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.

Valentini, A. L., Gui, B., Micco', M., Giulaini, M., Rodolfino, E., Iacobucci, M., Marino, M., Gambacorta, M. A., Testa, A. C., Zannoni, G. F., Bonomo, L., MRI anatomy of parametrial extension to better identify local pathways of disease spread in cervical cancer, <<DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY>>, 2016; 2016 May 10 (N/A): N/A-N/A/A. [doi:doi: 10.5152/dir.2015.15282] [http://hdl.handle.net/10807/80393]

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

Valentini, Anna Lia
Primo
;
Gui, Benedetta
Secondo
;
Micco', Maura;Rodolfino, Elena;Iacobucci, Marta;Marino, Marzia;Gambacorta, Maria Antonietta;Testa, Antonia Carla;Zannoni, Gian Franco
Penultimo
;
Bonomo, Lorenzo
Ultimo
2016

Abstract

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.
Inglese
Valentini, A. L., Gui, B., Micco', M., Giulaini, M., Rodolfino, E., Iacobucci, M., Marino, M., Gambacorta, M. A., Testa, A. C., Zannoni, G. F., Bonomo, L., MRI anatomy of parametrial extension to better identify local pathways of disease spread in cervical cancer, <<DIAGNOSTIC AND INTERVENTIONAL RADIOLOGY>>, 2016; 2016 May 10 (N/A): N/A-N/A/A. [doi:doi: 10.5152/dir.2015.15282] [http://hdl.handle.net/10807/80393]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/80393
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