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  Česky / Czech version Čes. Radiol., 55, 2001, No. 5, p. 331-337
 
Contribution of MRI to Assessment of the Stage of Uterine Cervix Carcinoma  
Belšan T., Rob L., Neuwirth J., Lisý J. 

Klinika zobrazovacích metod, FN v Motole, Praha, přednosta doc. MUDr. Jiří Neuwirth, CSc. Gynekologicko-porodnická klinika, FN v Motole, Praha, přednosta prof. MUDr. Jan Hořejší, DrSc.
 


Summary:

       The authors demonstrate in a group of 75 female patients their experience with the use of MR imaging in assessment of the stage of uterine cervix carcinoma. For MR examination patients in stage I and II of FIGO classification are indicated. The authors describe the criteria according to which the stage of the tumour in the MR image is assessed. They introduce a new MR classification in tumours of clinical stage IB. Its basis is assessment of the dimensions of the tumour in relation to the dimensions of the uterine cervix. This ratio is a better criterion for selection of the correct therapeutic procedure than the maximum diameter of the tumour evaluated by the FIGO classification. Based on the new MR classification in patients with tumours stage IB2 preoperative neoadjuvant chemotherapy was indicated. On MR check-up examination after administration of neoadjuvant chemotherapy in a group of 24 patients a reduction of tumour volume was proved in 22 patients (92%). The authors describe their own indication pattern for MRexamination in patients with uterine cervix carcinoma and a pattern of the classification procedure of the tumour based on MR images.

        Key words: magnetic resonance - carcinoma of the uterine cervix - MR classification - FIGO classification - neoadjuvant preoperative chemotherapy
       

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