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Cervical Carcinoma: Optimized Local Staging with Intravaginal Contrast- enhanced MR Imaging- Preliminary Results¹

¹ From the Department of Radiology, University Hospitals Catholic University, Leuven, Herestraat 49, 3000 Leuven, Belgium. Received June 26, 1998; revision requested July 30; final revision received January 13, 1999; accepted April 30. Address reprint requests to L.V.H. (e-mail: lieven.vanhoe@hnbe.com).

Ten patients suspected of having cervical carcinoma underwent magnetic resonance (MR) imaging before and after opacification of the vagina with a mixture of barium, water, and maltodextrin/calcium lactate. Use of vaginal contrast medium resulted in improved visualization of the vaginal wall, lumen, and fornices in all patients and in a change in local tumor stage in two patients (20%). This technique may contribute to improved noninvasive staging of cervical carcinoma.

Index terms: Uterine neoplasms, diagnosis, 854.121411, 854.121412, 854.32 • Uterine neoplasms, MR, 854.121411, 854.121412, 854.32 • Uterine neoplasms, staging, 854.121411, 854.121412, 854.12143, 854.32