Carcinoma of the cervix: role of MR imaging

Staging is of paramount importance in cancer management. In cervical carcinoma, it is performed using the clinical International Federation of Gynaecology and Obstetrics (FIGO) staging system. However, besides some inherent inaccuracies, it does not include important prognostic factors such as tumou...

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Veröffentlicht in:Annals of the Academy of Medicine, Singapore Singapore, 2003-07, Vol.32 (4), p.550-556
Hauptverfasser: Chiang, S H, Quek, S T
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Quek, S T
description Staging is of paramount importance in cancer management. In cervical carcinoma, it is performed using the clinical International Federation of Gynaecology and Obstetrics (FIGO) staging system. However, besides some inherent inaccuracies, it does not include important prognostic factors such as tumour size, which may help determine treatment strategies. These shortcomings of the clinical FIGO staging system underline the importance of accurate imaging evaluation of cervical carcinoma. Although magnetic resonance (MR) imaging is not officially incorporated into current staging work-up assessment, it has been shown by a number of studies to be the most reliable imaging modality in the evaluation of cervical cancer and in treatment planning. It has the advantages of direct tumour visualisation, accurate assessment of the depth of stromal invasion and tumour volume, and lymph node evaluation. In this article, the utility of MR imaging in the evaluation of cervical carcinoma is reviewed.
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subjects Adult
Aged
Biopsy, Needle
Carcinoma - diagnosis
Cervix Uteri - pathology
Education, Medical, Continuing
Endosonography - methods
Female
Humans
Magnetic Resonance Imaging - methods
Middle Aged
Neoplasm Staging
Risk Assessment
Sensitivity and Specificity
Tomography, X-Ray Computed
Uterine Cervical Neoplasms - diagnosis
title Carcinoma of the cervix: role of MR imaging
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