Chinese Medical E-ournals Database
Adv Search
中华妇幼临床医学杂志(电子版)

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2023, Vol. 19 ›› Issue (01): 113 -119. doi: 10.3877/cma.j.issn.1673-5250.2023.01.016

Review

Advances in the application of imaging techniques in preoperative staging of cervical cancer

Shuang Dong1, Xiaoying Li1, Litao Sun2, Jiawei Tian1,†()   

  1. 1Department of Ultrasound Medicine, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Helongjiang Province, China
    2Zhejiang Provincial People′s Hospital, Huangzhou 314408, Zhejiang Province, China
  • Received:2022-10-08 Revised:2023-01-05 Published:2023-02-01
  • Corresponding author: Jiawei Tian
  • Supported by:
    National Natural Science Foundation of China(82071929)
HTML ( ) PDF ( )

Cervical cancer is the most common malignant tumor of female reproductive system. Cervical cancer staging criteria based on clinical practice was updated in 2018, after cervical cancer is the only with clinical stage gynecological malignant tumor, only the latest version of cervical cancer staging system for the first time put forward the results of pathology and the imaging results for staging, in recent years, with the development of imaging techniques, imaging techniques in cervical cancer treatment before checking the application more and more. This article reviews the role of imaging techniques in preoperative staging of cervical cancer.

