NACT is a suitable option for patients with cervical cancer, especially for NACT responders and patients with stage IB, which provides a new concept of fertility preservation for young patients.

Purpose:To estimate organ dose from pediatric chest and abdominopelvic computed tomography (CT) examinations and evaluate the dependency of organ dose coefficients on patient size and CT scanner models. Materials and Methods:The institutional review board approved this HIPAA-compliant study and did not require informed patient consent. A validated Monte Carlo program was used to perform simulations in 42 pediatric patient models (age range, 0-16 years; weight range, 2-80 kg; 24 boys, 18 girls).Multidetector CT scanners were modeled on those from two commercial manufacturers (LightSpeed VCT, GE Healthcare, Waukesha, Wis; SOMATOM Definition Flash, Siemens Healthcare, Forchheim, Germany). Organ doses were estimated for each patient model for routine chest and abdominopelvic examinations and were normalized by volume CT dose index (CTDI vol ). The relationships between CTDI vol -normalized organ dose coefficients and average patient diameters were evaluated across scanner models. Results:For organs within the image coverage, CTDI vol -normalized organ dose coefficients largely showed a strong exponential relationship with the average patient diameter (R 2 . 0.9). The average percentage differences between the two scanner models were generally within 10%. For distributed organs and organs on the periphery of or outside the image coverage, the differences were generally larger (average, 3%-32%) mainly because of the effect of overranging. Conclusion:It is feasible to estimate patient-specific organ dose for a given examination with the knowledge of patient size and the CTDI vol . These CTDI vol -normalized organ dose coefficients enable one to readily estimate patient-specific organ dose for pediatric patients in clinical settings. This dose information, and, as appropriate, attendant risk estimations, can provide more substantive information for the individual patient for both clinical and research applications and can yield more expansive information on dose profiles across patient populations within a practice.q RSNA, 2013

Ovarian preservation surgery may be safe in SCC patients without suspicious LNM, PMI, and CUI, and in adenocarcinomas in patients who received NACT without FIGO stage IIB disease, bulky tumor size (>4 cm), suspicious PMI, and CUI.

This study proposed a practically applicable method to assess quantum noise in clinical images. The image-based measurement technique enables automatic quality control monitoring of image noise in clinical practice. Further, a phantom-based model can accurately predict quantum noise level in patient images. The prediction model can be used to quantitatively optimize individual protocol to achieve targeted noise level in clinical images.