Ultrasound Versus Magnetic Resonance Imaging in Assessment of Parametrial Invasion in Cancer Cervix

Abstract

Pelvic magnetic resonance imaging (MRI) has long been established as a valuable imaging method in the primary diagnostic work-up of macroscopically visible cervical cancers.• Notwithstanding, in the last few years, ultrasound has gained attention as an imaging technique for evaluating women with cervical cancer. Several studies found that TVS is as sensitive as MRI for identifying parametrial involvement. • This study concluded that TVUS and MRI in detection of parametriaal invasion are comparable so TVUS examination of cervical cancer patients is very helpful. PATIENTS: The study included fifty patients proved to have cervical carcinoma by prior cervical biopsy and histopathologic examination at oncology unit of the Department of Obstetrics and Gynecology of Shatby Maternity university hospital, Alexandria, Egypt. The study protocol was approved by the Ethics Committee of faculty of medicine, Alexandria University. Exclusion criteria were: • Cases who had Contraindications to MRI. (Metallic implants-Claustrophobia-Pacemakers-Contrast allergy-Body weight). • Recurrent cervical cancer. • Past history of radio-chemotherapy related to cancer cervix. METHODS: All patients had undergone: Thorough history taking. Biopsy and histopathology. Examination under general anesthesia. MRI imaging. Ultrasound examination. The examiner recorded his evaluation of the case in report then comparison was established between the ultrasound findings and the MRI findings. The ultrasound examiner was blinded from the results of the MRI. Surgery and radiotherapy treatment.