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Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer
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Zeitschriftentitel: | Ultrasound in Obstetrics & Gynecology |
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Personen und Körperschaften: | , , , , , , , , |
In: | Ultrasound in Obstetrics & Gynecology, 45, 2015, 4, S. 459-469 |
Format: | E-Article |
Sprache: | Englisch |
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Wiley
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author_facet |
Chiappa, V. Di Legge, A. Valentini, A. L. Gui, B. Miccò, M. Ludovisi, M. Giansiracusa, C. Testa, A. C. Valentin, L. Chiappa, V. Di Legge, A. Valentini, A. L. Gui, B. Miccò, M. Ludovisi, M. Giansiracusa, C. Testa, A. C. Valentin, L. |
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author |
Chiappa, V. Di Legge, A. Valentini, A. L. Gui, B. Miccò, M. Ludovisi, M. Giansiracusa, C. Testa, A. C. Valentin, L. |
spellingShingle |
Chiappa, V. Di Legge, A. Valentini, A. L. Gui, B. Miccò, M. Ludovisi, M. Giansiracusa, C. Testa, A. C. Valentin, L. Ultrasound in Obstetrics & Gynecology Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer Obstetrics and Gynecology Radiology, Nuclear Medicine and imaging Reproductive Medicine General Medicine Radiological and Ultrasound Technology |
author_sort |
chiappa, v. |
spelling |
Chiappa, V. Di Legge, A. Valentini, A. L. Gui, B. Miccò, M. Ludovisi, M. Giansiracusa, C. Testa, A. C. Valentin, L. 0960-7692 1469-0705 Wiley Obstetrics and Gynecology Radiology, Nuclear Medicine and imaging Reproductive Medicine General Medicine Radiological and Ultrasound Technology http://dx.doi.org/10.1002/uog.14637 <jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare two‐dimensional (<jats:styled-content style="fixed-case">2D</jats:styled-content>) and three‐dimensional (<jats:styled-content style="fixed-case">3D</jats:styled-content>) transvaginal ultrasound with magnetic resonance imaging (<jats:styled-content style="fixed-case">MRI</jats:styled-content>) as the gold standard in assessment of parametrial infiltration of cervical cancer and to determine if all parts of the cervix are equally assessable with ultrasound.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Patients with macroscopically evident and histologically confirmed cervical cancer were staged using International Federation of Gynecology and Obstetrics (<jats:styled-content style="fixed-case">FIGO</jats:styled-content>) criteria and underwent <jats:styled-content style="fixed-case">MRI</jats:styled-content> and <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examination before treatment. When assessing parametrial infiltration with <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content>, the cervix was (virtually) divided into three cylinders (cranial, middle and caudal) of equal size and each cylinder was then divided into six sectors in a clockwise manner following a consensus between radiologists and ultrasound examiners. The presence and the extent of parametrial invasion were recorded for each sector. Results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound, <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> were compared and reported in terms of percentage agreement and kappa value.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 29 consecutive patients were included in the study. The percentage agreement between <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> in assessing parametrial infiltration (yes or no) was 76% (kappa, 0.459) and that between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was 79% (kappa, 0.508). The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 90% for the ventral parametrium (kappa, 0.720), 72% for the right lateral parametrium (kappa, 0.494), 69% for the left lateral parametrium (kappa, 0.412) and 58.5% for the dorsal parametrium (kappa, 0.017). The results of <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 62.5% for the ventral parametrium (kappa, 0.176), 81% for the right lateral parametrium (kappa, 0.595), 70% for the left lateral parametrium (kappa, 0.326) and 52% for the dorsal parametrium (kappa, 0.132). The best agreement between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was for the middle cervical cylinder (76%; kappa, 0.438) and the poorest agreement was for the caudal cylinder (42%; kappa, 0.125).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed similar moderate agreement with <jats:styled-content style="fixed-case">MRI</jats:styled-content>; <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examinations are less costly and more readily available than <jats:styled-content style="fixed-case">MRI</jats:styled-content> and should be considered in the preoperative work‐up for cervical cancer. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.</jats:p></jats:sec> Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer Ultrasound in Obstetrics & Gynecology |
doi_str_mv |
10.1002/uog.14637 |
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Physik Medizin Technik |
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Wiley, 2015 |
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chiappa2015agreementoftwodimensionalandthreedimensionaltransvaginalultrasoundwithmagneticresonanceimaginginassessmentofparametrialinfiltrationincervicalcancer |
publishDateSort |
2015 |
publisher |
Wiley |
recordtype |
ai |
record_format |
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series |
Ultrasound in Obstetrics & Gynecology |
source_id |
49 |
title |
Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_unstemmed |
Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_full |
Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_fullStr |
Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_full_unstemmed |
Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_short |
Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_sort |
agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
topic |
Obstetrics and Gynecology Radiology, Nuclear Medicine and imaging Reproductive Medicine General Medicine Radiological and Ultrasound Technology |
url |
