Correlation between clinical findings and magnetic resonance imaging for the assessment of local response after standard treatment in cervical cancer

Valduvieco, Izaskun; Biete, Albert; Ríos, I. García; Llorente, Ricardo; Rovirosa, Á.; Pahisa, Jaume; Vidal, Laura; Farrús, Blanca; Samper, Pilar

doi:10.1016/j.rpor.2013.04.026

Cited by 7 publications

(6 citation statements)

References 23 publications

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“…14,15 What is more, literature provides a vast range of evidence that, in comparison with Fig. 1 -The linear regression analysis for (a) the tumor width and (b) thickness between the gynecological and MRI examination at the first examination (at diagnosis).…”

Section: Discussionmentioning

confidence: 99%

“…A good correlation (60%) between gynecological exam and MRI was also obtained by Valduvienci in his assessment of the local response after treatment. 39 Last but not least, at the second examination we considered the tumor dimension to be zero if the macroscopic tumor was not visualized at the cervical level.…”

Section: Fig 2 -The Linear Regression Analysis For the (A) Tumor Widmentioning

confidence: 99%

See 1 more Smart Citation

Local experience in cervical cancer imaging: Comparison in tumour assessment between TRUS and MRI

Ordeanu

Pop

Badea³

et al. 2015

Reports of Practical Oncology & Radiotherapy

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Section: Discussionmentioning

confidence: 99%

Section: Fig 2 -The Linear Regression Analysis For the (A) Tumor Widmentioning

confidence: 99%

Local experience in cervical cancer imaging: Comparison in tumour assessment between TRUS and MRI

Ordeanu

Pop

Badea³

et al. 2015

Reports of Practical Oncology & Radiotherapy

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“…Classically, tumor response is assessed by clinical examination, pelvic MRI and [ 18 F]FDG-PET/CT 3 months after completion of treatment. Valduvieco et al reported a 60% correlation between MRI and clinical findings at 3 months with a further increase of up to 80% at 6 months [108]. Vincens et al [109] reported a false-positive rate of 50% between MRI and pathological findings.…”

Section: Adjuvant Hysterectomy (Ht)mentioning

confidence: 98%

Optimal treatment in locally advanced cervical cancer

Gennigens

Cuypere

Hermesse

et al. 2021

Expert Review of Anticancer Therapy

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Introduction: Locally advanced cervical cancer (LACC) (International Federation of Gynecology and Obstetrics (FIGO) 2009/2018 -stages IB2-IVA/IB3-IVA, respectively) is treated using a multimodal approach that includes chemoradiotherapy followed by brachytherapy.Areas covered: This review provides an overview of the progress made over the past decade in the treatment of LACC. Prognostic factors, FIGO classification and the role of imaging staging will be discussed. Efficacy of external-beam radiotherapy, brachytherapy and chemotherapy will be detailed. Indications for para-aortic staging lymphadenectomy and adjuvant hysterectomy, as well as follow-up and special population, will be covered. Expert opinion:The initial workup is one of the most crucial steps in the optimal care of patients, which should be realized by a multidisciplinary expert team. With the implementation of modern conformal radiotherapy techniques, the local control rate has been optimized. Nevertheless, 40% of patients experience recurrence with distant metastasis and a dismal prognosis. Currently, a clear benefit of neo-and adjuvant chemotherapy has not been established. The future likely involves (1) improved selection of patients for whom treatment intensification is justified, (2) a combination of new drugs with chemoradiation that are currently being tested in trials, and (3) the development of tailored treatment based on molecular characteristics.

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“…MRI is useful for early detection of recurrent cervical cancer following surgery or radiation therapy [58,[61][62][63][64] (Figure 5). CT and MRI are used frequently as follow-up imaging modalities in such patients.…”

Section: Early Detection Of Recurrent Cancermentioning

confidence: 99%

“…CT and MRI are used frequently as follow-up imaging modalities in such patients. CT has difficulty identifying small recurrent cancer in the vaginal stump or uterine cervix due to poor soft tissue contrast [61][62][63]. In cases where a recurrent tumor projects into the pelvic cavity or is growing into the uterine body, visual assessment rarely allows early detection on CT. For these reasons, regular follow-up with MRI is necessary to observe signal changes at the vaginal stump or uterine cervix [62].…”

Section: Early Detection Of Recurrent Cancermentioning

confidence: 99%

Useful MRI Findings for Minimally Invasive Surgery for Early Cervical Cancer

Park

Kim

2021

Cancers

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According to the recent International Federation of Gynecology and Obstetrics (FIGO) staging system, Stage III cervical cancer indicates pelvic or paraaortic lymph node metastasis. Accordingly, the new FIGO stage accepts imaging modalities, such as MRI, as part of the FIGO 2018 updated staging. Magnetic resonance imaging (MRI) is the best imaging modality to estimate the size or volume of uterine cancer because of its excellent soft tissue contrast. As a result, MRI is being used increasingly to determine treatment options and follow-up for cervical cancer patients. Increasing availability of cancer screening and vaccination have improved early detection of cervical cancer. However, the incidence of early cervical cancers has increased compared to that of advanced cervical cancer. A few studies have investigated if MRI findings are useful in management of early cervical cancer. MRI can precisely predict tumor burden, allowing conization, trachelectomy, and simple hysterectomy to be considered as minimally invasive treatment options for early cervical cancer. This imaging modality also can be used to determine whether there is recurrent cancer following minimally invasive treatments. The purpose of this review is to highlight useful MRI features for managing women with early cervical cancer.

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Correlation between clinical findings and magnetic resonance imaging for the assessment of local response after standard treatment in cervical cancer

Cited by 7 publications

References 23 publications

Local experience in cervical cancer imaging: Comparison in tumour assessment between TRUS and MRI

Local experience in cervical cancer imaging: Comparison in tumour assessment between TRUS and MRI

Optimal treatment in locally advanced cervical cancer

Useful MRI Findings for Minimally Invasive Surgery for Early Cervical Cancer

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