Key words: Uterine cervical neoplasms, Neoplasm staging, Magnetic resonance imaging, Positron-emission tomography, Tomography, X-ray computed, Ultrasonography, Women
[1]
Balcacer P, Shergill A, Litkouhi B. MRI of cervical cancer with a surgical perspective: staging, prognostic implications and pitfalls[J]. Abdom Radiol (NY), 2019, 44(7): 2557-2571. DOI: 10.1007/s00261-019-01984-7.
[2]
Sung H, Ferlay J, Siegel RL, et al: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2021, 71(3): 209-249. DOI: 10.3322/caac.21660.
[3]
Bhatla N, Berek JS, Cuello Fredes M, et al. Revised FIGO staging for carcinoma of the cervix uteri[J]. Int J Gynaecol Obstet, 2019, 145(1): 129-35.DOI：10.1002/ijgo.12749.
[4]
Bhatla N, Aoki D, Sharma DN, et al. Cancer of the cervix uteri: 2021 update[J/OL]. Int J Gynaecol Obstet, 2021, 155 (Suppl 1): 28-44. DOI: 10.1002/ijgo.13865.
[5]
Salib M, Russell J, Stewart V, et al. 2018 FIGO staging classification for cervical cancer: added benefits of imaging[J]. Radiographics, 2020, 40(6)：1807-1822. DOI: 10.1148/rg.2020200013.
[6]
张恒，曲海波. 宫颈癌淋巴结转移的影像学诊断[J/OL]. 中华妇幼临床医学杂志(电子版), 2021, 17(5) : 503-509. DOI: 10.3877/cma.j.issn.1673-5250.2021.05.002.
[7]
Woo S, Atun R, Ward ZJ, et al. Diagnostic performance of conventional and advanced imaging modalities for assessing newly diagnosed cervical cancer: systematic review and Meta-analysis[J]. Eur Radiol, 2020, 30(10): 5560-5577. DOI: 10.1007/s00330-020-06909-3.
[8]
Manganaro L, Lakhman Y, Bharwani N, et al. Staging, recurrence and follow-up of uterine cervical cancer using MRI: updated Guidelines of the European Society of Urogenital Radiology after revised FIGO staging 2018[J]. Eur Radiol, 2021, 31(10): 7802-7816. DOI: 10.1007/s00330-020-07632-9.
[9]
Yang E, Huang S, Ran X, et al. The 5-year overall survival of cervical cancer in stage ⅢC-r was little different to stage Ⅰ and Ⅱ：a retrospective analysis from a single center[J]. BMC Cancer, 2021, 21(1): 203. DOI: 10.1186/s12885-021-07890-w.
[10]
秦维昌. 医学影像技术的现状与发展[J]. 中华放射学杂志，2007, 41(2): 113-114. DOI: 10.3760/j.issn:1005-1201.2007.02.001.
[11]
Zhang W, Chen C, Liu P, et al. Impact of pelvic MRI in routine clinical practice on staging of ⅠB1-ⅡA2 cervical cancer[J]. Cancer Manag Res, 2019, 11: 3603-3609. DOI: 10.2147/CMAR.S197496.
[12]
Kraljević Z, Visković K, Ledinsky M, et al. Primary uterine cervical cancer: correlation of preoperative magnetic resonance imaging and clinical staging (FIGO) with histopathology findings[J]. Coll Antropol, 2013, 37(2): 561-568.
[13]
Matsumoto YK, Kido A, Moribata Y, et al. Diagnostic accuracy of magnetic resonance imaging for International Federation of Gynecology and Obstetrics 2018 ⅠB to ⅡB Cervical Cancer Staging: comparison among magnetic resonance sequences and pathologies[J]. J Comput Assist Tomogr, 2021, 45(6): 829-836. DOI: 10.1097/RCT.0000000000001210.
[14]
Patel-Lippmann K, Robbins JB, Barroilhet L, et al. MR Imaging of cervical cancer[J]. Magn Reson Imaging Clin N Am, 2017, 25(3): 635-649. DOI: 10.1016/j.mric.2017.03.007.
[15]
张婷，刘爱连，汪禾青，等. MRI动态增强扫描对宫颈癌的诊断价值[J]. 中华放射学杂志，2009, 43(9): 973-977. DOI: 10.3760/cma.j.issn.1005-1201.2009.09.019.
[16]
Fournier LS, Bats AS, Durdux C. Diffusion MRI: technical principles and application to uterine cervical cancer[J]. Cancer Radiother, 2020, 24(5): 368-373. DOI: 10.1016/j.canrad.2020.02.008.
[17]
Liu L, Wang S, Yu T, et al. Value of diffusion-weighted imaging in preoperative evaluation and prediction of postoperative supplementary therapy for patients with cervical cancer[J]. Ann Transl Med, 2022, 10(2): 120. DOI: 10.21037/atm-21-5319.
[18]
Xiao M, Yan B, Li Y, et al. Diagnostic performance of MR imaging in evaluating prognostic factors in patients with cervical cancer: a Meta-analysis[J]. Eur Radiol, 2020, 30(3): 1405-1418. DOI: 10.1007/s00330-019-06461-9.
[19]
Song Q, Yu Y, Zhang X, et al. Value of MRI and diffusion-weighted imaging in diagnosing normal-sized pelvic lymph nodes metastases in patients with cervical cancer[J]. Br J Radiol, 2022, 95(1138): 20200203. DOI: 10.1259/bjr.20200203.
[20]
Takeuchi M, Matsuzaki K, Bando Y, et al. Reduced field-of-view diffusion-weighted MR imaging for assessing the local extent of uterine cervical cancer[J]. Acta Radiol, 2020, 61(2): 267-275. DOI: 10.1177/0284185119852733.
[21]
