Browsing by Author "Bergman, A."
Now showing 1 - 2 of 2
Results Per Page
Sort Options
- Staging of endometrial cancer with MRI: guidelines of the european society of urogenital imagingPublication . Kinkel, K.; Forstner, R.; Danza, F. M.; Oleaga, L.; Cunha, Teresa Margarida; Bergman, A.; Barentsz, J. O.; Balleyguier, C.; Brkljacic, B.; Spencer, J. A.The purpose of this study was to define guidelines for endometrial cancer staging with MRI. The technique included critical review and expert consensus of MRI protocols by the female imaging subcommittee of the European Society of Urogenital Radiology, from ten European institutions, and published literature between 1999 and 2008. The results indicated that high field MRI should include at least two T2-weighted sequences in sagittal, axial oblique or coronal oblique orientation (short and long axis of the uterine body) of the pelvic content. High-resolution postcontrast images acquired at 2 min ± 30 s after intravenous contrast injection are suggested to be optimal for the diagnosis of myometrial invasion. If cervical invasion is suspected, additional slice orientation perpendicular to the axis of the endocervical channel is recommended. Due to the limited sensitivity of MRI to detect lymph node metastasis without lymph nodespecific contrast agents, retroperitoneal lymph node screening with pre-contrast sequences up to the level of the kidneys is optional. The likelihood of lymph node invasion and the need for staging lymphadenectomy are also indicated by high-grade histology at endometrial tissue sampling and by deep myometrial or cervical invasion detected by MRI. In conclusion, expert consensus and literature review lead to an optimized MRI protocol to stage endometrial cancer.
- Staging of uterine cervical cancer with MRI: guidelines of the european society of urogenital radiologyPublication . Balleyguier, C.; Sala, E.; Cunha, Teresa Margarida; Bergman, A.; Brkljacic, B.; Danza, F.; Forstner, R.; Hamm, B.; Kubik-Huch, R.; Lopez, C.; Manfredi, R.; McHugo, J.; Oleaga, L.; Togashi, K.; Kinkel, K.Objective: To design clear guidelines for the staging and follow-up of patients with uterine cervical cancer, and to provide the radiologist with a framework for use in multidisciplinary conferences. Methods: Guidelines for uterine cervical cancer staging and follow-up were defined by the female imaging subcommittee of the ESUR (European Society of Urogenital Radiology) based on the expert consensus of imaging protocols of 11 leading institutions and a critical review of the literature. Results: The results indicated that high field Magnetic Resonance Imaging (MRI) should include at least two T2-weighted sequences in sagittal, axial oblique or coronal oblique