Endometrial carcinoma detection with 3.0 Tesla imaging: which sequence is more useful

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dc.authoridKahraman, Aysegul Sagir/0000-0002-2147-1181
dc.authoridKaraca, Leyla/0000-0001-9150-3823
dc.authoridMARAŞ ÖZDEMİR, ZEYNEP/0000-0003-1085-8978
dc.authorwosidKahraman, Aysegul Sagir/S-1526-2016
dc.authorwosidKaraca, Leyla/AAG-4002-2020
dc.authorwosidMARAŞ ÖZDEMİR, ZEYNEP/ABI-3319-2020
dc.contributor.authorKaraca, L.
dc.contributor.authorOzdemir, Z. M.
dc.contributor.authorKahraman, A.
dc.contributor.authorYilmaz, E.
dc.contributor.authorAkatl, A.
dc.contributor.authorKural, H.
dc.date.accessioned2024-08-04T20:53:11Z
dc.date.available2024-08-04T20:53:11Z
dc.date.issued2022
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVE: Detection of endometrial cancer (EC) is crucial in pre-operative EC management. The study aimed at determining the most reliable sequence in magnetic resonance imaging (MRI) evaluation at the EC. Different sequences were compared using histopathological results as the gold standard. PATIENTS AND METHODS: In this retrospective study, 62 women diagnosed with EC were examined using 3 Tesla MR and post-hysterectomy histopathological examination. The MRI protocol included diffusion- weighted imaging (DWI), T2 weighted images, Dynamic Contrast T1 weighted images, and ZOOMit DWI. Apparent diffusion coefficient (ADC) maps were also obtained. ADC maps were calculated for both DWI and ZOOMit DWI. All serial images were analyzed by endometrial distance to account for myometrial invasion and tumor size. All sequences and histopathological results were compared using the paired sample t-test. RESULTS: In all 32 women, post-hysterectomy histopathological confirmation was obtained. Mean myometrial invasion values were not significantly different after comparing DWI, ZOOM it DWI, and Dynamic contrast enhancement (DCE)-T1WI (p=0.054, p=0.039). The first strong correlation was found between DWI and ZOOMit DWI (0.943). The second was between ZOOMit DWI and DCE-T1 WI (0.949). Comparing each set of sequences, no statistically significant differences in tumor size ( p > 0.05) were found. Also, no statistically significant differences between images and histopathological size were found. The ADC values of ZOOMit DWI indicated that this method detected significant differences between EC histological subtypes. CONCLUSIONS: Each sequence is essential and valuable, whereas priorities may vary depending on the desired information. The most valuable sequences for the myometrial invasion were ZOOMit and conventional DWI. T2WI and DCE T1 WI were more valuable sequences the size of EC.en_US
dc.identifier.endpage8104en_US
dc.identifier.issn1128-3602
dc.identifier.issue21en_US
dc.identifier.pmid36394759en_US
dc.identifier.scopus2-s2.0-85141994071en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage8098en_US
dc.identifier.urihttps://hdl.handle.net/11616/100997
dc.identifier.volume26en_US
dc.identifier.wosWOS:000922026100041en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherVerduci Publisheren_US
dc.relation.ispartofEuropean Review For Medical and Pharmacological Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndometriumen_US
dc.subjectCanceren_US
dc.subjectMR sequencesen_US
dc.titleEndometrial carcinoma detection with 3.0 Tesla imaging: which sequence is more usefulen_US
dc.typeArticleen_US

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