European Radiology

, Volume 21, Issue 5, pp 1102–1110 | Cite as

Staging of uterine cervical cancer with MRI: guidelines of the European Society of Urogenital Radiology

  • Corinne BalleyguierEmail author
  • E. Sala
  • T. Da Cunha
  • A. Bergman
  • B. Brkljacic
  • F. Danza
  • R. Forstner
  • B. Hamm
  • R. Kubik-Huch
  • C. Lopez
  • R. Manfredi
  • J. McHugo
  • L. Oleaga
  • K. Togashi
  • K. Kinkel


Objective: To design clear guidelines for the staging and follow-up of patients with uterine cervical cancer, and to provide the radiologist with a framework for use in multidisciplinary conferences. Methods: Guidelines for uterine cervical cancer staging and follow-up were defined by the female imaging subcommittee of the ESUR (European Society of Urogenital Radiology) based on the expert consensus of imaging protocols of 11 leading institutions and a critical review of the literature. Results: The results indicated that high field Magnetic Resonance Imaging (MRI) should include at least two T2-weighted sequences in sagittal, axial oblique or coronal oblique orientation (short and long axis of the uterine cervix) of the pelvic content. Axial T1-weighted sequence is useful to detect suspicious pelvic and abdominal lymph nodes, and images from symphysis to the left renal vein are required. The intravenous administration of Gadolinium-chelates is optional but is often required for small lesions (<2 cm) and for follow-up after treatment. Diffusion-weighted sequences are optional but are recommended to help evaluate lymph nodes and to detect a residual lesion after chemoradiotherapy. Conclusions: Expert consensus and literature review lead to an optimized MRI protocol to stage uterine cervical cancer. MRI is the imaging modality of choice for preoperative staging and follow-up in patients with uterine cervical cancer.


Uterus Cervix Cervical cancer Staging Magnetic resonance (MR) 


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Copyright information

© European Society of Radiology 2010

Authors and Affiliations

  • Corinne Balleyguier
    • 1
    Email author
  • E. Sala
    • 2
  • T. Da Cunha
    • 3
  • A. Bergman
    • 4
  • B. Brkljacic
    • 5
  • F. Danza
    • 6
  • R. Forstner
    • 7
  • B. Hamm
    • 8
  • R. Kubik-Huch
    • 9
  • C. Lopez
    • 10
  • R. Manfredi
    • 10
  • J. McHugo
    • 11
  • L. Oleaga
    • 12
  • K. Togashi
    • 13
  • K. Kinkel
    • 14
  1. 1.Radiology DepartmentInstitut Gustave RoussyVillejuifFrance
  2. 2.Radiology DepartmentAddenbrooke’s HospitalCambridgeUK
  3. 3.Radiology DepartmentInstituto Português de Oncologia de Lisboa Francisco GentilLisbonPortugal
  4. 4.Department of RadiologyUppsala University HospitalUppsalaSweden
  5. 5.Department of Diagnostic and Interventional RadiologyUniversity Hospital “Dubrava”ZagrebCroatia
  6. 6.Dipartimento di Bioimmaginie scienze radiologicheUniversità Cattolica del S. CuoreRomeItaly
  7. 7.ZentralröntgeninstitutLandesklinikenSalzburgSalzburgAustria
  8. 8.Department of RadiologyCharité Humboldt Universität BerlinBerlinGermany
  9. 9.Institut Radiologie Kantonsspital BadenBadenGermany
  10. 10.Department of Radiology“A. Gemelli” University HospitalRomeItaly
  11. 11.Department of RadiologyBirmingham Women’s HospitalBirminghamUK
  12. 12.Radiology DepartmentHospital ClinicBarcelonaSpain
  13. 13.Department of Diagnostic Imaging and Nuclear MedicineKyoto University Graduate School of MedicineKyotoJapan
  14. 14.Institut de radiologieClinique des GrangettesChêne-Bougerie/GenevaSwitzerland

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