Diffusion-weighted and diffusion-tensor imaging of normal and diseased uterus

Figure 1 Forty-three years old woman with stage III squamous cell carcinoma of the uterine cervix invading vagina. A: Sagittal T2-weighted image of the uterus shows cervical cancer (long arrows) extending both to the corpus uteri and vagina (short arrows); B: Sagittal contrast-enhanced T1-weighted image with fat suppression shows enhancing cervical cancer (arrows). The tumor invades anterior vaginal wall (short arrows); C: Axial contrast-enhanced T1-weighted image with fat suppression shows enhancing cervical cancer (long arrows). There is suspicious invasion of the mass to the rectum (short arrows); D: Diffusion-weighted imaging with b = 1000 s/mm² clearly shows a well-defined hyperintensity mass in the cervical area with no invasion to rectum (short arrows); E: On the apparent diffusion coefficient (ADC) map the tumor is hypointense (arrows). The ADC value within the mass is 0.73 × 10^-3 mm²/s.