ALGORITHM OF THE APPLIANCE OF RADIOLOGIC IMAGING IN PREVALENCE ASSESMENT OF CERVICAL CANCER

Objective. To develop an algorithm for the use of radioligic imaging to assess the prevalence of cervical cancer (CC), depending on the specific clinical situation.

Materials and methods. While assessing the prevalence of СС the indicators of diagnostic information content of various schemes for applying radioligic imaging were analyzed in a comparative aspect.

Results. The highest diagnostic sensitivity was demonstrated by the MRI approach for all patients with newly diagnosed CC (Scheme 2). Sensitivity MRI in distinguishing between localized and locally advanced process, as well as in the detection of metastases in regional lymph nodes was 98.2 % (CI 90.6—99.9) versus sensitivity 89.5 % (CI 78.5—96.0) of the scheme 1, which involved performing ultrasound of the pelvic organs in all patients in order to distinguish between
a localized and locally advanced process and CT of the pelvic organs to detect metastases in the lymph nodes.

Conclusion. Based on the analysis of the data obtained on the diagnostic effectiveness of radioligic imaging (US, CT, MRI) a method for complex radiodiagnosis of cervical cancer was developed, which consists in the differentiated use of imaging methods depending on the possibility of metastatic lesions of the pelvic lymph nodes and the presence of distant metastases.

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Автор(ы): E. G. Zhuk