Evaluation and Monitoring of Endometrial Cancer Based on Magnetic Resonance Imaging Features of Deep Learning
Table 1
MRI manifestations of EC with different invasion ranges.
Invasion range
MRI appearance
Lymph nodes
Pelvic lymph node or para-aortic lymph node was greater than 10 mm in diameter
Vaginal bladder and rectum
Segmental disruption of normal signaling was replaced by that of tumor signaling
Shallow muscle layer
MRI showed partial or full-thickness disruption of junctional and subintimal enhancement bands, irregular intima-muscle interface, and no more than half of the muscle invasion
Deep muscular layer
MRI showed complete disruption of junction or subendometrial enhancement zone, tumor signal did not extend to more than 50% of the myometrium, and the myometrium infiltrated more than half of the uterus
Plasma membrane
MRI showed discontinuous outer edge of the myometrium and tumor beyond the contour of the uterus
Cervical mucosa
The internal cervical canal was widened by more than 3 mm, and the cervical fibrous stromal ring was intact
Cervical stroma
There were tumor signals in the cervical fibrous stromal ring
Limited to the endometrium
MRI showed normal or thickened endometrium (less than 5 mm after menopause and less than 10 mm before menopause), focal or diffuse abnormal signal, and intact and smooth subendometrial enhancement