Head and Neck Imaging
Evaluation of Magnetic Resonance Imaging for the Treatment Effect of Uterine Artery Chemoembolization in Cervical Cancer
Author:ZHANG Yan, CHEN Yuan-yuan, JIANG Kui-ming, et al.
affiliation:Department of Radiology, Guangdong Woman and Children Hospital, Guangzhou 511400, Guangdong Province, China
PDFAbstract
Objective To analyze the value of magnetic resonance imaging in assessing the effect of uterine artery chemoembolization of cervical cancer. Methods The retrospective analysis was performed in the clinical, MRI and pathological information of 44 cervical cancer patients. All the patients accepted the Uterine artery chemoembolization and the MRI examination was performed before and after the treatment. The variation of MRI images was evaluated before and after the treatment. Results The MRI diagnosis before the operation shows the average value of the maximum diameter of the focus was (4.7±1.4) cm, after the operation the average value of the maximum diameter of the focus was (2.9±1.5) cm. The change had the statistical significance, P<0.05, to compared the ADC value of the cervical cancer lesions before and after the treatment, the average value before the treatment was (0.904±0.2230)×10-3mm2 /s, the average value after the treatment was (1.041±0.231)×10-3mm2 /s and the difference between them had the statistics significance, P<0.05, patients with squamous cell carcinoma showed a better response rather than patients with other pathological types(86.1% vs. 50.0%) , P<0.05. To compared the variation of ADC value of squamous-cell carcinoma before and after the treatment, the difference between them had the statistics significance, P<0.05; to compared the variation of other pathological types of cervical cancer before and after the treatment, the change has no statistics significance, P>0.05. Conclusion MRI may be useful for early evaluation the treatment effect of Uterine artery chemoembolization in cervical cancer and the response of this treatment plan of the squamous cell cancer was better than that of the cervical cancer of other pathological types.
【Keyword】Carcinoma of Uterine Cervix; Magnetic Resonance Imaging; Diffusion Weighted Imaging; Neoadjuvant Chemotherapy; Uterine Artery Chemoembolization
【Chart number】R445.2
【Document Identification Number】A
【DOI】10.3969/j.issn.1672-5131.2018.07.035
Chinese journal of CT and MRI
th16Volume, th 7 Issue
2018Year07Month
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