To describe the main imaging findings in magnetic resonance imaging (MRI) in cervical cancer, when to perform ("do's"), and what to expect. To remember the "dont's": when MRI is not indicated or what are the potential limitations of MRI in cervical cancer staging.

Cervical cancer is one of the most prevalent cancers among females. Global Cancer Observatory (2018) ranks cervical cancer as the fourth most common cancer in women worldwide and as the second most common cancer in low and middle-income countries. Invasive uterine cervical cancer is a disease that primarily afflicts women who lack access to preventive health care, such as Papanicolaou test screening and HPV vaccine. Brazil has a complex scenario when it comes to cervical cancer statistics. Global prevalence ranks as the third most frequent...

Anatomic structures and boundaries The female pelvis has particular and intricate anatomy. A three-layer model is suggested for a better understanding of the pelvic segmentation. The uterine cervix is located at the superior middle layer of the pelvis, delimited anteriorly by the vesicovaginal space and partially by the vesicouterine peritoneal reflection. The parametrium is the fibrous layer that separates the bladder and the supravaginal portion of the cervix[4]. Posteriorly it's limited by the rectovaginal septum and partially by the anterior peritoneal reflection(Fig. 3). The uterine...

MRI is validated as a staging tool in cervical cancer. An optimal technique improves the diagnostic performance of MRI, especially in small lesions, and helps to recognize anatomical landmarks relevant to optimal staging and treatment planning ( Fig. 2, Fig. 30 ). Don’t forget! Keep it simple! Size Involvement of pelvic wall Mets Parametrial extension Lymph nodes Enhancement and DWI behavior

Dra. Mayra Veloso Soares Hospital Sírio-Libanês – Brasília/DF Laboratório Exame – Grupo DASA – Brasília/DF Hospital Universitário de Brasília, UnB. [email protected] Dr. Wagner Diniz de Paula Hospital DF Star – Rede D’Or – São Luiz – Brasília/DF Laboratório Exame – Grupo DASA – Brasília/DF Hospital Universitário de Brasília, UnB. [email protected] Dr. Vinicius Martins Vilela Hospital Universitário de Brasília, UnB [email protected]

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