Uterine Cancer Imaging: ESUR Practice Recommendations

MRI with multiparametric protocol (T2, DWI, DCE) is the imaging modality of choice for uterine cancer staging per ESUR recommendations; FDG-PET complements cervical cancer evaluation for nodal/distant metastases.

• ESUR recommends dedicated multiparametric MRI protocols including high-resolution T2-weighted imaging, DWI, and DCE when appropriate for uterine malignancies.
• FDG-PET offers the highest accuracy for detecting lymph-node and distant metastases in cervical cancer.
• This practical guide covers indications like staging, fertility preservation, and characterization of indeterminate myometrial lesions.

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