Standardizing MRI assessment of stromal invasion after the SHAPE trial

The SHAPE trial demonstrated non-inferiority of simple hysterectomy for low-risk early cervical cancer, making precise MRI evaluation of stromal invasion essential. This RadioGraphics review proposes a standardized imaging lexicon and reporting template to guide treatment select…

• Educational review from RadioGraphics (RSNA) providing a practical MRI reporting framework for cervical cancer stromal invasion after the SHAPE trial.
• Proposes standardized terminology and measurement techniques for depth of stromal invasion to help determine eligibility for simple versus radical hysterectomy.
• Limitation: No new primary data; clinical implementation may vary by institutional protocols and MRI technique.

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