Staging of cervical cancer: A practical approach using MRI and FDG PET Review
| Authors: | Lakhman, Y.; Aherne, E. A.; Jayaprakasam, V. S.; Nougaret, S.; Reinhold, C. |
| Review Title: | Staging of cervical cancer: A practical approach using MRI and FDG PET |
| Abstract: | This review provides a practical approach to the imaging evaluation of patients with cervical cancer (CC), from initial diagnosis to restaging of recurrence, focusing on MRI and FDG PET. The primary updates to the International Federation of Gynecology and Obstetrics (FIGO) CC staging system, as well as these updates' relevance to clinical management, are discussed. The recent literature investigating the role of MRI and FDG PET in CC staging and image-guided brachytherapy is summarized. The utility of MRI and FDG PET in response assessment and posttreatment surveillance is described. Important findings on MRI and FDG PET that interpreting radiologists should recognize and report are illustrated. The essential elements of structured reports during various phases of CC management are outlined. Special considerations, including the role of imaging in patients desiring fertility-sparing management, differentiation of CC and endometrial cancer, and unusual CC histologies, are also described. Finally, future research directions including PET/MRI, novel PET tracers, and artificial intelligence applications are highlighted. © 2023 American Roentgen Ray Society. All rights reserved. |
| Keywords: | treatment response; cancer surgery; histopathology; cancer recurrence; treatment planning; cancer staging; nuclear magnetic resonance imaging; positron emission tomography; lymph node metastasis; hysterectomy; endometrium cancer; tumor volume; patient care; radiologist; artificial intelligence; uterine cervix cancer; brachytherapy; imaging; adenosquamous carcinoma; external beam radiotherapy; tracer; premenopause; pet; gynecologic cancer; dynamic contrast-enhanced magnetic resonance imaging; diffusion weighted imaging; fluorodeoxyglucose; mri; chemoradiotherapy; female fertility; cervical cancer; neuroendocrine carcinoma; personalized medicine; whole body pet; uterine cervix conization; pelvis radiography; tumor invasion; international federation of gynecology and obstetrics; uterine cervix adenocarcinoma; human; article; positron emission tomography-computed tomography; cervical squamous cell carcinoma; t2 weighted imaging; cervicotomy |
| Journal Title: | American Journal of Roentgenology |
| Volume: | 221 |
| Issue: | 5 |
| ISSN: | 0361-803X |
| Publisher: | American Roentgen Ray Society |
| Date Published: | 2023-11-01 |
| Start Page: | 633 |
| End Page: | 648 |
| Language: | English |
| DOI: | 10.2214/ajr.23.29003 |
| PUBMED: | 37459457 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Corresponding author is MSK author: Yulia Lakhman -- Source: Scopus |
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