Roller Lauren A, Venkatesan Aradhana M, Nougaret Stephanie, Sadowski Elizabeth, Abu-Rustum Nadeem R, Addley Helen Clare, Gui Benedetta, Kido Aki, Lakhman Yulia, Lee Susanna I, Lele Sara, Lin Gigin, Maheshwari Ekta, Manganaro Lucia, Muto Michael, Patel-Lippmann Krupa, Rauch Gaiane M, Rockall Andrea, Russo Luca, Wahab Shaun A, Shinagare Atul B
Department of Radiology, Brigham & Women's Hospital, Boston MA, USA 02115.
Department of Abdominal Imaging, Division of Diagnostic Imaging, The university of Texas MD Anderson Cancer Center, 1400 Pressler St MSC 1182, Houston TX 77030.
AJR Am J Roentgenol. 2025 Jun 18. doi: 10.2214/AJR.25.33087.
Cervical cancer treatment involves multidisciplinary care teams comprised of gynecologic surgeons, gynecologic oncologists, radiation oncologists, pathologists, and radiologists. The 2018 update of the International Federation of Gynecology and Obstetrics cervical cancer staging system incorporated imaging as a source of staging information, reflecting the critical role of imaging in evaluating patients with cervical cancer before and after therapy. However, lack of standardized terminology has led to challenges in the updated system's application, including ambiguity in management decisions. This collaborative project between the Society of Abdominal Radiology Uterine and Ovarian Cancer Disease-Focused Panel, the European Society of Urogenital Radiology Female Pelvic Imaging working group, and the Asian Society of Abdominal Radiology aimed to develop a list of standardized consensus-based terms and definitions for reporting imaging findings in the initial staging, follow-up, and treatment planning of cervical cancer, as well as a report template leveraging the lexicon terms. The lexicon and report template were developed by 20 committee members (17 radiologists, two gynecologic oncologic surgeons, and one radiation oncologist), representing 19 institutions from North America, Europe and Asia. These tools are intended to improve consistency in the reporting of cervical cancer imaging, to enhance communication among care teams and optimize patient management.
宫颈癌治疗需要多学科护理团队，成员包括妇科外科医生、妇科肿瘤学家、放射肿瘤学家、病理学家和放射科医生。国际妇产科联合会宫颈癌分期系统2018年更新版将影像学纳入分期信息来源，这反映了影像学在评估宫颈癌患者治疗前后情况中的关键作用。然而，缺乏标准化术语导致该更新系统在应用中面临挑战，包括管理决策的模糊性。腹部放射学会子宫和卵巢癌疾病专题小组、欧洲泌尿生殖放射学会女性盆腔影像学工作组以及亚洲腹部放射学会之间的这个合作项目，旨在制定一份基于共识的标准化术语和定义清单，用于报告宫颈癌初始分期、随访和治疗规划中的影像学检查结果，以及一个利用词汇术语的报告模板。该词汇表和报告模板由20名委员会成员（17名放射科医生、2名妇科肿瘤外科医生和1名放射肿瘤学家）制定，他们代表了来自北美、欧洲和亚洲的19个机构。这些工具旨在提高宫颈癌影像学报告的一致性，加强护理团队之间的沟通并优化患者管理。
