- 자기공명영상에서 발견되지 않는 소 자궁 경부암:발견 가능한 종양과의 비교 연구
- ㆍ 저자명
- 최동일
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1997년|37권 2호|pp.321-326 (6 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
Purpose: Small uterine cervical tumors are often undetected on MRI, and undetectable tumors are usually regarded as being in their early stages. The purpose of this study was to evaluate morphological factors determining MRI detectability of uterine cervical tumors by comparing detected and undetected tumors using high resolution MRI units.Materials and Methods: Sixth-six surgically proven uterine cervical cancer patients were included in this study. Using GE Signa 1.5T magnet (GE, USA), axial T1-weighted MR images and axial, sagittal, and coronal T2-weighted fast spin echo MR images were obtained with a 5mm thickness/2mm gap and a 512$ imes$256 matrix size. The patients were divided into two groups, tumor-detected and tumor-undetected. Maximal tumor dimension, depth of stromal invasion, and horizontal tumor spread, measured during histopathological examinations, as well as pathological stages, were compared between the two groups.Results: In the tumor-detected group, the pathological stages were IB1 in 25, IB2 in 3, IIA in 10, and IIB in 5 patients; in the tumor-undetected group, the stages were IA1 in 8, IA2 in 2, and IB1 in 13 patients. Maximal tumor dimension, depth of stromal invasion, and horizontal tumor spread for tumor-detected and -undetected groups were 27.4(10-60)mm vs. 10.4(3-40)mm (p=0.077), 11.1(3-20)mm vs. 2.3(0-5)mm (p<0.001), and 26.6(8-60)mm vs. 10.4(3-40)mm (p=0.057), respectivelyConclusion: Of the criteria studied, depth of stromal invasion is the most important factor in determining tumor detectability on MRI. All tumors is which this depth was more than 5mm were thus detected; those which are undetected on high resolution MRI can be regarded as early-stage tumors (stage IB1)