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Медицинская литература. Новинки


 

 

 

 

 

 
вce журналы << Медицинская визуализация << 2006 год << №2 <<
стр.56
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Сравнительная оценка диагностической ценности УЗИ и МРТ в визуализации инвазивных форм рака шейки матки

В.Е. Гажонова, В.В. Мамаев, Е.Н. Андрияничева
Вы можете загрузить полный текст статьи в формате pdf
ФГУ ОБП МЦ УДП РФ ФГУ ЦКБ МЦ УДП РФ
Адрес для корреспонденции: Гажонова Вероника Евгеньевна – тел.: (495) 147-83-41. E-mail: vx969@mail.ru

Ключевые слова:

Литература:

A Comparative Assessment of Diagnostic Utility of Ultrasonography and Magnetic Resonance Imaging in the Visualization of Invasive Forms of Cervical Carcinoma

V.E. Gazhonova, V.V. Mamaev, and E.N. Andriyanicheva

The present work is based on the analysis of results of two-dimensional and three-dimensional transvaginal ultrasonography and MRI performed at 54 female patients with invasive forms of cervical carcinoma (stage IIb - IVb according to FIGO classification), in period since 2002 till 2005. Verification of the diagnosis was conducted on the base of cytological examination. For an assessment of a spread of the disease we used a complex of data, including a gynecological survey, ultrasonography, magnetic resonance imaging, computed tomography and radionuclide imaging. Ultrasonography of a cervix was performed by ''Sonoline'' (Elegra and Antares), designed by Siemens, working in a real time regimen with use of transvaginal probes (with bandwidth of 7,5–10,0 MHz). Examinations wrer performed on 5–7 days of a menstrual cycle or on a day of patient's resort in case of a menopause. On the background of the performed examinations we can make the following conclusions: 1. Comparing to the data of two-dimensional examination, a conducting of three-dimensional ultrasonography in angiographic regimen and the B-regimen allows to increase a diagnostic value of the method in disclosing an invasion in a parametrium, a myometrium and a vagina at IIb–IV stages of the disease. 2. Application of three-dimensional ultrasonography enlarges an accuracy of a staging of cervical carcinoma from 57% up to 70%. 3. A descriptiveness of the procedures of 3D ultrasonography essentially drops at IV stage of the disease because of a complicity of the visualization of the surrounding organs' involvement (an urinary bladder, a rectum), and also regional lymph nodes and pelvic bones; in that case an application of the MRI is justified.

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