الفهرس | Only 14 pages are availabe for public view |
Abstract Recent developments in diagnostic imaging techniques have magnified the role and potential of MRI in female pelvic imaging. Functional imaging by means of dynamic multiphase contrast-enhanced magnetic resonance imaging (DCE-MRI) and diffusion weighted magnetic resonance imaging (DW-MRI) is now part of the standard imaging protocols for evaluation of the female pelvis. In this review, we give an overview of both DCE-MRI and DW-MRI techniques, concentrating on their main clinical application in preoperative staging and their role in tailoring treatment options and therapy in patients with uterine malignancies. We were aiming to compare DW-MRI with DCE-MRI in a way to highlight the most cost effective method in management of patients with uterine malignancy. DCE-MRI improves the accuracy of T2WI in staging of endometrial cancer. It also increases reader’s confidence in assessment of parametrial infiltration and adjacent organ invasion in cancer cervix. DW-MRI is valuable in preoperative staging of patients with endometrial and cervical cancer, especially in detection of extra-uterine disease. It does increase reader’s confidence for detection of recurrent disease in gynaecological malignancies and improves detection of small peritoneal implants. |