52,1 ± 10,0. Squamous-cell carcinoma 89,4%, Adenocarcinoma 10,6%. 100% mass shows a slightly hyperintense in T2-weighted MR image, 94,2% shows a isointense in T1W, 97,1% shows a hyperintense in Diffusion (b800), 97,1% T1FS-weighted MR image shows poorly absorbed drugs for muscle fiber uterus after injection, 61,8% heterogeneous infiltration strong enhancement of the tumor. Assess tumor size has Acc 85,3%. The rating invasive vaginal has Se 100%, Sp 100%, Acc 100%, PPV và NPV 100%. Invasive parametre has Se 95,2%, Sp 96,2%, Acc 95,7%, PPV 95,2% và NPV 96,2%. Diagnosed lymph node metastases with Se 100%, Sp 97,8%, Acc 97,9%, PPV 66,7% và NPV 100%. Staging of the MRI 1.5T has Acc 95,7%

Conclusion: Image 1.5T MRI on observable clarity T2WI, DWI before the injection and T1FS after the injection contract. 1.5T MRI has high value for staging Cervical cancer. MRI should be used routinely for staging Cervical cancer.

Keyword: Cervical cancer, MRI of cervical, staging cervical cancer.