Computed tomographic evaluation of carcinoma of the cervix

Journal Article · Mon Feb 01 04:00:00 EST 1982 · Radiology; (United States)

DOI:https://doi.org/10.1148/radiology.142.2.7054834· OSTI ID:5638403

Whitley, N O ^[1]; Brenner, D E; Francis, A; Villa Santa, U; Aisner, J; Wiernik, P H; Whitley, J

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1. Univ. of Maryland Hospital, Baltimore

To assess the accuracy of computed tomography (CT) in staging advanced carcinoma of the cervix, 18 staging evaluations were performed in 16 patients with locally advanced (FIGO Stage IB-IVA) cervical carcinoma. CT staging results were compared with the results of clinical staging and postoperative staging. CT was accurate in 12/18 (66%) cases, clinical staging was accurate in 10/18 (55%) cases, and clinical staging with cystoscopy was accurate in 14/18 (78%) cases. CT staging failed to detect microscopic pelvic sidewall involvement and bladder involvement when there was no contrast material in the bladder. In the detection of paraaortic lymph node involvement by tumor, there was 12 true-negative, 4 true-positive, 1 false-positive, and 1 false-negative study (sensitivity=80%, specificity=92%). It is concluded that CT is equal in accuracy to other clinical staging techniques and offers the advantage of visualizing the tumor, which allows for more accurate determination of radiation portals.

• OSTI ID: 5638403
• Journal Information: Radiology; (United States), Journal Name: Radiology; (United States) Vol. 142:2; ISSN RADLA
• Country of Publication: United States
• Language: English

Related Subjects

550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BLADDER
BODY
COMPUTERIZED TOMOGRAPHY
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
EVALUATION
FEMALE GENITALS
LYMPH NODES
LYMPHATIC SYSTEM
METASTASES
NEOPLASMS
ORGANS
PATIENTS
TOMOGRAPHY
URINARY TRACT
UTERUS