Takeuchi M, Matsuzaki K, Harada M. The feasibility of reduced field-of-view diffusion-weighted imaging in evaluating bladder invasion of uterine cervical cancer[J]. Br J Radiol, 2022, 95(1129): 20210692. DOI: 10.1259/bjr.20210692.
[22]
Boss MK, Muradyan N, Thrall DE. DCE-MRI: a review and applications in veterinary oncology[J]. Vet Comp Oncol, 2013, 11(2): 87-100. DOI: 10.1111/j.1476-5829.2011.00305.x.
[23]
Bhardwaj R, Boruah DK, Gogoi BB, et al. Added-value of diffusion-weighted imaging (DWI) and dynamic contrast-enhanced (DCE-MRI) magnetic resonance imaging in the preoperative assessment of cervical cancer[J]. J Obstet Gynaecol India, 2022, 72(4): 330-340. DOI: 10.1007/s13224-021-01488-9.
[24]
Song J, Hu Q, Ma Z, et al. Value of diffusion-weighted and dynamic contrast-enhanced MR in predicting parametrial invasion in cervical stromal ring focally disrupted stage ⅠB-ⅡA cervical cancers[J]. Abdom Radiol (NY), 2019, 44(9): 3166-3174. DOI: 10.1007/s00261-019-02107-y.
[25]
Kim SH, Cho SH. Assessment of pelvic lymph node metastasis in FIGO IB and ⅡA cervical cancer using quantitative dynamic contrast-enhanced MRI parameters[J]. Diagn Interv Radiol, 2020, 26(5): 382-389. DOI: 10.5152/dir.2020.19365.
[26]
Bai Z, Shi J, Yang Z, et al. Quantitative kinetic parameters of primary tumor can be used to predict pelvic lymph node metastasis in early-stage cervical cancer[J]. Abdom Radiol (NY), 2021, 46(3): 1129-1136. DOI: 10.1007/s00261-020-02762-6.
[27]
Zhang X, Dong Y, Song Q, et al. The role of multiparametric magnetic resonance imaging in the study of primary tumor and pelvic lymph node metastasis in stage ⅠB1-ⅡA1 cervical cancer[J]. J Comput Assist Tomogr, 2020, 44(5): 750-758. DOI: 10.1097/RCT.0000000000001084.
[28]
Tian Y, Luo H. Diagnostic accuracy of transvaginal ultrasound examination for local staging of cervical cancer: a systematic review and meta-analysis[J]. Med Ultrason, 2022, 24(3): 348-355. DOI: 10.11152/mu-3246.
[29]
Zhu Y, Lu M, Dai KJ, et al. Comparison between 360 degrees 3-D transvaginal ultrasound and magnetic resonance imaging for assessment of vaginal invasion in cervical cancer: a preliminary report[J]. Ultrasound Med Biol, 2021, 47(8): 2250-2257. DOI: 10.1016/j.ultrasmedbio.2021.04.013.
[30]
Zhang HP, Bai M, Gu JY, et al. Value of contrast-enhanced ultrasound in the differential diagnosis of gallbladder lesion[J]. World J Gastroenterol, 2018, 24(6): 744-751. DOI: 10.3748/wjg.v24.i6.744.
[31]
Zheng W, Chen K, Peng C, et al. Contrast-enhanced ultrasonography vs MRI for evaluation of local invasion by cervical cancer[J]. Br J Radiol, 2018, 91(1091): 20170858. DOI: 10.1259/bjr.20170858.
[32]
Shao J, Shi G, Qi Z, et al. Advancements in the application of ultrasound elastography in the cervix[J]. Ultrasound Med Biol, 2021, 47(8): 2048-2063. DOI: 10.1016/j.ultrasmedbio.2021.04.009.
[33]
Zhang Y, Yan Y, Yang Y. Study on value of ultrasonic elastography in diagnosis of clinical staging of cervical cancer and efficacy evaluation of radiotherapy[J]. Oncol Lett, 2019, 17(6): 4901-4906. DOI: 10.3892/ol.2019.10190.
[34]
Farrokh A, Treu L, Ohlinger R, et al. A orospective two center study comparing breast cancer lesion size defined by 2D shear wave elastography, B-mode ultrasound, and mammography with the histopathological size[J]. Ultraschall Med, 2019, 40(2): 212-220. DOI: 10.1055/a-0661-5952.
[35]
Fu B, Zhang H, Song ZW, et al. Value of shear wave elastography in the diagnosis and evaluation of cervical cancer[J]. Oncol Lett, 2020, 20(3): 2232-2238. DOI: 10.3892/ol.2020.11759.
[36]
于甬华，于金明. 正电子发射型计算机断层显像在肿瘤临床中的应用[J]. 中华肿瘤杂志，2003, 25(6): 615-617.
[37]
Yang Z, Xu W, Ma Y, et al. (18)F-FDG PET/CT can correct the clinical stages and predict pathological parameters before operation in cervical cancer[J]. Eur J Radiol, 2016, 85(5): 877-884. DOI: 10.1016/j.ejrad.2016.02.010.
[38]
Martinez A, Voglimacci M, Lusque A, et al. Tumour and pelvic lymph node metabolic activity on FDG-PET/CT to stratify patients for para-aortic surgical staging in locally advanced cervical cancer[J]. Eur J Nucl Med Mol Imaging, 2020, 47(5): 1252-1260. DOI: 10.1007/s00259-019-04659-z.
[39]
Tsuyoshi H, Tsujikawa T, Yamada S, et al. Diagnostic value of 18F-FDG PET/MRI for revised 2018 FIGO staging in patients with cervical cancer[J]. Diagnostics (Basel), 2021, 11(2): 202. DOI: 10.3390/diagnostics11020202.
