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Current Status of Magnetic Resonance Imaging in Patients with Malignant Uterine Neoplasms: A Review

  • Yu-Ting Huang (Department of Medical Imaging and Intervention, Imaging Core Laboratory, Institute for Radiological Research, Chang Gung Memorial Hospital at Linkou) ;
  • Yen-Ling Huang (Department of Medical Imaging and Intervention, Imaging Core Laboratory, Institute for Radiological Research, Chang Gung Memorial Hospital at Linkou) ;
  • Koon-Kwan Ng (Department of Medical Imaging and Intervention, Imaging Core Laboratory, Institute for Radiological Research, Chang Gung Memorial Hospital at Linkou) ;
  • Gigin Lin (Department of Medical Imaging and Intervention, Imaging Core Laboratory, Institute for Radiological Research, Chang Gung Memorial Hospital at Linkou)
  • Received : 2018.02.08
  • Accepted : 2018.07.17
  • Published : 2019.01.01

Abstract

In this study, we summarize the clinical role of magnetic resonance imaging (MRI) in the diagnosis of patients with malignant uterine neoplasms, including leiomyosarcoma, endometrial stromal sarcoma, adenosarcoma, uterine carcinosarcoma, and endometrial cancer, with emphasis on the challenges and disadvantages. MRI plays an essential role in patients with uterine malignancy, for the purpose of tumor detection, primary staging, and treatment planning. MRI has advanced in scope beyond the visualization of the many aspects of anatomical structures, including diffusion-weighted imaging, dynamic contrast enhancement-MRI, and magnetic resonance spectroscopy. Emerging technologies coupled with the use of artificial intelligence in MRI are expected to lead to progressive improvement in case management of malignant uterine neoplasms.

Keywords

Acknowledgement

We would like to express sincere gratitude to patients and their families who inspire and motivate us. We are indebted to our colleagues in Departments of Pathology, Nuclear Medicine, Gynecology Oncology and Radiation Oncology, for their in-depth discussions on weekly multidisciplinary tumor board.

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