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Imaging in Gynecologic Oncology, An Issue of PET Clinics, E-Book

Imaging in Gynecologic Oncology, An Issue of PET Clinics, E-Book

Drew A. Torigian | Domenico Rubello

(2018)

Additional Information

Book Details

Abstract

This issue of PET Clinics focuses on Imaging in Gynecologic Oncology, and is edited by Drs. Drew Torigian and Domenico Rubello. Articles will include: The role of CT and MRI in gynecologic oncology; The utility of ultrasonography in gynecologic oncology; FDG-PET assessment of cervical cancer; FDG-PET assessment of ovarian cancer; FDG-PET assessment of other gynecologic cancers; The role of PET imaging in gynecologic radiation oncology; The utility of non-FDG PET in gynecologic oncology; Normal variants and pitfalls encountered in PET assessment of gynecologic malignancies; The role and future of quantitative imaging assessment in gynecologic oncology; Emerging molecular imaging techniques in gynecologic oncology; and more!

Table of Contents

Section Title Page Action Price
Front Cover Cover
Imaging in Gynecologic Oncology\r i
Copyright\r ii
Contributors iii
CONSULTING EDITOR iii
EDITORS iii
AUTHORS iii
Contents vii
Preface: Imaging in Gynecologic Oncology vii
The Role of Computed Tomography and Magnetic Resonance Imaging in Gynecologic Oncology vii
The Usefulness of Ultrasound Imaging in Gynecologic Oncology vii
[18F]-2-Fluoro-2-Deoxy-d-Glucose–PET Assessment of Cervical Cancer vii
Fludeoxyglucose F 18 PET/CT Assessment of Ovarian Cancer vii
FDG-PET Assessment of Other Gynecologic Cancers viii
The Role of PET Imaging in Gynecologic Radiation Oncology viii
Non–18F-2-Fluoro-2-Deoxy-d-Glucose PET/Computed Tomography in Gynecologic Oncology: An Overview of Current Status and Futur ... viii
Normal Variants and Pitfalls Encountered in PET Assessment of Gynecologic Malignancies viii
Quantitative Assessment of Gynecologic Malignancies ix
Emerging Molecular Imaging Techniques in Gynecologic Oncology ix
PET CLINICS\r x
FORTHCOMING ISSUES x
July 2018 x
October 2018 x
January 2019 x
RECENT ISSUES x
January 2018 x
October 2017 x
July 2017 x
CME Accreditation Page xi
PROGRAM OBJECTIVE xi
TARGET AUDIENCE xi
LEARNING OBJECTIVES xi
ACCREDITATION xi
DISCLOSURE OF CONFLICTS OF INTEREST xi
UNAPPROVED/OFF-LABEL USE DISCLOSURE xi
TO ENROLL xi
METHOD OF PARTICIPATION xi
CME INQUIRIES/SPECIAL NEEDS xi
Preface: Imaging in Gynecologic Oncology\r xiii
The Role of Computed Tomography and Magnetic Resonance Imaging in Gynecologic Oncology 127
Key points 127
IMAGING RECOMMENDATIONS AND GUIDELINES 127
ENDOMETRIAL CANCER 128
Introduction 128
Staging and Treatment 128
Imaging 128
Stages I to IIIB 129
Stages IIIC to IV 129
UTERINE SARCOMA 129
Introduction 129
Staging and Treatment 129
Imaging 130
CERVICAL CANCER 131
Introduction 131
Staging and Treatment 131
Imaging 131
Stages 0 to I 132
Stage II 133
Stage III 133
Stage IV 133
Lymph node involvement 133
OVARIAN/FALLOPIAN TUBE/PRIMARY PERITONEAL CANCER 133
Introduction 133
Staging and Treatment 134
Imaging 135
Stage I 135
Stages II to III 135
Stage IV 136
Ovarian metastases 136
VULVAR CANCER 137
VAGINAL CANCER 137
MUCOSAL MELANOMA 138
