Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Advanced Imaging Applications for Locally Advanced Cervical Cancer

  • Petsuksiri, Janjira (Division of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital) ;
  • Jaishuen, Atthapon (Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital) ;
  • Pattaranutaporn, Pittayapoom (Division of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital) ;
  • Chansilpa, Yaowalak (Division of Radiation Oncology, Department of Radiology, Faculty of Medicine Siriraj Hospital)
  • Published : 2012.05.30
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Abstract

Advanced imaging approaches (computed tomography, CT; magnetic resonance imaging, MRI; $^{18}F$-fluorodeoxyglucose positron emission tomography, FDG PET) have increased roles in cervical cancer staging and management. The recent FIGO (International Federation of Gynecology and Obstetrics) recommendations encouraged applications to assess the clinical extension of tumors rather than relying on clinical examinations and traditional non-cross sectional investigations. MRI appears to be better than CT for primary tumors and adjacent soft tissue involvement in the pelvis. FDG-PET/CT has increased in usage with a particular benefit for whole body evaluation of tumor metabolic activity. The potential benefits of advanced imaging are assisting selection of treatment based upon actual disease extent, to adequately treat a tumor with minimal normal tissue complications, and to predict the treatment outcomes. Furthermore, sophisticated external radiation treatment and brachytherapy absolutely require advanced imaging for target localization and radiation dose calculation.

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References

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