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.
of Radiology Shifa International Hospital Islamabad from 01-01-2019 to 3112-2019.
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.
(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.
Resonance Imaging, Accuracy, Cervical Carcinoma