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Article
Can Magnetic Resonance Imaging Predict Pathologic Findings for Endometrioid Endometrial Cancer?
Journal of Patient-Centered Research and Reviews
  • Elizabeth L Dickson Michelson, Oncology, Aurora West Allis Medical Center
  • Jessica J. F. Kram, Aurora UW Medical Group, Aurora Health Care; Center for Urban Population Health
  • Kayla Heslin, Aurora UW Medical Group, Aurora Health Care; Center for Urban Population Health; Aurora Research Institute
  • David Baugh, Radiology, Aurora St. Luke’s Medical Center
  • Vikram Bamra, Radiology, Aurora St. Luke’s Medical Center
  • Jiahao Hu, Radiology, Aurora St. Luke’s Medical Center
  • Abhishek Shukla, Pathology, Aurora St. Luke’s Medical Center
  • Scott A Kamelle, Oncology, Aurora St. Luke’s Medical Center
Publication Date
4-27-2020
Keywords
  • magnetic resonance imaging,
  • endometrioid endometrial cancer,
  • tumor diameter,
  • myometrial invasion
Abstract

This pilot study aimed to assess the feasibility of precisely measuring tumor diameter and myometrial invasion in patients with endometrioid endometrial cancer (EEC) using preoperative contrast-enhanced magnetic resonance imaging (MRI). Adult patients with confirmed diagnosis of complex hyperplasia with atypia or EEC were included. Three radiologists separately measured tumor diameter and myometrial invasion. Basic descriptive statistics were used to describe patient characteristics and to compare radiology- and pathology-measured tumor diameter and myometrial invasion. Using the pathology results for tumor diameter as the gold standard for comparison, at least 1 radiologist was able to predict largest tumor diameter within 5 mm for 41.7% of patients. Similarly, based on pathology results for myometrial invasion, at least 1 radiologist was able to predict myometrial invasion within 5% for 50% of patients. All radiologists were able to predict superficial (< 50%) or deep (≥ 50%) myometrial invasion for 75% of patients, with greater sensitivity, specificity, and accuracy for deep myometrial invasion. Given variation among radiologic measurements, it is difficult to recommend preoperative MRI as a basis for measuring tumor diameter and myometrial invasion. Even so, the ability to predict superficial versus deep myometrial invasion may benefit patients with EEC for whom surgery is not a viable option or for those seeking fertility-sparing treatment options.

Citation Information

Dickson Michelson EL, Kram JJ, Heslin K, Baugh D, Bamra V, Hu J, Shukla A, Kamelle SA. Can magnetic resonance imaging predict pathologic findings for endometrioid endometrial cancer? J Patient Cent Res Rev. 2020;7:206-12. doi: 10.17294/2330-0698.1720