Features of Multiparametric Magnetic-resonance Imaging in Diagnostics of Cervical Cancer Progression After Chemoradiotherapy
Abstract
Magnetic-resonance imaging plays the key role in local estimation and staging of primary detected cervical cancer and also MRI is an irreplaceable method in noninvasive assessment of cancer recurrence and continued tumor growth. Surgical and chemoradiation tactics largely depends on MRI changes of detected tumor. However, diagnostics of residual tumor remnants and local recurrence in presence of postoperative and postradiation changes appears to be rather difficult. Due to complex approach and possibility to realize different postprocessing algorithms multiparametric MRI shows sufficiently high levels of sensitivity and specificity in detection of early cervical cancer recurrence after chemoradiation therapy.
About the Authors
Elena V. Tarachkova
Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Ph.D Med., Teaching Assistant, Department of Radiology
Maxim A. Shorikov
N. N. Blokhin Russian Cancer Research Center, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Postgraduate
Tatiana A. Logunova
Russian Medical Academy of Continuing Professional
Education, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Postgraduate, Department of Radiology
Filipp A. Kossov
Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Postgraduate, Department of Radiology
Vadim O. Panov
Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
Ph. D. Med., Associate Professor, Department of Radiology
Igor E. Tyurin
Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia; N. N. Blokhin Russian Cancer Research Center, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
М.D Med, Professor, Chief of Department of Radiology, Russian Medical Academy of Continuing Professional Education; Leading Research Associate, Radiodiagnostic Department, Research Institute of Clinical and experimental Radiology, the N. N. Blokhin Russian Cancer Research Cente
References
1. Tarachkova E. V., Strel’tsova O. N., Panov V. O., Bazaeva I. Yu., Tyurin I. E. Multiparameter magnetic resonance imaging in the diagnosis of cancer of the cervix uteri. Vestnik rentgenologii i radiologii. 2015. No. 6. Р. 43–55 (in Russian).
2. Tarachkova E. V., Shorikov M. A., Panov V. O., Kuznetsov V. V., Tyurin I. E., Shimanovskiy N. L. Dynamic contrastenhanced MRI in determining histological type of cervical cancer. Vestnik rossiyskogo gosudarstvennogo meditsinskogo universiteta. 2016. No. 4. Р. 29–35 (in Russian).
3. Tarachkova E. V., Shorikov M. A., Panov V. O., Kuznetsov V. V., Usmanova L. Sh., Tyurin, I. E. Possibilities of multiparametric MRI in the differential diagnosis of histological types of cervical cancer in the preoperative period. Opuholi zhenskoy reproduktivnoy sistemy. 2016. No. 12 (2). P. 60–69 (in Russian).
4. Shostka K. G., Pavlenko A. N., Fokina A. V., Kashina N. O., Roman L. D. Immediate and long-term results of treatment after pelvic exenterations for locally advanced cervical cancer. Voprosy onkologii. 2014. No. 60 (3). P. 319–322 (in Russian).
5. Graef D. M., Karam R., Juhan V., Daclin P., Maubon A., Rouanet J. High signals in the uterine cervix on T2-weighted MRI sequences // Eur. Radiol. 2003. V. 13. № 1. P. 118–126.
6. Ho J. C., Allen P. K., Bhosale P. R., Rauch G. M., Fuller C. D., Mohamed A. S., Frumovitz M., Jhingran A., Klopp A. H. Diffusionweighted magnetic resonance imaging as a predictor of outcome in cervical cancer after chemoradiation // Int. J. of Rad. Oncol. Biol. Phys. 2017. V. 97. № 3. P. 546–553.
7. Padhani A. R., Liu G., Mu-Koh D. Diffusionweighted magnetic resonance imaging as a cancer biomarker: consensus and recommendations // Neoplasia. 2009. V. 11. № 2. P. 102–125.
8. Papadopoulou I., Stewart V., Barwick T.D., Park W.H., Soneji N., Rockall A.G., Bharwani N. Post-Radiation Therapy Imaging Appearances in Cervical Carcinoma // Radiographics. 2016. V. 36. № 2. P. 538–553.
9. Sugimura K., Okizuka H. Postsurgical pelvis: treatment follow-up // Radiol. Clin. of North Am. 2002. V. 40. № 3. P. 659–680.
10. Torheim T., Groendahl A.R., Andersen E. K., Lyng H., Malinen E., Kvaal K., Futsaether C. M. Cluster analysis of dynamic contrast enhanced MRI reveals tumor subregions related to locoregional relapse for cervical cancer patients // Acta Oncol. 2016. V. 55. № 11. P. 1294–1298.
11. Weber T. M., Sostman H. D., Spritzer C. E., Ballard R. L., Meyer G. A., Clark-Pearson D. L., Soper J. T. Cervical carcinoma: determination of recurrent tumor extent versus radiation changes with MR imaging // Radiol. 1995. V. 194. № 1. P. 135–139.
Review
For citations:
Tarachkova E., Shorikov M., Logunova T., Kossov F., Panov V., Tyurin I. Features of Multiparametric Magnetic-resonance Imaging in Diagnostics of Cervical Cancer Progression After Chemoradiotherapy. Radiology - Practice. 2017;(6):27-40. (In Russ.)
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