Bushra Bashir, Farooque Ahmed Haidari, Muhammad Ramzan, Ejaz Ahmed, Farzeen Arshad, Wajeeh Ur Rehman, M Fayaz
Pakistan Journal of Medical & Health Sciences




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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



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