[40]
Weissinger M, Taran FA, Gatidis S, et al. Lymph node staging with a combined protocol of 18F-FDG PET/MRI and sentinel node SPECT/CT: a prospective study in patients with FIGO Ⅰ/Ⅱ cervical carcinoma[J]. J Nucl Med, 2021, 62(8): 1062-1067. DOI: 10.2967/jnumed.120.255919.
[41]
雒海瑕，王伟，郝敏. 基因拷贝数变异在宫颈癌的研究现状[J/OL]. 中华妇幼临床医学杂志(电子版), 2022, 18(2) : 139-144. DOI: 10.3877/cma.j.issn.1673-5250.2022.02.003.
[1] Jianquan Zhang, Jie Cheng, Hongqiong Chen, Lei Yan. Evaluation of ablated thyroid areas using ACR-TIRADS：a survey study[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(10): 966-971.
[2] Hui Luo, Ye Fang. Application of quality control circles in improving detection rate of thyroid nodules by fine-needle aspiration[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(10): 972-977.
[3] Zhong Yang, Jingye Shi, Xuedong Deng, Wei Jiang, Linliang Yin, Qi Pan, Hong Liang, Jianfang Ma, Zhenqi Wang, Jun Zhang, Shanshan Dong. Diagnostic value of prenatal ultrasound in fetal 22q11.2 microdeletion syndrome[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 852-858.
[4] Yanjuan Bao, Xiaohong Yang, Tao Zhang, Sheng Zhao, Li Zhang. Ultrasound diagnosis and clinical analysis of obstructed hemivagina and ipsilateral renal anomaly syndrome[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 859-864.
[5] Sirui Liu, Chenyang Zhao, Rui Zhang, Yixiu Zhang, Meng Yang. Comprehensive evaluation of hemodynamic parameters at different segments of the uterine artery in pregnant rats using Doppler ultrasonography[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 877-883.
[6] Jiali Sun, Lin Jin, Cuiqin Shen, Qingqing Chen, Yanping Lin, Zhaojun Li, Dong Xu. Ultrasound-guided robot-assisted percutaneous puncture： an experimental study[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(09): 884-889.
[7] Xuebing Shi, Yingdong Xie, Ni Xie, Chaoli Xu, Bin Yang, Guo Sun. Acoustic radiation force imaging for evaluating efficacy of radiotherapy in unresectable hepatocellular carcinoma patients with portal vein tumor thrombus[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(08): 778-784.
[8] Yang Li, Jinyu Cai, Xiaozhi Dang, Wanying Chang, Yan Ju, Yi Gao, Hongping Song. Application value of a deep learning-based model for generating strain elastography images using breast grayscale ultrasound images[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 563-570.
[9] Wei Hong, Xirong Ye, Zhihong Liu, Yinfeng Yang, Zhihong Lyu. Value of ultrasound radiomics combined with clinicopathological features in predicting complete pathological response to neoadjuvant chemotherapy for breast cancer[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 571-579.
[10] Ziyang Wang, Wenli Yang, Dongjun Li, Wei Chen, Qi Zhao, Yifeng Li, Rui Cui, Lin Shen, Qian Liu, Chuanchuan Wei. Clinical observation of the eyeball wall with high frequency linear array probe[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2024, 21(06): 580-584.
[11] Chenlu Liu, Jie Liu, Fan Zhang, Caiying Yan, Qian Chen, Shuangqing Chen. Habitat analysis based on enhanced MRI radiomic features in predicting HER-2 expression in breast cancer[J]. Chinese Journal of Breast Disease(Electronic Edition), 2024, 18(06): 339-345.
[12] Daiqin Li, Peijie Liu. Value of dynamic enhanced magnetic resonance imaging in evaluating the efficacy and prognosis of middle and advanced low rectal cancer after concurrent chemoradiotherapy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2025, 19(01): 100-103.
[13] Dawen Zheng, Jiandong Wang. Research progress in adjuvant diagnosis of gallbladder cancer[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2024, 13(06): 769-773.
[14] Lijun Zhang, Cunjie Sun, Chunfeng Hu, Chong Meng, Hui Zhang. Accuracy of MSCT and DCE-MRI in evaluating preoperative TNM staging of gastric cancer[J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2024, 14(06): 519-523.
[15] Jingming Wang, Lei Wang, Xiaoduo Xu, Wenqiang Xing, Zhaoyan Zhang, Weimin Huang. Advances in research of paravertebral muscles of the lumbar spine[J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(09): 846-852.
Viewed
Full text


Abstract

Copyright © Chinese Medical Association, Chinese Medical Multimedia Press  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号