MRI: A Useful Tool for Diagnosing Malignancy - Diagnostic Accuracy of MRI in Detection of Malignancy of Cervix
Bushra Bashir, Farooque Ahmed Haidari, Muhammad Ramzan, Ejaz Ahmed, Farzeen Arshad, Wajeeh Ur Rehman, M Fayaz
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ABSTRACT
Aim: To determine the diagnostic
accuracy of magnetic resonance imaging (MRI) for detection of cervical
carcinoma in patients who were clinically diagnosed to have cervix carcinoma.
Study
Design:Cross-sectional/observational
Place and
duration: Dept.
of Radiology Shifa International Hospital Islamabad from 01-01-2019 to 3112-2019.
Methods:
Total
150 patients with ages 30 to 65 years clinically suspected to have cervical
carcinoma were enrolled n this study. Patients’ detailed demographics including
age, residence, socio-economic status, co-morbidities and clinical presentation
were recorded after taking written consent. All the patients underwent MRI of
pelvis to detect the malignancy. Histopathology was taken as gold standard.
Results:
Thirty
(20%) patients were ages 30 to 40 years, 53 (35.33%) were ages 41 to 50 years,
41(27.33%) had ages 51 to 60 years and 26(17.3%) were ages above 60 years.
Post-menopausal bleeding was the most common symptom found in 65(43.33%)
followed by abnormal vaginal bleeding in 50(33.33%), offensive watery discharge
in 35(23.33%) and pelvic pain found in 30(20%) patients. 105 (70%) patients had
positive findings and 45(30%) had negative by MRI while by histopathological
examination 112(74.67%) had positive and 38(25.33%) had negative. Sensitivity,
specificity, PPV, NPV and diagnostic accuracy of MRI were 89.29%, 86.84%,
95.24%, 73.33% and 88.67% respectively.
Conclusion: Magnetic resonance
imaging is very useful diagnostic tool for detection of cervical carcinoma.
Keywords:
Magnetic
Resonance Imaging, Accuracy, Cervical Carcinoma
ABSTRACT
Aim: To determine the diagnostic
accuracy of magnetic resonance imaging (MRI) for detection of cervical
carcinoma in patients who were clinically diagnosed to have cervix carcinoma.
Study
Design:Cross-sectional/observational
Place and
duration: Dept.
of Radiology Shifa International Hospital Islamabad from 01-01-2019 to 3112-2019.
Methods:
Total
150 patients with ages 30 to 65 years clinically suspected to have cervical
carcinoma were enrolled n this study. Patients’ detailed demographics including
age, residence, socio-economic status, co-morbidities and clinical presentation
were recorded after taking written consent. All the patients underwent MRI of
pelvis to detect the malignancy. Histopathology was taken as gold standard.
Results:
Thirty
(20%) patients were ages 30 to 40 years, 53 (35.33%) were ages 41 to 50 years,
41(27.33%) had ages 51 to 60 years and 26(17.3%) were ages above 60 years.
Post-menopausal bleeding was the most common symptom found in 65(43.33%)
followed by abnormal vaginal bleeding in 50(33.33%), offensive watery discharge
in 35(23.33%) and pelvic pain found in 30(20%) patients. 105 (70%) patients had
positive findings and 45(30%) had negative by MRI while by histopathological
examination 112(74.67%) had positive and 38(25.33%) had negative. Sensitivity,
specificity, PPV, NPV and diagnostic accuracy of MRI were 89.29%, 86.84%,
95.24%, 73.33% and 88.67% respectively.
Conclusion: Magnetic resonance
imaging is very useful diagnostic tool for detection of cervical carcinoma.
Keywords:
Magnetic
Resonance Imaging, Accuracy, Cervical Carcinoma