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The role of cross-sectional imaging in the management of primary cervical cancer
EP30664
Poster Title: The role of cross-sectional imaging in the management of primary cervical cancer
Submitted on 30 Sep 2019
Author(s): Nada Bashar, Anthony OLSSON, Vandan Arora
Affiliations: Department of Radiology and Department of Obstetrics and Gynaecology, Wirral University Teaching Hospital
Poster Views: 179
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Poster Information
Abstract: Cervical cancer is the 14th most common cancer in female in the UK with approximately 3,200 new cases per year.
Traditionally cervical cancer is staged clinically following the International Federation of Gynaecology and Obstetrics (FIGO) staging system. However, imaging plays a key role in the diagnosis and management of cervical cancer.
The royal college of radiologist (RCR) has issued a set of recommendations for cross-sectional imaging in cervical cancer management. Our aims were to evaluate the local MRI protocols and to assess whether the RCR guidelines for requesting MRI and 18FDG PET-CT scans for cervical cancer staging are being followed in our institution. This poster will illustrate the imaging findings of cervical cancer on CT, MRI and 18FDG PET-CT scans and describe the role of each modality in staging. MRI is the modality of choice for local staging due to the superior soft tissue contrast resolution in comparison with CT and 18FDG PET-CT scans, however, lymph nodes involvement and distant visceral metastases are better assessed on the later modalities.
Imaging plays an important role in cervical cancer staging and therefore correlation between the FIGO staging and radiological findings would help optimizing the patient’s treatment planning. With the advances in imaging techniques, where available, accurate radiological staging is invaluable and impact the patient management significantly by reducing the need for more invasive investigations.
Summary: Different imaging modalities are utilised in the staging of primary cervical cancer cases and determining some of the important prognostic factors to guide further management. MRI is the modality of choice for local staging due to the superior soft tissue. Meanwhile lymph nodes involvement and distant metastases are better assessed with CT and 18FDG PET-CT scans.References: Cancer Research UK. http://www.cancerresearchuk.org/cancer-info/cancerstats/types/ Data available for cervix cancer, vaginal cancer and vulval cancer. (Last accessed 9/7/14.
Barwick, T.D., Taylor, A. and Rockall, A., 2013. Functional imaging to predict tumor response in locally advanced cervical cancer. Current oncology reports, 15(6), pp.549-558.
Hricak, H., Gatsonis, C., Coakley, F.V., Snyder, B., Reinhold, C., Schwartz, L.H., Woodward, P.J., Pannu, H.K., Amendola, M. and Mitchell, D.G., 2007. Early invasive cervical cancer: CT and MR imaging in preoperative evaluation—ACRIN/GOG comparative study of diagnostic performance and interobserver variability. Radiology, 245(2), pp.491-498.
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