MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View

MR imaging provides excellent spatial and contrast resolution to stage locally advanced vulvar cancer (LAVC) for tumor and nodal evaluation in order to facilitate the planning of treatment. Although there are no standard indications for how to estimate the clinical stage of International Federation...

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Main Authors: Benedetta Gui, Salvatore Persiani, Maura Miccò, Vincenza Pignatelli, Elena Rodolfino, Giacomo Avesani, Valerio Di Paola, Camilla Panico, Luca Russo, Simona Maria Fragomeni, Giorgia Garganese, Luca Tagliaferri, Giovanni Scambia, Riccardo Manfredi
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/11/11/1219
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author Benedetta Gui
Salvatore Persiani
Maura Miccò
Vincenza Pignatelli
Elena Rodolfino
Giacomo Avesani
Valerio Di Paola
Camilla Panico
Luca Russo
Simona Maria Fragomeni
Giorgia Garganese
Luca Tagliaferri
Giovanni Scambia
Riccardo Manfredi
author_facet Benedetta Gui
Salvatore Persiani
Maura Miccò
Vincenza Pignatelli
Elena Rodolfino
Giacomo Avesani
Valerio Di Paola
Camilla Panico
Luca Russo
Simona Maria Fragomeni
Giorgia Garganese
Luca Tagliaferri
Giovanni Scambia
Riccardo Manfredi
author_sort Benedetta Gui
collection DOAJ
description MR imaging provides excellent spatial and contrast resolution to stage locally advanced vulvar cancer (LAVC) for tumor and nodal evaluation in order to facilitate the planning of treatment. Although there are no standard indications for how to estimate the clinical stage of International Federation of Gynecology and Obstetrics at diagnosis, MR imaging can depict the tumor and its extension to the vulvar region and adjacent organs, such as the vagina, urethra, and anus. Optimizing the MR imaging protocol and technique is fundamental for correct staging. The aim of this overview was to focus on the role of MR imaging in LAVC staging. We define vulvar anatomy and corresponding MR imaging findings, MR imaging protocol, and technique. Moreover, we describe the MR imaging findings of LAVC with example cases stage by stage. Key imaging findings based on signal intensity, diffusion restriction, and enhancement are portrayed to correctly identify and stage vulvar cancer. A structured report for LAVC staging is reported in order to give all necessary information to the clinicians and to facilitate MR imaging comprehension.
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spelling doaj.art-12e55ed796654bd2aeeb93375441ad6f2023-11-22T23:59:40ZengMDPI AGJournal of Personalized Medicine2075-44262021-11-011111121910.3390/jpm11111219MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of ViewBenedetta Gui0Salvatore Persiani1Maura Miccò2Vincenza Pignatelli3Elena Rodolfino4Giacomo Avesani5Valerio Di Paola6Camilla Panico7Luca Russo8Simona Maria Fragomeni9Giorgia Garganese10Luca Tagliaferri11Giovanni Scambia12Riccardo Manfredi13Area Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento Universitario di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyDipartimento Universitario di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyUOC Ginecologia Oncologica, Dipartimento per la Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyGynecology and Breast Care Center, Mater Olbia Hospital, 07026 Olbia, ItalyUOC di Radioterapia Oncologica, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica e Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyUOC Ginecologia Oncologica, Dipartimento per la Salute della Donna, del Bambino e di Sanità Pubblica, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyArea Diagnostica per Immagini, Dipartimento Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, ItalyMR imaging provides excellent spatial and contrast resolution to stage locally advanced vulvar cancer (LAVC) for tumor and nodal evaluation in order to facilitate the planning of treatment. Although there are no standard indications for how to estimate the clinical stage of International Federation of Gynecology and Obstetrics at diagnosis, MR imaging can depict the tumor and its extension to the vulvar region and adjacent organs, such as the vagina, urethra, and anus. Optimizing the MR imaging protocol and technique is fundamental for correct staging. The aim of this overview was to focus on the role of MR imaging in LAVC staging. We define vulvar anatomy and corresponding MR imaging findings, MR imaging protocol, and technique. Moreover, we describe the MR imaging findings of LAVC with example cases stage by stage. Key imaging findings based on signal intensity, diffusion restriction, and enhancement are portrayed to correctly identify and stage vulvar cancer. A structured report for LAVC staging is reported in order to give all necessary information to the clinicians and to facilitate MR imaging comprehension.https://www.mdpi.com/2075-4426/11/11/1219vulvar anatomyvulvar cancerMRIfemale pelvic MRI
spellingShingle Benedetta Gui
Salvatore Persiani
Maura Miccò
Vincenza Pignatelli
Elena Rodolfino
Giacomo Avesani
Valerio Di Paola
Camilla Panico
Luca Russo
Simona Maria Fragomeni
Giorgia Garganese
Luca Tagliaferri
Giovanni Scambia
Riccardo Manfredi
MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View
Journal of Personalized Medicine
vulvar anatomy
vulvar cancer
MRI
female pelvic MRI
title MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View
title_full MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View
title_fullStr MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View
title_full_unstemmed MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View
title_short MRI Staging in Locally Advanced Vulvar Cancer: From Anatomy to Clinico-Radiological Findings. A Multidisciplinary VulCan Team Point of View
title_sort mri staging in locally advanced vulvar cancer from anatomy to clinico radiological findings a multidisciplinary vulcan team point of view
topic vulvar anatomy
vulvar cancer
MRI
female pelvic MRI
url https://www.mdpi.com/2075-4426/11/11/1219
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