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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-03
The Efficacy of MRI in Staging of Carcinoma of Uterine Cervix correlation with FIGO Staging
Dr. Shah Muhammad Mustaquim Billah, Dr. Nafisa Jafreen, Dr. Ummay Salma Sharkar
Published: March 30, 2020 | 52 135
DOI: 10.36347/sjams.2020.v08i03.047
Pages: 1043-1047
Cervical cancer is the most common genital malignancy among the women in the developing countries. The current staging system, that is the FIGO clinical staging system, has got some limitation and inconvenience to the patient. Magnetic Resonance Imaging is accepted as a preferred imaging modality to assess the parametrial invasion, tumor size, lymph node metastasis, evaluation of the main prognostic factors and selection of therapeutic strategy. Hence this study was conducted for comparison of FIGO staging with MRI staging for better staging of Carcinoma Cervix, treatment and follow up. Objectives: The present study was aimed to find out the sensitivity, specificity, positive and negative predictive value and accuracy of MRI in staging carcinoma cervix by comparing with the FIGO clinical staging system, which was taken as the reference. Methods: Our study involved 55 patients who were newly diagnosed cases of carcinoma cervix, already staged clinically by the FIGO system and referred to the radiology department for MR imaging of pelvis during the period July 2016 to June 2018. MR imaging of the pelvis and screening of abdomen was done for these patients. Patient was then staged with MRI. Then the predicted stage for each patient with the two methods were compared. The sensitivity, specificity, positive and negative predictive values were obtained. The analysis done by standard Chi square test. Results: In assessing whether the lesion was confined to cervix or extended beyond cervix accuracy was 94.55%. In assessing the parametrial extension MRI had a accuracy of 92.7%. In assessing the bladder mucosal invasion MRI had an accuracy of 96.3%. In assessing the rectal mucosal invasion MRI had accuracy of 96.3%. Clinical staging and MR staging concurred in 85.45% of cases and differed in 14.45% of cases. Conclusion: Magnetic resonance imaging in carcinoma cervix has a good sensitivity, specificity, positive predictive value, negative predictive value and diagnostic ......