Role of MRI in the Evaluation of Endometrial Carcinoma

Abdul Ansari Ghani A, Mohan S, Praveen Ramegowda, Shreedhar N K, Anand S H.

Abstract: This prospective cross - sectional study was conducted on 61 women aged 57?80 years at Sri Siddhartha Medical College to evaluate the role of MRI in the preoperative assessment of endometrial carcinoma. MRI findings were correlated with histopathological examination, focusing on myometrial invasion, cervical extension, and endometrial thickening. MRI showed high diagnostic performance with a sensitivity of 94.2%, specificity of 70%, and accuracy of 91.14%. Positive and negative predictive values were 95.59% and 63.64%, respectively. Common MRI features included high DWI signal (77%), low contrast enhancement (75.4%), and isointensity on T2 - weighted images (60.7%). Myometrial invasion was detected in 24.6% on MRI and 31.1% on histopathology, while cervical extension was seen in 54.1%. Adenocarcinoma was the most frequent histology (88.5%), with 65.6% being well - differentiated. These findings affirm MRI as a highly effective modality for staging and evaluating local invasion in endometrial carcinoma, though improvements in specificity are warranted.

Keywords: MRI staging, endometrial carcinoma, myometrial invasion, cervical extension, histopathology correlation

How to Cite?: Abdul Ansari Ghani A, Mohan S, Praveen Ramegowda, Shreedhar N K, Anand S H., "Role of MRI in the Evaluation of Endometrial Carcinoma", Volume 14 Issue 7, July 2025, International Journal of Science and Research (IJSR), Pages: 311-314, https://www.ijsr.net/getabstract.php?paperid=SR25703115430, DOI: https://dx.doi.org/10.21275/SR25703115430