Journal article
Endometrial Cancer MRI staging: Updated Guidelines of the European Society of Urogenital Radiology.
- Nougaret S IRCM, Montpellier Cancer Research institute, 208 Ave des Apothicaires, 34295, Montpellier, France. stephanienougaret@free.fr.
- Horta M Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, R. Prof. Lima Basto, 1099-023, Lisboa Codex, Portugal.
- Sala E Department of Radiology Box 218, Cambridge Biomedical Campus Cambridge, CB2 0QQ, Cambridge, UK.
- Lakhman Y Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
- Thomassin-Naggara I UPMC Univ. Paris 06, Institut Universitaire de Cancérologie, Assistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Tenon, Sorbonne Universités, Service de Radiologie, 54 avenue Gambetta, 75020, Paris, France.
- Kido A Department of Diagnostic Radiology and Nuclear Medicine, Kyoto University Hospital, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
- Masselli G Radiology Department, Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy.
- Bharwani N Department of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, Department of Surgery and Cancer, Imperial College, London. 3rd Floor, Queen Elizabeth the Queen Mother Building, Praed St, London, W21NY, UK.
- Sadowski E Departments of Radiology, Obstetrics and Gynecology, University of Wisconsin SMPH, Madison, WI, USA.
- Ertmer A Department of Radiology, Spital Bülach, Spitalstrasse 24, CH-8180, Bülach, Switzerland.
- Otero-Garcia M Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
- Kubik-Huch RA Department of Radiology, Kantonsspital Baden, Baden, Switzerland.
- Cunha TM Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, R. Prof. Lima Basto, 1099-023, Lisboa Codex, Portugal.
- Rockall A The Royal Marsden Hospital NHS Foundation Trust, London, UK.
- Forstner R Department of Radiology Müllner Hauptstr, 48 Universitätsklinikum Salzburg, PMU 5020, Salzburg, Austria.
- 2018-07-12
Published in:
- European radiology. - 2019
Diffusion
Endometrial cancer
Guideline
Magnetic resonance imaging
Uterus
Endometrial Neoplasms
Europe
Female
Guidelines as Topic
Humans
Magnetic Resonance Imaging
Neoplasm Staging
Radiology
Societies, Medical
English
OBJECTIVES
To update the 2009 ESUR endometrial cancer guidelines and propose strategies to standardize image acquisition, interpretation and reporting for endometrial cancer staging with MRI.
METHODS
The published evidence-based data and the opinion of experts were combined using the RAND-UCLA Appropriateness Method and formed the basis for these consensus guidelines. The responses of the experts to 81 questions regarding the details of patient preparation, MR imaging protocol, image interpretation and reporting were collected, analysed and classified as "RECOMMENDED" versus "NOT RECOMMENDED" (if at least 80% consensus among experts) or uncertain (if less than 80% consensus among experts).
RESULTS
Consensus regarding patient preparation, MR image acquisition, interpretation and reporting was determined using the RAND-UCLA Appropriateness Method. A tailored MR imaging protocol and a standardized report were recommended.
CONCLUSIONS
These consensus recommendations should be used as a guide for endometrial cancer staging with MRI.
KEY POINTS
• MRI is recommended for initial staging of endometrial cancer. • MR imaging protocol should be tailored based on the risk of lymph node metastases. • Myometrial invasion is best assessed using combined axial-oblique T2WI, DWI and contrast-enhanced imaging. • The mnemonic "Clinical and MRI Critical TEAM" summarizes key elements of the standardized report.
To update the 2009 ESUR endometrial cancer guidelines and propose strategies to standardize image acquisition, interpretation and reporting for endometrial cancer staging with MRI.
METHODS
The published evidence-based data and the opinion of experts were combined using the RAND-UCLA Appropriateness Method and formed the basis for these consensus guidelines. The responses of the experts to 81 questions regarding the details of patient preparation, MR imaging protocol, image interpretation and reporting were collected, analysed and classified as "RECOMMENDED" versus "NOT RECOMMENDED" (if at least 80% consensus among experts) or uncertain (if less than 80% consensus among experts).
RESULTS
Consensus regarding patient preparation, MR image acquisition, interpretation and reporting was determined using the RAND-UCLA Appropriateness Method. A tailored MR imaging protocol and a standardized report were recommended.
CONCLUSIONS
These consensus recommendations should be used as a guide for endometrial cancer staging with MRI.
KEY POINTS
• MRI is recommended for initial staging of endometrial cancer. • MR imaging protocol should be tailored based on the risk of lymph node metastases. • Myometrial invasion is best assessed using combined axial-oblique T2WI, DWI and contrast-enhanced imaging. • The mnemonic "Clinical and MRI Critical TEAM" summarizes key elements of the standardized report.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1007/s00330-018-5515-y
- PMID 29995239
- Persistent URL
- https://folia.unifr.ch/global/documents/225939
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