Staging of uterine cervical cancer with MRI: guidelines of the European Society of Urogenital Radiology.

Abstract:

OBJECTIVE:To design clear guidelines for the staging and follow-up of patients with uterine cervical cancer, and to provide the radiologist with a framework for use in multidisciplinary conferences. METHODS:Guidelines for uterine cervical cancer staging and follow-up were defined by the female imaging subcommittee of the ESUR (European Society of Urogenital Radiology) based on the expert consensus of imaging protocols of 11 leading institutions and a critical review of the literature. RESULTS:The results indicated that high field Magnetic Resonance Imaging (MRI) should include at least two T2-weighted sequences in sagittal, axial oblique or coronal oblique orientation (short and long axis of the uterine cervix) of the pelvic content. Axial T1-weighted sequence is useful to detect suspicious pelvic and abdominal lymph nodes, and images from symphysis to the left renal vein are required. The intravenous administration of Gadolinium-chelates is optional but is often required for small lesions (<2 cm) and for follow-up after treatment. Diffusion-weighted sequences are optional but are recommended to help evaluate lymph nodes and to detect a residual lesion after chemoradiotherapy. CONCLUSIONS:Expert consensus and literature review lead to an optimized MRI protocol to stage uterine cervical cancer. MRI is the imaging modality of choice for preoperative staging and follow-up in patients with uterine cervical cancer.

journal_name

Eur Radiol

journal_title

European radiology

authors

Balleyguier C,Sala E,Da Cunha T,Bergman A,Brkljacic B,Danza F,Forstner R,Hamm B,Kubik-Huch R,Lopez C,Manfredi R,McHugo J,Oleaga L,Togashi K,Kinkel K

doi

10.1007/s00330-010-1998-x

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

1102-10

issue

5

eissn

0938-7994

issn

1432-1084

journal_volume

21

pub_type

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