DIAGNOSTIC ACCURACY OF DIFFUSION WEIGHED MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF MYOMETRIAL INVASION AMONG PATIENTS WITH ENDOMETRIAL CARCINOMA
DOI:
https://doi.org/10.52764/jms.24.32.1.7Abstract
OBJECTIVE: To determine diagnostic accuracy of diffusion weighed magnetic resonance imaging in the diagnosis of myometrial invasion in patients with endometrial carcinoma keeping histopathology as gold standard.
MATERIALS AND METHODS: This was a descriptive cross-sectional study conducted from 11-July-2019 to 10-July-2021 at Radiology Department, Khyber Teaching Hospital, Peshawar. Sample was collected via Non probability sampling technique. Sample size was 141 taking the prevalence of myometrial invasion 46% 12 with sensitivity and specificity of DW-MRI 90% and 73% ,95% confidence level and 10% margin of error. All women presenting with biopsy proven endometrial carcinoma scheduled for hysterectomy, in age between 30 to 70 years were included. Myometrial invasion via MRI pelvis including DWI, with 1.5 T machine (Philips), was evaluated for all patients. After hysterectomy, myometrial invasion was confirmed on histopathology.
RESULTS: Among 141 women, 58 (41%) patients were in 30-50 years age group and 83(59%) patients were in 51-70 years age group. DW-MRI had 91.11% sensitivity, 66.66% specificity, 98.4% Positive predictive value, 25% Negative predictive value and 90.07% diagnostic accuracy
CONCLUSION: DW-MRI has good diagnostic accuracy in the detection of myometrial invasion in endometrial carcinoma.
Key words: Diffusion weighted magnetic resonance imaging, Endometrial cancer, Histopathology.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Humaira Anjum; Muska Khattak, Mahnoor Rehman, Samia Iftikhar
This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.
