Department of Radiology, Abdominal Imaging Division, University of Washington, Seattle, WA.
Department of Radiology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390.
AJR Am J Roentgenol. 2020 Aug;215(2):292-304. doi: 10.2214/AJR.19.21941. Epub 2020 Jun 17.
In this article, we provide an updated review on the role of imaging in initial staging, treatment monitoring, and follow-up of cervical cancer with a focus on the role of MRI and FDG PET/CT. In addition, the 2018 International Federation of Gynecology and Obstetrics staging system and its implication on management of cervical cancer are explored. Imaging plays a major role in treatment planning and as a prognostic indicator in patients with cervical cancer. MRI and PET/CT have complementary roles: MRI is essential for the local staging of the primary tumor, and PET/CT is the most useful modality for detecting regional nodal and distant metastases.
在本文中,我们提供了对宫颈癌的影像学在初始分期、治疗监测和随访中的作用的最新综述,重点介绍了 MRI 和 FDG PET/CT 的作用。此外,还探讨了 2018 年国际妇产科联合会分期系统及其对宫颈癌管理的影响。影像学在宫颈癌患者的治疗计划中起着重要作用,并可作为预后指标。MRI 和 PET/CT 具有互补作用:MRI 对原发肿瘤的局部分期至关重要,而 PET/CT 是检测区域淋巴结和远处转移的最有用的方式。