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Staging of endometrial cancer with MRI: guidelines of the european society of urogenital imaging

2009Journal article Open access
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dc.contributor.authorKinkel, K.
dc.contributor.authorForstner, R.
dc.contributor.authorDanza, F. M.
dc.contributor.authorOleaga, L.
dc.contributor.authorCunha, Teresa Margarida
dc.contributor.authorBergman, A.
dc.contributor.authorBarentsz, J. O.
dc.contributor.authorBalleyguier, C.
dc.contributor.authorBrkljacic, B.
dc.contributor.authorSpencer, J. A.
dc.date.accessioned2016-11-17T11:26:31Z
dc.date.available2016-11-17T11:26:31Z
dc.date.issued2009
dc.date.updated2016-07-23T14:33:38Z
dc.description.abstractThe 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.pt_PT
dc.identifier0938-7994en_US
dc.identifier.citationK. Kinkel; R. Forstner; F. M. Danza; L. Oleaga; T. M. Cunha; A. Bergman; J. O. Barentsz; C. Balleyguier; B. Brkljacic; J. A. Spencer. Staging of Endometrial Cancer with MRI: Guidelines of the European Society of Urogenital Imaging, European Radiology, 19, 7, 1565-1574, 2009.pt_PT
dc.identifier.doi10.1007/s00330-009-1309-6pt_PT
dc.identifier.issn0938-7994
dc.identifier.urihttp://hdl.handle.net/10400.26/15485
dc.language.isoengpt_PT
dc.subjectUteruspt_PT
dc.subjectEndometriumpt_PT
dc.subjectUterine neoplasmspt_PT
dc.subjectStagingpt_PT
dc.subjectMagnetic resonance (MR)pt_PT
dc.subjectGynecologic oncologypt_PT
dc.subjectUterine neoplasmspt_PT
dc.titleStaging of endometrial cancer with MRI: guidelines of the european society of urogenital imagingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage1574pt_PT
oaire.citation.startPage1565pt_PT
oaire.citation.titleEuropean Radiologypt_PT
oaire.citation.volume19pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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