Vaginosonography versus MRI in Pre-Treatment Evaluation of Early-Stage Cervical Cancer: An Old Tool for a New Precision Approach?

This study aims to analyze the sensitivity of vaginosonography (VGS) and magnetic resonance imaging (MRI) in the preoperative local evaluation of early-stage cervical cancers and to assess their accuracy in the detection of tumors, size of the lesions and stromal invasion by comparing them with the...

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Bibliographic Details
Published in:Diagnostics (Basel) 2022-11, Vol.12 (12), p.2904
Main Authors: Vidal Urbinati, Ailyn M, Pino, Ida, Iacobone, Anna D, Radice, Davide, Azzalini, Giulia, Guerrieri, Maria E, Preti, Eleonora P, Martella, Silvia, Franchi, Dorella
Format: Article
Language:English
Subjects:
Cervical cancer
Cervix
Comparative analysis
Diagnosis
Diagnosis, Ultrasonic
Histology
Histopathology
Magnetic resonance imaging
MRI and gynecological oncology diagnosis
Oncology
Pathology
transvaginal ultrasound
Tumors
Ultrasonic imaging
Vagina
vaginosonography
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Summary:This study aims to analyze the sensitivity of vaginosonography (VGS) and magnetic resonance imaging (MRI) in the preoperative local evaluation of early-stage cervical cancers and to assess their accuracy in the detection of tumors, size of the lesions and stromal invasion by comparing them with the final histopathology report. This single-center study included 56 consecutive patients with cervical cancer who underwent VGS and MRI from November 2012 to January 2021. VGS significantly overestimated the lesion size by 2.7 mm (p = 0.002), and MRI underestimated it by 1.9 mm (p = 0.11). Both MRI and VGS had a good concordance with the pathology report (Cohen’s kappa of 0.73 and 0.81, respectively). However, MRI had a false-negative rate (38.1%) that was greater than VGS (0%) in cases of cervical tumor size
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics12122904