Title 1. BS Huỳnh Phượng Hải - K ctc_VSUM7 final - english.pdf ✅

Role of US and MRI in the assessment cervical cancer BS. Huỳnh Phượng Hải Bộ môn chẩn đoán hình ảnh ĐHYD TPHCM
Objectives 1. Review the imaging appearance of normal cervix on ultrasound and MRI 2. Mention the technique for a correct visualization of the cervix 3. Describe the findings of cervical cancer and recognize the role of US and MRI based on FIGO 2018 staging
Introduction - The 4th most common cancer in women, after breast, colorectal and lung cancer with a peak incidence between 25-40 tuổi - Risk factors: HPV 16 and 18 infection (71%) - Histology: most cases are squamous cell carcinoma (70%), followed by adenocarcinoma (25%) - FIGO staging system helps predict prognosis and select appropriate treatment options
Modality Advantages Disadvantages Transvaginal Ultrasound Accessible Operator dependent Can’t assess pelvic nodes Transabdominal Ultrasound Accessible Limited in other areas of assessment MRI Highly sensitive for locoregional staging High cost CT Accessible Poor accuracy for local staging PET CT Highly sensitive for detecting nodal disease High cost Limited availability • Screening • Local staging • Select for fertility preservation • Plan treatment • Prediction of treatment response Role of imaging