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MRI Protocol for Imaging of Endometrial and Cervical Cancer


MRI Protocol for Imaging of Endometrial and Cervical Cancer


 MRI Protocol for Imaging of Endometrial and Cervical Cancer

 

Cancer

Sequence

Plane

Reason

Endometrium

T1-weighted (upper abdomen and pelvis)

Axial

Evaluate bone marrow and lymph nodes

 

T2-weighted

Axial

Evaluate lymph nodes and provide overview of pelvis

 

T2-weighted FSE

Sagittal

Visualize tumor and its relationship with myometrium

 

T2-weighted FSE

Axial oblique (short axis)

Evaluate depth of myometrial invasion in a second plane

 

T1-weighted (unenhanced and contrast-enhanced) 3D gradient-echo with fat saturation

Sagittal at 0, 1, 3, and 5 min Axial (short axis) at 4 min

Optimize the assessment of superficial (0 and 1 min), deep (3 min) myometrial invasion, cervical extension (5 min)

     

Optimize the assessment of depth of myometrial invasion (4 min) in a second imaging plane

Cervix

T1-weighted (upper abdomen and pelvis)

Axial

Evaluate bone marrow and lymph nodes

 

T2-weighted with fat saturation

Axial

Evaluate lymph nodes and provide overview of pelvis (including hydronephrosis)

 

T2-weighted FSE

Sagittal

Visualize tumor and its extension to lower uterine segment, vagina, bladder, and rectum

 

T2-weighted FSE

Axial oblique (short axis)

Optimize the assessment of parametrial invasion in a second imaging plane

  • Note—T1-weighted can be conventional spin-echo, but in the interest of time, most centers use gradient-echo sequences, which are faster but at the expense of image quality. FSE = fast spin-echo.

     
     
 
   
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