Volume 21 Issue 12
Dec.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(12): 2111-2113
PAN Xuekui, ZHU Ling, SHAN Huaying, LU Yan. Effect of Doppler ultrasound, CT and MRI in preoperative staging diagnosis of endometrial cancer[J]. Chinese Journal of General Practice, 2023, 21(12): 2111-2113. doi: 10.16766/j.cnki.issn.1674-4152.003302
Citation: PAN Xuekui, ZHU Ling, SHAN Huaying, LU Yan. Effect of Doppler ultrasound, CT and MRI in preoperative staging diagnosis of endometrial cancer[J]. Chinese Journal of General Practice, 2023, 21(12): 2111-2113. doi: 10.16766/j.cnki.issn.1674-4152.003302
shu

Effect of Doppler ultrasound, CT and MRI in preoperative staging diagnosis of endometrial cancer

doi: 10.16766/j.cnki.issn.1674-4152.003302
  • 1.

    Department of Ultrasound, Huzhou Maternal and Child Health Hospital, Huzhou, Zhejiang 313000, China

Funds:

 2021KY1084

  • Received Date: 2022-10-26
    Available Online: 2024-01-29
    Abstract
  •   Objective  To investigate the application value of Doppler ultrasound, CT and MRI in the preoperative staging diagnosis of endometrial cancer, and to provide evidence for updating of clinical diagnostic methods.  Methods  From December 2019 to December 2021, 98 patients with endometrial cancer diagnosed by postoperative pathological examination in Huzhou maternal and child health hospital were retrospectively analyzed. All patients were examined by Doppler ultrasound, CT and MRI before surgery, and the results of the three examination reports were collected, and the diagnostic effect of their preoperative staging was analyzed and compared.  Results  Postoperative pathological analysis showed that 98 patients were all endometrioid adenomas, and the postoperative pathological stages were as follows: 61 cases in stage Ⅰ, 6 cases in stage Ⅱ, 21 cases in stage Ⅲ, and 10 cases in stage Ⅳ. The preoperative diagnostic stages of the 98 patients were reported as follows: Stage Ⅰ, 38 cases, 56 cases, 60 cases; Stage Ⅱ, 5 cases, 3 cases, 4 cases; Stage Ⅲ, 15 cases, 15 cases, 18 cases; Stage Ⅳ, 8 cases, 5 cases, 8 cases; Taking the results of postoperative pathological examination as the gold standard, the accuracy rates of preoperative Doppler ultrasound, CT and MRI for the preoperative staging of patients with endometrial cancer are 67.35% (66/98), 80.61% (79/98), 91.84% (90/98); ROC curve analysis showed that the results of the three preoperative examination stages had high clinical value on the pathological examination results (AUC values were 0.582, 0.653, 0.676 respectively, all P < 0.05), among which the comprehensive accuracy rate of MRI preoperative diagnosis stage was the highest in clinical value.  Conclusion  Doppler ultrasound, CT and MRI can be used as imaging modalities for preoperative staging of endometrial cancer patients, which can provide a strong basis for clinicians diagnosis of clinicians. However, the overall accuracy of preoperative diagnosis and staging of MRI for is significantly higher than that of Doppler ultrasound and CT, which may be preferred when clinical conditions allow.

     

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