COMPARATIVE EVALUATION OF DIAGNOSTIC EFFICIENCY OF RADIOLOGICAL METHODS FOR CERVICAL CANCER

Objective. Analysis of the diagnostic information value of US, CTand MRI in assessing the degree of local рrevalence of CC.

Materials and methods. The spread of CC established by US, CT and MRI of 130 patients with histologically verified diagnosis was compared with the final study data with the calculation of diagnostic sensitivity, specificity, and accuracy.

Results. The accuracy of the MRI in distinguishing localized disease and locally advanced CC exceeded the accuracy of ultrasound by 5.3% (p=0.2), but the difference did not have significant differences, and exceeded the accuracy of CT by 14.5%, while the difference was statistically significant (p<0.05). In the detection of metastatic involvement of the pelvicLN in СС the accuracy of the MRI was statistically significantly higher than the accuracy of ultrasound by 19.3% (p<0.001), and exceeded the accuracy of CT by 4.6% (p=0.25), but the difference was not statistically significant.

Conclusion. The MRI has the best accuracy both in distinguishing between localized and locally advanced cervical cancer, and in identifying metastatic lesions of the LN.

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Автор(ы): E. G. Zhuk