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Abstract #4283

The feasibility of synthetic MRI using T1- and T2-mapping for the characterization of endometrial cancer.

Luca Russo1,2, Konstantinos Zormpas-Petridis1, Luana Ficociello1, Luca D'Erme2, Silvia Bottazzi2, Francesco Fanfani1,2, Benedetta Gui1, and Evis Sala1,2
1Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italy, 2Università Cattolica del Sacro Cuore, Roma, Italy

Synopsis

Keywords: Uterus, Tumor, Endometrial cancer, mapping

Motivation: This study seeks to refine diagnostic precision for endometrial cancer, addressing the need for non-invasive biomarkers to improve preoperative assessment and risk stratification.

Goal(s): To evaluate the feasibility of synthetic MRI using T1-, T2- and proton density(PD) mapping for characterization, reflecting underlying tumor biology.

Approach: A pilot study with twenty patients using a 2D fast-spin-echo multi-saturation-delay multi-echo sequence to acquire synthetic MRI data, with analysis of T1, T2, and PD metrics compared with histopathological findings.

Results: The preliminary results suggest differences in T1 relaxation times between endometrioid vs. non-endometrioid subtype and low vs. high grade, suggesting a correlation with histopathological architecture of tumors.

Impact: If confirmed in larger studies, our results could adjust the approach to preoperative planning, allowing non-invasive depiction of tumor characteristics. This opens the door to personalized surgical strategies and streamline the decision-making process for adjuvant therapies, directly benefiting patient care.

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