TABLE 3.
Utility of imaging modalities in the diagnosis of uterine sarcomas
| Variable | Year published |
n | Cases of sarcoma, n |
Measurement of interest |
Sensitivity, % |
Specificity, % |
Level of evidence |
|---|---|---|---|---|---|---|---|
| Ultrasound scan | |||||||
| Hata et al42 | 1997 | 46 | 5 | Intratumoral PSV 41.0 cm/sec | 80 | 97 | 3 |
| Szabo et al43 | 2002 | 129 | 12 | Intratumoral RI <0.5 | 67 | 87 | 3 |
| Exacoustos et al40 | 2007 | 257 | 8 | Increased central and peripheral vascularity | 100 | 86 | 3 |
| Magnetic resonance imaging | |||||||
| Schwartz et al44 | 1998 | 45 | 4 | Ill-defined margins | 100 | 100 | 3 |
| Tanaka et al45 | 2004 | 24 | 12 | High signal intensity of T2 and T1WI | 73 | 100 | 3 |
| Sato et al46 | 2014 | 81 | 5 | Signal intensity on diffusion weighted imaging + ADC | 100 | 99 | 3 |
| Positron emission tomography/computerized tomography | |||||||
| Nagamatsu et al51 | 2009 | 53 | 10 | SUV >3.0 | 100 | 73 | 3 |
| Yamane et al50 | 2012 | 15 | 3 | SUV >4.32 | 100 | 63 | 3 |
ADC, apparent diffusion coefficient; PSV, peak systolic velocity; RI, resistance index; SUV, standardized uptake value.
Liu. Critical assessment of morcellation. Am J Obstet Gynecol 2015.