TY - JOUR
T1 - Which imaging technique should we use in the follow up of gynaecological cancer?
AU - Testa, Antonia Carla
AU - Di Legge, Alessia
AU - Virgilio, Bruna Anna
AU - Bonatti, Matteo
AU - Manfredi, Riccardo
AU - Mirk Fileni, Paoletta
AU - Rufini, Vittoria
PY - 2014
Y1 - 2014
N2 - Follow-up routines after gynaecological cancer vary. The optimal approach is unknown, and no randomised-controlled trials comparing surveillance protocols have been published. In this chapter, we summarise the diagnostic performance of ultrasound, computed tomography, and magnetic resonance imaging in the follow up of women treated for ovarian or uterine cancers. Computed tomography is today the standard imaging method for the follow up of women treated for endometrial, cervical, or ovarian cancer. Six-monthly or annual follow-up examinations have not been shown to positively affect survival. Instead, a combination of transvaginal and transabdominal ultrasound examination with clinical examination might be a more cost-effective strategy for early detection of recurrence. Positron-emission tomography might play a role in women with clinical or serological suspicion of recurrence but without evidence of disease at conventional diagnostic imaging. To create guidelines, more studies, preferably randomised-controlled trials, on follow-up strategies are needed.
AB - Follow-up routines after gynaecological cancer vary. The optimal approach is unknown, and no randomised-controlled trials comparing surveillance protocols have been published. In this chapter, we summarise the diagnostic performance of ultrasound, computed tomography, and magnetic resonance imaging in the follow up of women treated for ovarian or uterine cancers. Computed tomography is today the standard imaging method for the follow up of women treated for endometrial, cervical, or ovarian cancer. Six-monthly or annual follow-up examinations have not been shown to positively affect survival. Instead, a combination of transvaginal and transabdominal ultrasound examination with clinical examination might be a more cost-effective strategy for early detection of recurrence. Positron-emission tomography might play a role in women with clinical or serological suspicion of recurrence but without evidence of disease at conventional diagnostic imaging. To create guidelines, more studies, preferably randomised-controlled trials, on follow-up strategies are needed.
KW - computed tomography
KW - gynaecological cancer recurrences
KW - imaging techniques
KW - magnetic resonance imaging
KW - positron emission tomography
KW - ultrasound
KW - computed tomography
KW - gynaecological cancer recurrences
KW - imaging techniques
KW - magnetic resonance imaging
KW - positron emission tomography
KW - ultrasound
UR - http://hdl.handle.net/10807/60685
U2 - 10.1016/j.bpobgyn.2014.04.008
DO - 10.1016/j.bpobgyn.2014.04.008
M3 - Article
SN - 1521-6934
VL - 28
SP - 769
EP - 791
JO - BAILLIERE'S BEST PRACTICE & RESEARCH. CLINICAL OBSTETRICS & GYNAECOLOGY
JF - BAILLIERE'S BEST PRACTICE & RESEARCH. CLINICAL OBSTETRICS & GYNAECOLOGY
ER -