Findings and procedure details
LIMITS OF THE FIGO CLASSIFICATION
• Clinical classification (Intravenous-urography,
• Does not include ganglionic extension
• Poor correlation to surgical findings
Stade IStade IIStade III
ROLE OF IMAGING
üVaginal and stromal extension
üExtension to parametria
üExtension to rectum and bladder
Imaging strategy to evaluate cervical cancer
•MRIèall patients with a proven cancer (except FIGO IV)
Including thin T2 slices perpendicular to the cervix + sequences exploring the urinary tractus and the para-aortic gangliona
•It must be part of any initial assessment of cervical cancer because it plays a "key" role in:
•guiding the therapeutic choices:
–in particular by identifying,
with a strong VPN,
the patients without parametrial invasion,
candidates for surgery
–by selecting patients at an early stage who can benefit from conservative fertility surgery (trachelectomy)
•giving benchmarks for radiotherapy
•identifying essential prognostic factors accurate assessment of tumor size,
evaluation of the ganglionic and parametrial extensions
MRI of malignant neoplasm of the uterine corpus and cervix.Am J Roentgenol.2007;188:1577–87.
CT evaluation of cervical cancer: Spectrum of disease.RadioGraphics.2001;21:1155–68.
PET/CT evaluation of cervical cancer: Spectrum of disease.Radio Graphics.2010;30:1251–68.
Uterine cervical carcinoma after therapy: CT and MRI imaging findings.Radio Graphics.2003;23:969–81.
5.De Bondt RB,