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- W3142020105 abstract "The aim is to compare the accuracy of 2D-TVUS and MRI, in the evaluation of the tumour local extension, myometrial and cervical invasion. From October 2013 to May 2020 we recruited retrospectively 136 women. A preoperative TVUS in 136 and RMI in 122 were made to define myometrial and cervical infiltration in comparison to histological results in our 136 cases, myometrial infiltration was 50% or more in 79 women (58%) and no or less than 50% in 57 (42%).The depth of myometrial invasion was correctly assessed by US in 70 patients and was misclassified in 15 patients. Transvaginal sonography overestimated 15 (11%) and underestimated 8 (5.8%) patients. Overall, TVS diagnostic accuracy, sensitivity, specificity, PPV, and NPV values for myometrial invasion were 83%, 89.7%, 73.7%, 82.4% and 84%, respectively. Magnetic resonance imaging could correctly predict the depth of any myometrial invasion in 98 (80.3%) patients. Of the 122, 24 (19.6%) patients were misclassified on MRI. Myometrial invasion was overestimated in 11 (9%) cases and underestimated in 13 (10.6%) cases. MRI correctly detected 57 (81.4%) of 70 patients with deep myometrial invasion. Overall, diagnostic accuracy, sensitivity, specificity, PPV, and NPV values for myometrial invasion were 80.3%, 81.4%, 78.8%, 83.8% and 75.9%, respectively. Regarding the parameter “myometrial infiltration neoplastic more or less than 50%”, ultrasound demonstrates better sensitivity than MRI (SE: 89.7% vs. 81.4%) while specificity results equivalent (SP: 73.3% vs. 78.8%). TVUS has a role as a first imaging technique in order to suspect the myometrial invasion and cervical involvement in women affected by endometrial cancer, especially in low-risk cases. TVUS is cheap, repeatable and not harmful." @default.
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- W3142020105 date "2020-10-01" @default.
- W3142020105 modified "2023-09-26" @default.
- W3142020105 title "VP66.13: Preoperative assessment of myometrial and cervical invasion in endometrial cancer by transvaginal sonography versus magnetic resonance imaging" @default.
- W3142020105 doi "https://doi.org/10.1002/uog.23471" @default.
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