Shibutani O, Joja I, Shiraiwa M, Asakawa T, Miyagi Y, Kudo T, Hiraki Y
Department of Radiology, Okayama University Medical School, 2-5-1 Shikata-cho, Okayama-city, Okayama 700-8558, Japan.
Abdom Imaging. 1999 Sep-Oct;24(5):520-6. doi: 10.1007/s002619900553.
To investigate the efficacy of thin-section oblique axial magnetic resonance (MR) images in evaluating cervical invasion by endometrial carcinoma.
Sixty-seven patients with endometrial carcinoma were evaluated with pathologic correlation. We compared the accuracy in the assessment of cervical invasion by endometrial carcinoma between parasagittal MR images and thin-section oblique axial MR images by using T2-weighted and contrast-enhanced T1-weighted pulse sequences.
Cervical invasion by endometrial carcinoma was confirmed by pathologic examination. Cervical invasion was seen in 16 patients. The accuracy rates of parasagittal T2-weighted images, thin-section oblique axial T2-weighted images, parasagittal contrast-enhanced T1-weighted images, and thin-section oblique axial contrast-enhanced T1-weighted images were 74.7%, 89.5%, 82.0%, and 95.5%, respectively. Statistically significant differences were seen between parasagittal T2-weighted images and thin-section oblique axial T2-weighted images (p = 0.002) and between parasagittal contrast-enhanced T1-weighted images and thin-section oblique axial contrast-enhanced T1-weighted images (p = 0.003).
Thin-section oblique axial MR images are considered to be useful for the assessment of cervical invasion by endometrial carcinoma.
探讨薄层斜轴位磁共振（MR）图像在评估子宫内膜癌宫颈浸润方面的效能。
对67例子宫内膜癌患者进行评估，并与病理结果进行对照。我们采用T2加权和对比增强T1加权脉冲序列，比较矢状位MR图像和薄层斜轴位MR图像在评估子宫内膜癌宫颈浸润方面的准确性。
经病理检查证实存在子宫内膜癌宫颈浸润。16例患者出现宫颈浸润。矢状位T2加权图像、薄层斜轴位T2加权图像、矢状位对比增强T1加权图像和薄层斜轴位对比增强T1加权图像的准确率分别为74.7%、89.5%、82.0%和95.5%。矢状位T2加权图像与薄层斜轴位T2加权图像之间（p = 0.002）以及矢状位对比增强T1加权图像与薄层斜轴位对比增强T1加权图像之间（p = 0.003）存在统计学显著差异。
薄层斜轴位MR图像被认为对评估子宫内膜癌宫颈浸润有用。
