Role of MRI (Magnetic Resonance Imaging) in Preoperative Staging of Endometrial Cancer: A Review

Endometrial cancer is the most common malignancy of female genitourinary tract. It is primarily the cancer of post-menopausal women that occurs mostly in women during the 6th and 7th decades of age. Preoperative examination may include clinical assessment, pap smear test, Trans-Vaginal Ultrasound (TVU), abdomino-pelvic CT scan and pelvic MRI. MRI can be used as the sole imaging method before surgery in patients with endometrial cancer to evaluate myometrial invasion appropriately. The staging accuracy by means of MRI in patients with endometrial cancer has been reported between 83 to 92%. According to MRI assessment, endometrial cancer can be staged by evaluating myometrial invasion, cervical, vaginal and nodal involvement. This paper comprehensively reviews the role of pre-operative MRI in endometrial cancer