MRI may distinguish normal endometrium from endometrial carcinoma, and is the modality of choice for staging of disease. MRI provides an accurate depiction of depth of myometrial invasion, cervical involvement, and detection of local lymph nodes.

Sample Epic Order (click image to enlarge)

EPIC order for pelvis staging MR at 3TEPIC order for abdomen and pelvis staging MR at 3T

Examples (click on images)

References

  1. Beddy P, Moyle P, Kataoka M, et al. Evaluation of depth of myometrial invasion and overall staging in endometrial cancer: comparison of diffusion-weighted and dynamic contrast-enhanced MR imaging. Radiology 2012; 262:530-537. PubMed link
  2. Vargas HA, Akin O, Zheng J, et al. The value of MR imaging when the site of uterine cancer origin is uncertain. Radiology 2011; 258:785-792. PubMed link
  3. Rechichi G, Galimberti S, Signorelli M, et al. Endometrial cancer: correlation of apparent diffusion coefficient with tumor grade, depth of myometrial invasion, and presence of lymph node metastases. AJR Am J Roentgenol 2011; 197:256-262. PubMed link
  4. Kang S, Kang WD, Chung HH, et al. Preoperative identification of a low-risk group for lymph node metastasis in endometrial cancer: a korean gynecologic oncology group study. J Clin Oncol 2012; 30:1329-1334. PubMed link
  5. Kitchener H, Swart AM, Qian Q, Amos C, Parmar MK. Efficacy of systematic pelvic lymphadenectomy in endometrial cancer (MRC ASTEC trial): a randomised study. Lancet 2009; 373:125-136. PubMed link
  6. Shin KE, Park BK, Kim CK, Bae DS, Song SY, Kim B. MR staging accuracy for endometrial cancer based on the new FIGO stage. Acta Radiol 2011; 52:818-824. PubMed link
  7. Lin G, Ho KC, Wang JJ, et al. Detection of lymph node metastasis in cervical and uterine cancers by diffusion-weighted magnetic resonance imaging at 3T. J Magn Reson Imaging 2008; 28:128-135. PubMed link
  8. Benedetti Panici P, Basile S, Maneschi F, et al. Systematic pelvic lymphadenectomy vs. no lymphadenectomy in early-stage endometrial carcinoma: randomized clinical trial. J Natl Cancer Inst 2008; 100:1707-1716. PubMed link

Last modified Sat, 8 Sep, 2012 at 11:41