Staging of uterine cervical cancer with MRI: guidelines of the European Society of Urogenital Radiology
Top Cited Papers
- 10 November 2010
- journal article
- urogenital
- Published by Springer Science and Business Media LLC in European Radiology
- Vol. 21 (5), 1102-1110
- https://doi.org/10.1007/s00330-010-1998-x
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.This publication has 58 references indexed in Scilit:
- Updates on the cytogenetics and molecular cytogenetics of benign and intermediate soft tissue tumorsOncology Letters, 2012
- Ossifying Fibromyxoid Tumor of Soft PartsThe American Journal of Surgical Pathology, 2011
- Early invasive cervical cancer: MRI and CT predictors of lymphatic metastases in the ACRIN 6651/GOG 183 intergroup studyGynecologic Oncology, 2009
- Pretreatment Staging of Cervical Cancer: Is Imaging Better Than Palpation?Annals of Surgical Oncology, 2008
- New development of the FIGO staging systemGynecologic Oncology, 2007
- Lymph Node Involvement in Locally Advanced Cervical Cancer Patients Administered Preoperative Chemoradiation versus ChemotherapyAnnals of Surgical Oncology, 2007
- Role of Imaging in Pretreatment Evaluation of Early Invasive Cervical Cancer: Results of the Intergroup Study American College of Radiology Imaging Network 6651–Gynecologic Oncology Group 183Journal of Clinical Oncology, 2005
- Relation between FIGO stage, primary tumor volume, and presence of lymph node metastases in cervical cancer patients referred for radiotherapyInternational Journal of Gynecologic Cancer, 2003
- Ossifying fibromyxoid tumor of soft parts.: Cytogenetic findingsCancer Genetics and Cytogenetics, 2002
- Radiochimiothérapie concomitante dans les cancers du col de l'utérus: analyse critique des données et mise à jour des Standards, Options et RecommandationsCancer/Radiothérapie, 2000