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Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT

Part 2

Bildgebung weiblicher Beckentumoren unter Berücksichtigung von MRT, CT und PET/CT: Teil 2

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Abstract

Purpose

To compose diagnostic standard operating procedures for both clinical and imaging assessment for vulvar and vaginal cancer, for vaginal sarcoma, and for ovarian cancer.

Methods

The literature was reviewed for diagnosing the above mentioned malignancies in the female pelvis. Special focus herein lies in tumor representation in MRI, followed by the evaluation of CT and PET/CT for this topic.

Conclusion

MRI is a useful additional diagnostic complement but by no means replaces established methods of gynecologic diagnostics and ultrasound. In fact, MRI is only implemented in the guidelines for vulvar cancer. According to the current literature, CT is still the cross-sectional imaging modality of choice for evaluating ovarian cancer. PET/CT appears to have advantages for staging and follow-up in sarcomas and cancers of the ovaries.

Zusammenfassung

Ziel

Übersicht der aktuellen bildgebenden Diagnostik des Vulva- und des Vaginalkarzinoms, des Vaginalsarkoms und des Ovarialkarzinoms.

Methode

Durchsicht der Fachliteratur und Erstellung einer Übersicht der Diagnostik weiblicher Beckentumoren mittels MRT und CT sowie PET/CT mit Bildbeispielen unter Einschluss der tumorbezogenen Staging-Kriterien sowie empfohlenen MRT-Sequenzen.

Schlussfolgerung

Die MRT ist neben der gynäkologischen Untersuchung und dem Ultraschall eine nützliche bildgebende Ergänzung in der Diagnostik. Allerdings ist die MRT bisher nur in den Leitlinien des Vulvakarzinoms verankert. Für die Diagnostik des Ovarialkarzinoms ist die CT weiterhin Schnittbildgebung der Wahl. Die PET/CT scheint vorteilhaft beim Staging und beim Follow-up von Sarkomen und Ovarialkarzinomen zu sein.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, Medical School, University of Heidelberg, Heidelberg, Germany

    Celine D. Alt, Hans-Ulrich Kauczor & Peter Hallscheidt

  2. Department of Obstetrics and Gynecology, Medical School, University of Heidelberg, Heidelberg, Germany

    Kerstin A. Brocker, Michael Eichbaum, Christof Sohn & Florian U. Arnegger

  3. Department of Diagnostic and Interventional Radiology, University of Heidelberg, Medical School, INF 110, 69120, Heidelberg, Germany

    Celine D. Alt

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  1. Celine D. Alt
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  5. Florian U. Arnegger
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Correspondence to Celine D. Alt.

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Alt, C.D., Brocker, K.A., Eichbaum, M. et al. Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT. Strahlenther Onkol 187, 705–714 (2011). https://doi.org/10.1007/s00066-011-4002-z

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  • DOI: https://doi.org/10.1007/s00066-011-4002-z

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