{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T16:27:25Z","timestamp":1790008045276,"version":"4.0.1"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1174","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To quantitatively differentiate MRI localization of gastric-type adenocarcinoma (GAS) and lobular endocervical glandular hyperplasia (LEGH) from other benign cystic lesions (OBC).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We retrospectively reviewed T1-weighted (T1WI) and T2-weighted images (T2WI) and measured the lesion volume, the ratio of cervical canal position at the maximum cross-section (deviation ratio), the ratio of the lesion\u2019s centre within the craniocaudal length (longitudinal location ratio), distance from the internal and external os, maximum cyst diameter, and signal intensities of the cyst content on T1WI and T2WI (T1 and T2 ratios). These parameters were compared between GAS or LEGH and OBC, where OBC was clinically suspected of LEGH.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Seventeen patients with GAS, 18 with LEGH (52\u2009\u00b1\u200911\u2009years), and 42 with OBC (45\u2009\u00b1\u200910\u2009years) were included. GAS\/LEGH were larger in volume (29.25\/15.24\u2009cm3, P\u2009&amp;lt;\u2009.001), and had a greater deviation ratio (0.82\/0.84, P\u2009&amp;lt;\u2009.001), shorter distance to the internal and external os (3.4\/3.6\u2009mm, P\u2009=\u2009.040, and 3.3\/3.3\u2009mm, P\u2009=\u2009.003, respectively), and a lower T1 ratio (1.08\/0.91, P\u2009&amp;lt;\u2009.001). The area under the curve (AUC) of these parameters using their respective optimal cut-off values was 0.818, 0.756, 0.629, 0.711, and 0.731, respectively. When 3 or more positive criteria were considered, the AUC increased to 0.896.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Compared with OBC, GAS\/LEGH displayed a larger volume, cervical canal deviation, proximity to the internal and external os, and a lower T1 ratio of cyst content.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge<\/jats:title>\n                  <jats:p>Considering both the lesion and its relationship to the cervical canal is imperative for differentiating between the conditions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/bjr\/tqaf191","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T16:26:59Z","timestamp":1754324819000},"page":"1698-1705","source":"Crossref","is-referenced-by-count":5,"title":["MRI localization evaluation to distinguish gastric-type adenocarcinoma and lobular endocervical glandular hyperplasia from other cystic lesions"],"prefix":"10.1093","volume":"98","author":[{"given":"Toshitaka","family":"Ishiguro","sequence":"first","affiliation":[{"name":"Department of Radiology, Institute of Medicine, University of Tsukuba , Tsukuba, Ibaraki 305-8575,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4530-7375","authenticated-orcid":false,"given":"Tsukasa","family":"Saida","sequence":"additional","affiliation":[{"name":"Department of Radiology, Institute of Medicine, University of Tsukuba , Tsukuba, Ibaraki 305-8575,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Minami","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital , Tsukuba, Ibaraki 305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kensaku","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Radiology, The Cancer Institute Hospital of JFCR , Koto, Tokyo 135-8550,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saki","family":"Shibuki","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital , Tsukuba, Ibaraki 305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun","family":"Kagaya","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital , Tsukuba, Ibaraki 305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshida","family":"Miki","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, University of Tsukuba Hospital , Tsukuba, Ibaraki 305-8576,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toyomi","family":"Satoh","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Institute of Medicine, University of Tsukuba , Tsukuba, Ibaraki 305-8575,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahito","family":"Nakajima","sequence":"additional","affiliation":[{"name":"Department of Radiology, Institute of Medicine, University of Tsukuba , Tsukuba, Ibaraki 305-8575,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"2025101113173083000_tqaf191-B1","first-page":"354","volume-title":"Tumours of the Uterine Cervix. 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diseases","volume":"30","author":"Yoshino","year":"2023","journal-title":"Ann Surg Oncol"},{"key":"2025101113173083000_tqaf191-B5","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1007\/s00261-014-0323-6","article-title":"A case of gastric-type adenocarcinoma of the uterine cervix associated with lobular endocervical glandular hyperplasia: radiologic-pathologic correlation","volume":"40","author":"Tsuboyama","year":"2015","journal-title":"Abdom Imaging"},{"key":"2025101113173083000_tqaf191-B6","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.1097\/IGC.0b013e31821f746c","article-title":"Preoperative differential diagnosis of minimal deviation adenocarcinoma and lobular endocervical glandular hyperplasia of the uterine cervix: a multicenter study of clinicopathology and magnetic resonance imaging findings","volume":"1","author":"Takatsu","year":"2011","journal-title":"Int J Gynecol 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