Role of magnetic resonance imaging as an adjunct to clinical staging in cervical carcinoma.

Abstract:

:Magnetic resonance imaging depicts the morphological details of the female pelvis and is useful for evaluating both benign and malignant cervical masses. Clinical assessment of the extent of cervical cancer is crucial in determining the optimal treatment strategy, but clinical staging by itself has limitations. Clinical staging, as defined by FIGO (International Federation of Gynecologic Oncology), is based on the findings of physical examination, lesion biopsies, chest radiography, cystoscopy, and renal sonography and can be erroneous, depending on the stage of the disease, by 16% to 65%. The prognosis of cervical cancer is determined not only by stage, but also by nodal status, tumor volume, and depth of invasion, none of which are included in the FIGO guidelines. Magnetic resonance imaging has been described as the most accurate, noninvasive imaging modality in staging cervical carcinoma. This review outlines the magnetic resonance features of normal cervix, primary disease (by stage), and recurrent disease and discusses the role of magnetic resonance imaging in staging and clinical decision making.

journal_name

J Comput Assist Tomogr

authors

Bhosale P,Peungjesada S,Devine C,Balachandran A,Iyer R

doi

10.1097/RCT.0b013e3181ed3090

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

855-64

issue

6

eissn

0363-8715

issn

1532-3145

pii

00004728-201011000-00009

journal_volume

34

pub_type

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