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Table 1 Recommended MR imaging

From: A practical review of magnetic resonance imaging for the evaluation and management of cervical cancer

MR study

Plane orientation

EBRT

BT

Follow up

T2 FSE

 

Recommended

Recommended

Recommended

• Axial

   

• Para-axial (perpendicular to the long axis of the cervical canal)

GTV (bright)

Delineate OARs

Use for extension into uterus, parametria and adjacent organs

GTV (bright)

Exclude residual high signal intensity in cervix

High signal in OARs can reflect inflammation

Low signal in OARs can reflect fibrosis

• Para-coronal (parallel to the long axis of the cervical canal)

• Sagittal

T1 weighted

 

Optional

Delineate OARs

Optional

Optional

DW-MRI with ADC

 

Optional

GTV (dark)

Optional

Optional

ADC increases with treatment response