LYMPHOMA 139
GESTATIONAL TROPHOBLASTIC NEOPLASM 139
Introduction 139
Staging and Treatment 139
Imaging 139
REFERENCES 140
The Usefulness of Ultrasound Imaging in Gynecologic Oncology 143
Key points 143
INTRODUCTION 143
IMAGING TECHNIQUE AND NORMAL ANATOMY 143
Imaging Technique 143
Gray scale ultrasound imaging 144
Spectral Doppler ultrasound imaging 144
Sonohysterography 144
Normal Anatomy 145
Uterus 145
Ovary 145
IMAGING FINDINGS AND PATHOLOGY 146
Uterus 146
Myometrial pathology 146
Leiomyoma 146
Uterine sarcoma 146
Endometrial pathology 147
Hyperplasia 148
Polyps 148
Carcinoma 148
Cervical pathology 149
Polyps 149
Carcinoma 149
Ovary 150
Ovarian cysts 150
Simple and probably benign cysts 151
Hemorrhagic cyst 152
Endometrioma 153
Ovarian neoplasms 153
Epithelial neoplasm 154
Germ cell neoplasms 154
Sex cord-stromal cell tumors 155
Metastasis 156
Fallopian Tube 156
Gestational Trophoblastic Disease 156
Complete and partial moles 157
Gestational trophoblastic neoplasia 158
SUMMARY 159
REFERENCES 160
[18F]-2-Fluoro-2-Deoxy-D-glucose–PET Assessment of Cervical Cancer 165
Key points 165
INTRODUCTION 165
DETECTION 165
PATHOLOGY 166
STAGING 166
ANATOMIC IMAGING 166
tcaps 166
PROTOCOLS 166
STAGING 167
Primary Tumor 167
Lymph Node Metastases 168
Distal Metastatic Disease 169
TREATMENT PLANNING 169
External Beam Radiation Therapy 169
Brachytherapy 170
Evidence 170
FOLLOW-UP EVALUATION 171
Response Assessment 171
Recurrence/Restaging 172
PET/COMPUTED TOMOGRAPHY PITFALLS 173
Benign Conditions 173
Post-Therapy Changes 173
TUMOR HYPOXIA 173
MR IMAGING 173
SUMMARY 174
REFERENCES 175
Fludeoxyglucose F 18 PET/CT Assessment of Ovarian Cancer 179
Key points 179
INTRODUCTION 179
EPIDEMIOLOGY OF OVARIAN CANCER 179
SPREAD 180
STAGING: INTERNATIONAL FEDERATION OF GYNECOLOGY AND OBSTETRICS, TNM, AND WORLD HEALTH ORGANIZATION CLASSIFICATIONS 180
International Federation of Gynecology and Obstetrics Classification 180
Stage I 180
Stage II 181
Stage III 181
Stage IV 181
TNM Classification According to the American Joint Committee on Cancer 181
Primary tumor 181
Regional lymph node 181
Distant metastasis 181
Histopathologic Classification (World Health Organization and American Joint Committee on Cancer) 181
IMAGING PROCEDURES 183
THE ROLE OF CANCER ANTIGEN 125 IN DIAGNOSIS OF OVARIAN CANCER 184
F 18 PET/CT 184
Conventional Imaging 184
Fludeoxyglucose F 18 PET/CT 186
THE ROLE OF FLUDEOXYGLUCOSE F 18 PET/CT IN STAGING OVARIAN CANCER 187
THE PROGNOSTIC VALUE OF FLUDEOXYGLUCOSE F 18 PET/CT IN PRIMARY OVARIAN CANCER AND IN PREDICTING RESPONSE TO NEOADJUVANT CHE ... 190
THE ROLE OF FLUDEOXYGLUCOSE F 18 PET/CT IN RECURRENT OVARIAN CANCER 190
THE PROGNOSTIC VALUE OF FLUDEOXYGLUCOSE F 18 PET/CT IN RECURRENT OVARIAN CANCER AND IN PREDICTING RESPONSE TO ADJUVANT CHEM ... 197
FLUDEXOYGLUCOSE F 18 PET/MR IMAGING IN ASSESSMENT OF OVARIAN CANCER 197
REFERENCES 198
FDG-PET Assessment of Other Gynecologic Cancers 203
Key points 203
INTRODUCTION 203
IMAGING PROTOCOL 203
ENDOMETRIAL CANCER 204
UTERINE SARCOMAS 209
VULVAR CARCINOMA 212
VAGINAL CANCER 217
SUMMARY 220
REFERENCES 220
The Role of PET Imaging in Gynecologic Radiation Oncology 225
Key points 225
