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01-05-2011 | Urogenital

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

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

Published in: European Radiology | Issue 5/2011

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.

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Title: Staging of uterine cervical cancer with MRI: guidelines of the European Society of Urogenital Radiology
Authors: Corinne Balleyguier
E. Sala
T. Da Cunha
A. Bergman
B. Brkljacic
F. Danza
R. Forstner
B. Hamm
R. Kubik-Huch
C. Lopez
R. Manfredi
J. McHugo
L. Oleaga
K. Togashi
K. Kinkel
Publication date: 01-05-2011
Publisher: Springer-Verlag
Published in: European Radiology / Issue 5/2011
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-010-1998-x

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

Abstract

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