Cervical cancer: MR imaging findings before, during, and after radiation therapy

Abstract

In this study, magnetic resonance (MR) imaging findings of patients with varying stages of cervical carcinoma are reviewed. The appearances of the postirradiation pelvis on MR images are also characterized and correlated with preradiation therapy staging. MR imaging findings of recurrent and metastatic disease are presented and discussed.

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

“…Nevertheless, different types of patient preparations have been suggested in order to improve the quality of the examination. Several authors proposed a 6 h fast before MRI [7,8] others an IV or intramuscular (IM) injection of antiperistaltic agent [9] or vaginal/rectal opacification with sterile gel [10]. The use of an antiperistaltic agent seems to be the most efficient way to limit bowel motion artifacts.…”

“…2). All the ESUR centres and several authors in the literature are also obtaining images of the abdomen (from the level of the renal veins to the pelvic brim) to evaluate for presence of abnormal lymph nodes [7,19,21] (Fig. 3).…”

Uterine cervical carcinoma: a comparison of two- and three-dimensional T2-weighted turbo spin-echo MR imaging at 3.0 T for image quality and local-regional staging

“…MR imaging has been accepted as the single most effective modality for detecting primary tumours and the local staging of cervical carcinoma [1]. Multiplanar two-dimensional (2D) T2-weighted turbo-spin echo (TSE) sequences play a crucial role in the standardised protocols for female pelvic MR imaging and provide excellent tissue contrast and high spatial resolution.…”

Recurrent Cervical Cancer: How Can Radiology be Helpfull

“…Published studies show a certain degree of overlap between benign and malignant pelvic lymph nodes, similar accuracy for CT and MR and have not been able to define the negative predictive value of DW imaging [31]. Lung, bone and liver are the most common locations of distance recurrence [32]. …”