Endometrial Cancer MRI staging: Updated Guidelines of the European Society of Urogenital Radiology.

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 Appr...

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Publicado en:European Radiology Vol. 29; no. 2; pp. 792 - 806
Autores principales: Nougaret, Stephanie, Horta, Mariana, Sala, Evis, Lakhman, Yulia, Thomassin-Naggara, Isabelle, Kido, Aki, Masselli, Gabriele, Bharwani, Nishat, Sadowski, Elizabeth, Ertmer, Andrea, Otero-Garcia, Milagros, Kubik-Huch, Rahel A., Cunha, Teresa M, Rockall, Andrea, Forstner, Rosemarie
Formato: research Journal Article
Publicado: Springer Nature Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Endometrial Cancer MRI staging: Updated Guidelines of the European Society of Urogenital Radiology.
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          Nougaret, Stephanie
          Horta, Mariana
          Sala, Evis
          Lakhman, Yulia
          Thomassin-Naggara, Isabelle
          Kido, Aki
          Masselli, Gabriele
          Bharwani, Nishat
          Sadowski, Elizabeth
          Ertmer, Andrea
          Otero-Garcia, Milagros
          Kubik-Huch, Rahel A.
          Cunha, Teresa M
          Rockall, Andrea
          Forstner, Rosemarie
        affil: IRCM, Montpellier Cancer Research institute, 208 Ave des Apothicaires, 34295, Montpellier, France
      sug:
        subj:
          Practice Guidelines
          Endometrial Neoplasms Pathology
          Magnetic Resonance Imaging Methods
          Neoplasm Staging Standards
          Specialties, Medical
          Medical Organizations
          Female
          Human
          Europe
          Scales
          Female
      ab: 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.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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