Abstract #0594

Clinical Utility of Endovaginal MRI at 3T with a Zonal Oblique Multislice (Zoom) Diffusion-Weighted Technique for Selecting Patients with Carcinoma of the Cervix for Fertility Sparing Surgery

K Downey¹, M. Jafar¹, S Hazell², A D. Attygalle², Veronica A. Morgan¹, M Schmidt¹, T. E. Ind³, D. P. Barton³, J. H. Shepherd³, Nandita M. deSouza¹

¹Magnetic Resonance Imaging, Institute of Cancer Research, Surrey, United Kingdom; ²Histopathology, The Royal Marsden Hospital, London, United Kingdom; ³Gynecological Surgery, The Royal Marsden Hospital, London, United Kingdom

Presentation of cervix carcinoma is often with small volume disease offering potential for fertility-sparing trachelectomy. Accurate preoperative depiction of tumor margins is crucial. The use of an endovaginal receiver coil has previously shown improvement in the detection of small tumors. At 3T EPI-DWI suffers disabling artefact and distortion with endovaginal coils. An alternative is Zoom-EPI (reduces distortion and improves resolution by reducing FOV). Purpose of study: Determine the sensitivity/specificity of T2-W + Zoom-DW imaging using an endovaginal coil at 3T for detecting cervical cancer, compare tumor:stromal contrast (T2-W vs. DWI) and document impact of the technique on surgical management.