INTRODUCTION 225
UTERINE CANCER 226
OVARIAN CANCER 227
CERVICAL CANCER 228
VULVAR CANCER 232
VAGINAL CANCER 234
SUMMARY 234
REFERENCES 234
Non–18F-2-Fluoro-2-Deoxy-d-Glucose PET/Computed Tomography in Gynecologic Oncology 239
Key points 239
-GLUCOSE PET RADIOTRACERS IN GYNECOLOGIC MALIGNANCIES 239
18F-2-FLUORO-2-DEOXY-D-GLUCOSE: THE SHORTCOMINGS IN GYNECOLOGIC MALIGNANCIES 240
OVARIAN CANCER 240
THE METABOLIC PHENOTYPES OF EPITHELIAL OVARIAN CARCINOMAS: THE CHOLINIC PHENOTYPE AND THE LIPOGENIC PHENOTYPE 241
CERVICAL CANCER: PRELIMINARY APPLICATION STUDIES WITH 11C-CHOLINE AND 3′-DEOXY-3′-18F-FLUOROTHYMIDINE 241
IN CERVICAL CANCER: SALIENT RESULTS 243
RESPONSE ASSESSMENT IN CERVICAL CANCER 243
PET IN UTERINE MALIGNANCIES: ENDOMETRIAL AND MYOMETRIAL PATHOLOGIES 243
Studies That Explored Both Endometrial and Myometrial Tumors 243
Studies on Non–18F-2-Fluoro-2-Deoxy-d-Glucose PET in Endometrial Pathologies 244
Studies Exploring Non–18F-2-Fluoro-2-Deoxy-d-Glucose PET Radiotracers in Myometrial Tumors: Benign and Malignant Pathologies 245
SUMMARY 246
REFERENCES 247
Normal Variants and Pitfalls Encountered in PET Assessment of Gynecologic Malignancies 249
Key points 249
INTRODUCTION 249
TECHNICAL ASPECTS OF THE SCAN TO BE CONSIDERED 250
NORMAL VARIANTS AND COMMON ARTIFACTS 252
WITH PET 259
SUMMARY 266
REFERENCES 266
Quantitative Assessment of Gynecologic Malignancies 269
Key points 269
INTRODUCTION 269
CERVICAL CANCER 269
PET/Computed Tomography with 18F-fluorodeoxyglucose in the Evaluation of Primary Lesions 270
PET/Computed Tomography with 18F-fluorodeoxyglucose in Distant Metastases 271
PET/Computed Tomography with 18F-fluorodeoxyglucose in Treatment Planning 272
PET/Computed Tomography with 18F-fluorodeoxyglucose in the Assessment of Treatment Response 272
PET/Computed Tomography with 18F-fluorodeoxyglucose in Restaging and Prognostication 273
ENDOMETRIAL CANCER 276
PET/Computed Tomography with 18F-fluorodeoxyglucose in Localized Tumor Evaluation 276
PET/Computed Tomography with 18F-fluorodeoxyglucose in the Detection of Recurrence 277
OVARIAN MALIGNANCIES 278
PET/Computed Tomography with 18F-fluorodeoxyglucose in the Initial Evaluation 279
PET/Computed Tomography with 18F-fluorodeoxyglucose for Residual, Recurrent, and Metastatic Disease 280
PET/Computed Tomography with 18F-fluorodeoxyglucose for Response Assessment to Therapy 281
SUMMARY 282
REFERENCES 282
Emerging Molecular Imaging Techniques in Gynecologic Oncology 289
Key points 289
INTRODUCTION 289
MR IMAGING 290
Diffusion-Weighted Imaging Measurements Reflecting Tumor Microstructure 290
Chemical Exchange Saturation Transfer Imaging 290
Dynamic Contrast Enhancement–MR Imaging Parameters Reflecting Tumor Microvasculature 291
MR Imaging with Lymph Node–Specific Contrast Agent 291
Magnetic Resonance Spectroscopy 291
Dynamic Nuclear Polarization 291
PET 291
18F-Fluorodeoxyglucose PET/Computed Tomographic Applications for Endometrial Cancer 291
18F-Fluorodeoxyglucose PET/Computed Tomographic Applications for Cervical and Vulvar Cancers 293
Novel PET Radiotracers 293
Applications of PET/MR Imaging in Gynecologic Cancers 293
Radiomics 295
SUMMARY 295
REFERENCES 296