Cervical cancer MRI: Difference between revisions

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==Overveiw==
==Overveiw==
Pelvic MRI is helpful in the diagnosis of cervical cancer.
[[Pelvic]] [[MRI]] is helpful in the diagnosis of cervical cancer and also it is used for determining the better treatment modality for each patient and evaluation of [[lymph]] nodes involvement .
==MRI==
==MRI==
:* A dedicated MRI protocol is often useful for optimal imaging assessment.<ref>http://www.cancer.gov/types/cervical/hp/cervical-treatment-pdq#section/_93 Dr Amir Rezaee and Dr Yuranga Weerakkody et al.</ref>
Magnetic resonance imaging techniques is very useful for evaluation of [[lymph node]] volume in patient with cervical cancer in advanced stage, other advantages of [[MRI]] techniques in patient with cervical cancer include:<ref name="LiWu2016">{{cite journal|last1=Li|first1=Haoran|last2=Wu|first2=Xiaohua|last3=Cheng|first3=Xi|title=Advances in diagnosis and treatment of metastatic cervical cancer|journal=Journal of Gynecologic Oncology|volume=27|issue=4|year=2016|issn=2005-0380|doi=10.3802/jgo.2016.27.e43}}</ref>
:* The normal low signal cervical stroma provides intrinsic contrast for the high signal cervical tumour.
* Better treatment modality for patient can be selected accurately with MR imaging, whether its surgery or [[radiotherapy]].
::* T1: usually isointense compared with pelvic muscles
* [[Brachytherapy]] and external beam therapy are done after detecting the direction of lesion growth by [[MRI]].
::* T2
* MR imaging also better identify small [[tumor]] size and lesion depth and metastatic [[Lymph nodes|lymph node]] involvement which will clarify whether the treatment is [[palliative]] or curative for patient with cervical [[cancer]].  
:::* hyperintense relative to the low signal of the cervical stroma
[[MRI]] findings are variable depending upon stage of cervical [[neoplasia]], these findings are include:<ref name="NicoletCarignan2000">{{cite journal|last1=Nicolet|first1=Viviane|last2=Carignan|first2=Louis|last3=Bourdon|first3=France|last4=Prosmanne|first4=Odile|title=MR Imaging of Cervical Carcinoma: A Practical Staging Approach|journal=RadioGraphics|volume=20|issue=6|year=2000|pages=1539–1549|issn=0271-5333|doi=10.1148/radiographics.20.6.g00nv111539}}</ref>
:::* hyperintensity is thought to be present regardless of histological sub type 1
* Exophytic [[cervical]] mass protruding into the posterior vagina.
:* T1 C+ (Gd)
* Cervical [[mass]] infiltrating the lower [[myometrium]] and [[endometrium]].
:::* contrast is not routinely used, though it may be helpful to demonstrate small tumours considered for trachelectomy
* Hyperintense thickening of [[bladder]] wall
:::* on contrast-enhanced T1-weighted images, tumour presents as a high signal relative to the low signal of the cervical stroma 24
* Hyperintense image of [[lymph node]]
For further information, see the article: MRI reporting guidelines for cervical cancer.
* Parametrial invasion
 
([http://www.radswiki.net Images courtesy of RadsWiki])
 
<gallery>
Image:Cervical_cancer_001.jpg|Cervical cancer
Image:Cervical_cancer_002.jpg|Cervical cancer
Image:Cervical_cancer_003.jpg|Cervical cancer
Image:Cervical_cancer_004.jpg|Cervical cancer
Image:Cervical_cancer_005.jpg|Cervical cancer
Image:Cervical_cancer_006.jpg|Cervical cancer
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==References==
==References==
{{reflist|2}}
{{reflist|2}}
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Latest revision as of 20:51, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Nima Nasiri, M.D.[2]

Overveiw

Pelvic MRI is helpful in the diagnosis of cervical cancer and also it is used for determining the better treatment modality for each patient and evaluation of lymph nodes involvement .

MRI

Magnetic resonance imaging techniques is very useful for evaluation of lymph node volume in patient with cervical cancer in advanced stage, other advantages of MRI techniques in patient with cervical cancer include:[1]

  • Better treatment modality for patient can be selected accurately with MR imaging, whether its surgery or radiotherapy.
  • Brachytherapy and external beam therapy are done after detecting the direction of lesion growth by MRI.
  • MR imaging also better identify small tumor size and lesion depth and metastatic lymph node involvement which will clarify whether the treatment is palliative or curative for patient with cervical cancer.

MRI findings are variable depending upon stage of cervical neoplasia, these findings are include:[2]

References

  1. Li, Haoran; Wu, Xiaohua; Cheng, Xi (2016). "Advances in diagnosis and treatment of metastatic cervical cancer". Journal of Gynecologic Oncology. 27 (4). doi:10.3802/jgo.2016.27.e43. ISSN 2005-0380.
  2. Nicolet, Viviane; Carignan, Louis; Bourdon, France; Prosmanne, Odile (2000). "MR Imaging of Cervical Carcinoma: A Practical Staging Approach". RadioGraphics. 20 (6): 1539–1549. doi:10.1148/radiographics.20.6.g00nv111539. ISSN 0271-5333.

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