MRI Evaluation of Cervical Carcinoma Stage II at a Tertiary Care Hospital in Dhaka City

Journal of National Institute of Neurosciences Bangladesh Pub Date : 2022-02-06 DOI:10.3329/jninb.v7i2.58097

Rokshana Ahmed, Shaifur Ahmed, Md Abdul Alim, Z. Haque, Noor e Ferdous, M. N. Nahar

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Abstract

Background: Diagnosis of clinical staging is very crucial for the management of cervical carcinoma. Objective: The purpose of the present study was to evaluate the MRI and clinical staging of IIA and IIB cervical carcinoma. Methodology: This cross-sectional study was conducted in Department of Radiology & Imaging at Dhaka Medical College Hospital, Dhaka, Bangladesh with the collaboration of Obstetrics and Gynecology unit as well as the Department of Pathology of Dhaka Medical College, Dhaka, Bangladesh from July 2010 to June 2012 for a period of two years. All patients with MRI examination who had given the written permission for the use of their data for research purposes at the time of their scan were selected as study population. The cervix and vagina were visually inspected for superficial evidence of the extent of tumor. Biopsied were not routinely performed since patients were usually referred only after a biopsy and had confirmed the diagnosis of invasive carcinoma. Assessments of the extent of tumor, parametrial extension, lymph nodes were evaluated. Then the findings of MRI clinical examination, surgical findings and histopathological reports were recorded on a preformed data sheet. Finally, the diagnostic effectiveness of MRI staging and clinical FIGO staging were evaluated against the surgico-histopathological reports. Result: A total number of 30 patients were recruited for this study. The mean age with SD of the study population were 57.82±13.34 years. The sensitivity, specificity, PPV, NPV and accuracy of MRI of the detection of IIA of cervical carcinoma was 80.0%, 100.0%, 100.0%, 90.9% and 93.33% respectively. However, the sensitivity, specificity, PPV, NPV and accuracy of clinical examination of the detection of IIA of cervical carcinoma was 84.34%, 63.86%, 84.87%, 45.86% and 67.44% respectively. Conclusion: In conclusion the diagnostic validity of MRI for the detection of carcinoma cervix stage IIA is better than clinical examination. Journal of National Institute of Neurosciences Bangladesh, July 2021, Vol. 7, No. 2, pp. 113-117

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达卡市一家三级医院II期宫颈癌的MRI评估

背景:临床分期诊断对宫颈癌的治疗至关重要。目的:探讨IIA型和IIB型宫颈癌的MRI及临床分期。方法:本横断面研究于2010年7月至2012年6月在孟加拉国达卡达卡医学院附属医院放射与影像科与孟加拉国达卡达卡医学院妇产科和病理科合作进行，为期两年。所有接受MRI检查的患者，在扫描时已书面同意将其数据用于研究目的，被选为研究人群。目视检查子宫颈和阴道以寻找肿瘤范围的表面证据。由于患者通常只有在活检并确诊为浸润性癌后才转诊，因此活检并不是常规进行的。评估肿瘤范围、参数扩展、淋巴结。然后将MRI临床检查结果、手术结果和组织病理学报告记录在预先编制的数据表上。最后，根据手术组织病理学报告评估MRI分期和临床FIGO分期的诊断有效性。结果:本研究共招募了30例患者。研究人群的平均SD年龄为57.82±13.34岁。MRI检测宫颈癌IIA的敏感性、特异性、PPV、NPV和准确性分别为80.0%、100.0%、100.0%、90.9%和93.33%。临床检查检测宫颈癌IIA的敏感性、特异性、PPV、NPV和准确性分别为84.34%、63.86%、84.87%、45.86%和67.44%。结论:MRI对宫颈癌IIA期的诊断有效性优于临床检查。《孟加拉国国家神经科学研究所杂志》，2021年7月，第7卷，第2期，第113-117页

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Journal of National Institute of Neurosciences Bangladesh

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