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The feasibility of reduced field-of-view DWI in evaluating bladder invasion of uterine cervical cancer
Mayumi Takeuchi1, Kenji Matsuzaki2, and Masafumi Harada1
1Department of Radiology, Tokushima University, Tokushima, Japan, 2Department of Radiological Technology, Tokushima Bunri University, Sanuki, Japan
The bladder mucosal invasion in 14 cervical cancers was evaluated with reduced FOV DWI and cystoscopy. The diagnosis of invasion had a sensitivity of 100%, specificity of 50%, PPV of 92%, and NPV of 100%.
Bladder mucosal invasion positive case: Bladder mucosal invasion was positive on rFOV-DWI, and confirmed by cystoscopy.
Bladder mucosal invasion false positive case: Bladder mucosal invasion was positive on rFOV-DWI, but not confirmed by cystoscopy (false positive). Probably submucosal invasion with bullous edema may mimic mucosal invasion on rFOV-DWI.