MRI anatomy of parametrial extension to better identify local pathways of disease spread in cervical cancer

作者:Valentini Anna Lia*; Gui Benedetta; Micco Maura; Giuliani Michela; Rodolfino Elena; Ninivaggi Valeria; Iacobucci Marta; Marino Marzia; Gambacorta Maria Antonietta; Testa Antonia Carla; Zannoni Gian Franco; Bonomo Lorenzo
来源:Diagnostic and Interventional Radiology, 2016, 22(4): 319-325.
DOI:10.5152/dir.2015.15282

摘要

This paper highlights an updated anatomy of parametrial extension with emphasis on magnetic resonance imaging (MRI) assessment of disease spread in the parametrium in patients with locally advanced cervical cancer. Pelvic landmarks were identified to assess the anterior and posterior extensions of the parametria, besides the lateral extension, as defined in a previous anatomical study. A series of schematic drawings and MRI images are shown to document the anatomical delineation of disease on MRI, which is crucial not only for correct image-based three-dimensional radiotherapy but also for the surgical oncologist, since neoadjuvant chemoradiotherapy followed by radical surgery is emerging in Europe as a valid alternative to standard chemoradiation.

  • 出版日期2016-7

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