http://dx.doi.org/10.1002/uog.14637 |
publishDate |
2015 |
physical |
459-469 |
description |
<jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare two‐dimensional (<jats:styled-content style="fixed-case">2D</jats:styled-content>) and three‐dimensional (<jats:styled-content style="fixed-case">3D</jats:styled-content>) transvaginal ultrasound with magnetic resonance imaging (<jats:styled-content style="fixed-case">MRI</jats:styled-content>) as the gold standard in assessment of parametrial infiltration of cervical cancer and to determine if all parts of the cervix are equally assessable with ultrasound.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Patients with macroscopically evident and histologically confirmed cervical cancer were staged using International Federation of Gynecology and Obstetrics (<jats:styled-content style="fixed-case">FIGO</jats:styled-content>) criteria and underwent <jats:styled-content style="fixed-case">MRI</jats:styled-content> and <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examination before treatment. When assessing parametrial infiltration with <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content>, the cervix was (virtually) divided into three cylinders (cranial, middle and caudal) of equal size and each cylinder was then divided into six sectors in a clockwise manner following a consensus between radiologists and ultrasound examiners. The presence and the extent of parametrial invasion were recorded for each sector. Results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound, <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> were compared and reported in terms of percentage agreement and kappa value.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 29 consecutive patients were included in the study. The percentage agreement between <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> in assessing parametrial infiltration (yes or no) was 76% (kappa, 0.459) and that between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was 79% (kappa, 0.508). The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 90% for the ventral parametrium (kappa, 0.720), 72% for the right lateral parametrium (kappa, 0.494), 69% for the left lateral parametrium (kappa, 0.412) and 58.5% for the dorsal parametrium (kappa, 0.017). The results of <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 62.5% for the ventral parametrium (kappa, 0.176), 81% for the right lateral parametrium (kappa, 0.595), 70% for the left lateral parametrium (kappa, 0.326) and 52% for the dorsal parametrium (kappa, 0.132). The best agreement between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was for the middle cervical cylinder (76%; kappa, 0.438) and the poorest agreement was for the caudal cylinder (42%; kappa, 0.125).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed similar moderate agreement with <jats:styled-content style="fixed-case">MRI</jats:styled-content>; <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examinations are less costly and more readily available than <jats:styled-content style="fixed-case">MRI</jats:styled-content> and should be considered in the preoperative work‐up for cervical cancer. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.</jats:p></jats:sec> |
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author | Chiappa, V., Di Legge, A., Valentini, A. L., Gui, B., Miccò, M., Ludovisi, M., Giansiracusa, C., Testa, A. C., Valentin, L. |
author_facet | Chiappa, V., Di Legge, A., Valentini, A. L., Gui, B., Miccò, M., Ludovisi, M., Giansiracusa, C., Testa, A. C., Valentin, L., Chiappa, V., Di Legge, A., Valentini, A. L., Gui, B., Miccò, M., Ludovisi, M., Giansiracusa, C., Testa, A. C., Valentin, L. |
author_sort | chiappa, v. |
container_issue | 4 |
container_start_page | 459 |
container_title | Ultrasound in Obstetrics & Gynecology |
container_volume | 45 |
description | <jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare two‐dimensional (<jats:styled-content style="fixed-case">2D</jats:styled-content>) and three‐dimensional (<jats:styled-content style="fixed-case">3D</jats:styled-content>) transvaginal ultrasound with magnetic resonance imaging (<jats:styled-content style="fixed-case">MRI</jats:styled-content>) as the gold standard in assessment of parametrial infiltration of cervical cancer and to determine if all parts of the cervix are equally assessable with ultrasound.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Patients with macroscopically evident and histologically confirmed cervical cancer were staged using International Federation of Gynecology and Obstetrics (<jats:styled-content style="fixed-case">FIGO</jats:styled-content>) criteria and underwent <jats:styled-content style="fixed-case">MRI</jats:styled-content> and <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examination before treatment. When assessing parametrial infiltration with <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content>, the cervix was (virtually) divided into three cylinders (cranial, middle and caudal) of equal size and each cylinder was then divided into six sectors in a clockwise manner following a consensus between radiologists and ultrasound examiners. The presence and the extent of parametrial invasion were recorded for each sector. Results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound, <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> were compared and reported in terms of percentage agreement and kappa value.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 29 consecutive patients were included in the study. The percentage agreement between <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> in assessing parametrial infiltration (yes or no) was 76% (kappa, 0.459) and that between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was 79% (kappa, 0.508). The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 90% for the ventral parametrium (kappa, 0.720), 72% for the right lateral parametrium (kappa, 0.494), 69% for the left lateral parametrium (kappa, 0.412) and 58.5% for the dorsal parametrium (kappa, 0.017). The results of <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 62.5% for the ventral parametrium (kappa, 0.176), 81% for the right lateral parametrium (kappa, 0.595), 70% for the left lateral parametrium (kappa, 0.326) and 52% for the dorsal parametrium (kappa, 0.132). The best agreement between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was for the middle cervical cylinder (76%; kappa, 0.438) and the poorest agreement was for the caudal cylinder (42%; kappa, 0.125).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed similar moderate agreement with <jats:styled-content style="fixed-case">MRI</jats:styled-content>; <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examinations are less costly and more readily available than <jats:styled-content style="fixed-case">MRI</jats:styled-content> and should be considered in the preoperative work‐up for cervical cancer. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.</jats:p></jats:sec> |
