MRI plays an important role in accurate classification, treatment selection and planning of suspected uterine anomalies as well as evaluation of other benign uterine conditions such as leiomyomas and adenomyosis. It plays a crucial role in surgical planning of patients with endometrial cancer by accurately predicting depth of myometrial invasion, cervical stroma invasion and lymph node involvement. In young patients with low grade endometrial cancer who wish to preserve fertility, MRI is used to exclude myometrial invasion prior to hormonal therapy. MRI is valuable in distinguishing cervical from endometrial origin of uterine cancer in cases of biopsy proven adenocarcinoma.
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