THE ROLE OF MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF RECURRENCE IN CARCINOMA OF CERVIX

DR. VASANTHAMANI P; DR.GOPINATHAN K; DR. BHARATHI SELVAM S; DR. SARAVANAN S

Volume : VIII, Issue : II, February - 2019

THE ROLE OF MAGNETIC RESONANCE IMAGING IN THE DIAGNOSIS OF RECURRENCE IN CARCINOMA OF CERVIX

Dr. Vasanthamani P, Dr. Gopinathan K, Dr. Bharathi Selvam S, Dr. Saravanan S

Abstract :

Back ground : Carcinoma cervix is one of the most common gynecological malignancies and a frequent cause of death . It’s very common among females of 45–55 years of age in the developing countries.(1) . For cross sectional imaging of the carcinoma both MRI and CT used in the however MRI imaging is very useful of the excellent soft tissue resolution and imperative in the diagnosis of carcinoma of cervix . Treatment : Surgery or radiotherapy are the treatment modalities available for early ca cervix where as late stage cancers are treated with radiotherapy which comprises of intra cavitary , Brachytherapy and external beam irradiation. It helps to deliver a high focused dose of radiation to a small region involving the cervix , parametrical tissues . Accurate information regarding the shape , size , volume mass, local spread , lymph node status which is very useful in identifying recurrence of carcinoma can be obtained from MRI (2) Materials and methods : This study was conducted in the Department of Radiaodiagnosis , the Department of Radiation oncology and Department of Obstetrics and Gynecology in the Government Roypettah hospital , kilpauk medical college, Chennai . 80 Patients who are already diagnosed with carcinoma cervix and completed treatment with external beam irradiation and achytherpy presenting with symptoms suspicious of recurrence of tumor were included in this study . In this study the parameters evaluated are recurrence of disease and post radiotherapy changes by combining the T2 WI , Dynamic contrast enhanced study and images in DWI / ADC sequences . Patients showing positive MRI findings for recurrence of carcinoma, biopsy was done and presence of recurrence was confirmed by histopathology evaluation Results : We analyzed parameters like location of disease, residual or recurrence of disease , post radiotherapy changes . MRI imaging with specific protocols including T2, DW weighted and dynamic T1 post contrast were adequate to confirm in diagnosis of carcinoma in previously treated patient with recurrence