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series | Ultrasound in Obstetrics & Gynecology |
source_id | 49 |
spelling | Chiappa, V. Di Legge, A. Valentini, A. L. Gui, B. Miccò, M. Ludovisi, M. Giansiracusa, C. Testa, A. C. Valentin, L. 0960-7692 1469-0705 Wiley Obstetrics and Gynecology Radiology, Nuclear Medicine and imaging Reproductive Medicine General Medicine Radiological and Ultrasound Technology http://dx.doi.org/10.1002/uog.14637 <jats:title>ABSTRACT</jats:title><jats:sec><jats:title>Objectives</jats:title><jats:p>To compare two‐dimensional (<jats:styled-content style="fixed-case">2D</jats:styled-content>) and three‐dimensional (<jats:styled-content style="fixed-case">3D</jats:styled-content>) transvaginal ultrasound with magnetic resonance imaging (<jats:styled-content style="fixed-case">MRI</jats:styled-content>) as the gold standard in assessment of parametrial infiltration of cervical cancer and to determine if all parts of the cervix are equally assessable with ultrasound.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>Patients with macroscopically evident and histologically confirmed cervical cancer were staged using International Federation of Gynecology and Obstetrics (<jats:styled-content style="fixed-case">FIGO</jats:styled-content>) criteria and underwent <jats:styled-content style="fixed-case">MRI</jats:styled-content> and <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examination before treatment. When assessing parametrial infiltration with <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content>, the cervix was (virtually) divided into three cylinders (cranial, middle and caudal) of equal size and each cylinder was then divided into six sectors in a clockwise manner following a consensus between radiologists and ultrasound examiners. The presence and the extent of parametrial invasion were recorded for each sector. Results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound, <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> were compared and reported in terms of percentage agreement and kappa value.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>A total of 29 consecutive patients were included in the study. The percentage agreement between <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> in assessing parametrial infiltration (yes or no) was 76% (kappa, 0.459) and that between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was 79% (kappa, 0.508). The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 90% for the ventral parametrium (kappa, 0.720), 72% for the right lateral parametrium (kappa, 0.494), 69% for the left lateral parametrium (kappa, 0.412) and 58.5% for the dorsal parametrium (kappa, 0.017). The results of <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed the following agreement with those of <jats:styled-content style="fixed-case">MRI</jats:styled-content>: 62.5% for the ventral parametrium (kappa, 0.176), 81% for the right lateral parametrium (kappa, 0.595), 70% for the left lateral parametrium (kappa, 0.326) and 52% for the dorsal parametrium (kappa, 0.132). The best agreement between <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound and <jats:styled-content style="fixed-case">MRI</jats:styled-content> was for the middle cervical cylinder (76%; kappa, 0.438) and the poorest agreement was for the caudal cylinder (42%; kappa, 0.125).</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The results of <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound showed similar moderate agreement with <jats:styled-content style="fixed-case">MRI</jats:styled-content>; <jats:styled-content style="fixed-case">2D</jats:styled-content> and <jats:styled-content style="fixed-case">3D</jats:styled-content> ultrasound examinations are less costly and more readily available than <jats:styled-content style="fixed-case">MRI</jats:styled-content> and should be considered in the preoperative work‐up for cervical cancer. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.</jats:p></jats:sec> Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer Ultrasound in Obstetrics & Gynecology |
spellingShingle | Chiappa, V., Di Legge, A., Valentini, A. L., Gui, B., Miccò, M., Ludovisi, M., Giansiracusa, C., Testa, A. C., Valentin, L., Ultrasound in Obstetrics & Gynecology, Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer, Obstetrics and Gynecology, Radiology, Nuclear Medicine and imaging, Reproductive Medicine, General Medicine, Radiological and Ultrasound Technology |
title | Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_full | Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_fullStr | Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_full_unstemmed | Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_short | Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_sort | agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
title_unstemmed | Agreement of two‐dimensional and three‐dimensional transvaginal ultrasound with magnetic resonance imaging in assessment of parametrial infiltration in cervical cancer |
topic | Obstetrics and Gynecology, Radiology, Nuclear Medicine and imaging, Reproductive Medicine, General Medicine, Radiological and Ultrasound Technology |
url | http://dx.doi.org/10.1002/uog.14637 |