Abstract
The potential of diffusion-weighted imaging (DWI) and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) to reflect the histological subtype and clinical course in endometrial cancers is not fully elucidated. This study was to evaluate the efficacy of DCE-MRI and DWI in the diagnosis of endometrial carcinoma. Fifty-four patients with endometrial carcinoma were retrospectively studied. DWI and DCE-MRI images were acquired preoperatively in all patients. The depth of myometrial invasion, dynamic enhanced characteristics, time-signal intensity curve and ADC values suggested by preoperative DW/DCE-MRI and the subsequent histopathological findings following the surgery were investigated. The statistical difference was analyzed using SPSS 17.0. Endometrial adenocarcinoma was found in 83.3 % (45/54) cases including 14 cases of highly differentiated (G1), 28 cases of moderately differentiated (G2) and 3 cases of poorly differentiated (G3) according to DWI. There were no statistical difference (P > 0.05) in signal intensity and ADC value of internal obturator muscle among G1, G2 and G3. ADC value between G1 and G2 had statistical difference. Postoperative histopathological examination showed that 79.6 % (43/54) patients were at stage Ia, 16.7 % (9/54) at stage Ib and 3.7 % (2/54) at stage II according to the FIGO 2012 staging criteria. DCE-MRI results showed 74.1 % (40/54) patients were at stage Ia, 14.8 % (8/54) at stage Ib and 3.7 % (2/54) at stage II. Based on the results of histopathological examination, the sensitivity, specificity, accuracy, positive predictive value, negative predictive value of diagnosing endometrial adenocarcinoma la, lb, II by DCE-MRI were 93.0, 88.9, 100 %; 90.9, 93.3, 100 %; 92.6, 92.6, 100 %; 97.6, 72.7, 100 %; 76.9, 97.7, 100 %. The results suggested that DWI and DCE-MRI are helpful in improving the accuracy of the staging and pathological grading of endometrial carcinoma.
Similar content being viewed by others
References
F. Amant, P. Moerman, P. Neven, D. Timmerman, E. Van Limbergen, I. Vergote, Lancet 366(9484), 491–505 (2005)
S.J. Freeman, A.M. Aly, M.Y. Kataoka, H.C. Addley, C. Reinhold, E. Sala, Radiographics 32(6), 1805–1827 (2012)
H.B. Salvesen, I.S. Haldorsen. J. Trovik, Lancet Oncol. 13(8), e353–e361 (2012)
I. Haldorsen, H. Salvesen, Clin. Radiol. 67(1), 2–12 (2012)
P. Beddy, P. Moyle, M. Kataoka, A.K. Yamamoto, I. Joubert, D. Lomas, R. Crawford, E. Sala, Radiology 262(2), 530–537 (2012)
S.-H. Shen, Y.-Y. Chiou, J.-H. Wang, M.-S. Yen, R.-C. Lee, C.-R. Lai, C.-Y. Chang, Am. J. Roentgenol. 190(2), 481–488 (2008)
K. Tamai, T. Koyama, T. Saga, S. Umeoka, Y. Mikami, S. Fujii, K. Togashi, J. Magn. Reson. Imaging 26(3), 682–687 (2007)
I.S. Haldorsen, R. Grüner, J.A. Husby, I.J. Magnussen, H.M. Werner, Ø.O. Salvesen, L. Bjørge, I. Stefansson, L.A. Akslen, J. Trovik, Eur. Radiol. 23(10), 2916–2925 (2013)
R. Boronow, C. Morrow, W. Creasman, P. Disaia, S. Silverberg, A. Miller, J. Blessing, Obstet. Gynecol. 63(6), 825–832 (1984)
M. Rudin, Eur. Radiol. 17(10), 2441–2457 (2007)
B. Dong, R. Bai, Chin. J. Med. Imaging 20(6), 431–434 (2012)
S. Naganawa, C. Sato, H. Kumada, T. Ishigaki, S. Miura, O. Takizawa, Eur. Radiol. 15(1), 71–78 (2005)
M. Uhl, C. Altehoefer, U. Kontny, K. Il’yasov, M. Büchert, M. Langer, Eur. Radiol. 12(9), 2335–2338 (2002)
T. Nägele, D. Petersen, U. Klose, W. Grodd, H. Opitz, E. Gut, J. Martos, K. Voigt, Am. J. Neuroradiol. 14(1), 89–98 (1993)
J.S. Ross, R. Delamarter, M.G. Hueftle, T.J. Masaryk, M. Aikawa, J. Carter, C. VanDyke, M.T. Modic, Am. J. Neuroradiol. 10(1), 37–46 (1989)
H. Hawighorst, P.G. Knapstein, W. Weikel, M.V. Knopp, I. Zuna, A. Knof, G. Brix, U. Schaeffer, C. Wilkens, S.O. Schoenberg, Cancer Res. 57(21), 4777–4786 (1997)
G.J. Jager, E. Ruijter, C. Van de Kaa, J. De la Rosette, G. Oosterhof, J.R. Thornbury, S. Ruijs, J.O, Barentsz, Radiology 203(3), 645–652 (1997)
A. Rockall, R. Meroni, S. Sohaib, K. Reynolds, F. Alexander-Sefre, J. Shepherd, I. Jacobs, R. Reznek, Int. J. Gynecol. Cancer 17(1), 188–196 (2007)
H.H. Chung, S.-B. Kang, J.Y. Cho, J.W. Kim, N.-H. Park, Y.-S. Song, S.H. Kim, H.-P. Lee, Gynecol. Oncol. 104(3), 654–659 (2007)
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Additional information
As for the co-authorship, R. Li and Q. Zhao contributed equally to this work.
Rights and permissions
About this article
Cite this article
Li, R., Zhao, Q., Xin, S. et al. Diagnostic Accuracy of Dynamic Contrast Enhanced Magnetic Resonance Imaging and Diffusion-Weighted Imaging in Endometrial Carcinoma: a Retrospective Study on 54 Cases. Appl Magn Reson 47, 977–985 (2016). https://doi.org/10.1007/s00723-016-0816-2
Received:
Revised:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00723-016-0816-2