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. 2023 Dec 15;34(2):309–323. doi: 10.1055/s-0043-1777355

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Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ )

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 5 — A 45-year-old female with grade 3 endometrioid and serous endometrial adenocarcinoma underwent magnetic resonance imaging (MRI) pelvis with contrast for staging. ( A ) T2-weighted sagittal image and ( B, C ) diffusion-weighted imaging with apparent diffusion coefficient map show T2 intermediate signal diffusion restricting growth in the endometrial cavity (*) and endocervical region with myometrial and posterior cervical stromal infiltration. ( D ) Post-contrast sagittal image showing poor enhancement of the endometrial mass in comparison with the myometrium. ( E ) Delayed axial post-contrast image shows persistent enhancement. ( F ) Color map showing prominent differentiation of the perfusion hue. ( G ) Kinetic curves of dynamic contrast-enhanced MRI compared contrast enhancement kinetics of the external iliac artery (top pink curve) with rapid and steep curve, myometrium with steep early wash-in (green curve) and the mass in the endometrium and endocervix showing slower and stunted wash-in (orange curve) and persistent plateau. This patient was staged as IIC endometrial cancer.