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Diffusion Weighted Imaging of the Genitourinary System pp 125–145Cite as

Cervical Masses

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Abstract

Diffusion-weighted imaging (DWI) has been widely included in magnetic resonance imaging (MRI) protocols for gynaecological cancer evaluation. In the setting of cervical carcinoma, it has been mainly used for detection, staging and assessment of treatment response. Moreover, the usefulness of apparent diffusion coefficient (ADC) quantification for predicting both response to neoadjuvant therapy and disease-free survival has been studied over the last years and appears to be a promising application. Imaging findings of rare cervical malignant tumours are similar to those of the typical squamous cell carcinoma, so histological differentiation is not possible regarding only MRI features. Besides emphasizing the role of DWI in regard to cervical malignancies, this chapter also aims to review how normal cervix and common cervical benign conditions behave on DWI.

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Abbreviations

ADC:

Apparent diffusion coefficient

BEM:

Bi-exponential models

CRT:

Chemoradiotherapy

D :

Pure molecular diffusion (D)

D*:

Pseudo-diffusion coefficient

DCE:

Dynamic contrast enhanced

DWI:

Diffusion-weighted imaging

DWIBS:

Diffusion-weighted whole-body imaging with background body signal suppression

f :

Perfusion fraction

FIGO:

International Federation of Gynaecology and Obstetrics

LN:

Lymph nodes

MEM:

Mono-exponential model

MRI:

Magnetic resonance imaging

PMI:

Parametrial invasion

SEM:

Stretched exponential model

T1WI:

T1-weighted imaging

T2WI:

T2-weighted imaging

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Author information

Authors and Affiliations

  1. Centro Hospitalar de Lisboa Central, Hospital dos Lusíadas de Lisboa, NOVA Medical School, Lisbon, Portugal

    João Lopes Dias

  2. Department of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal

    Teresa Margarida Cunha

Authors
  1. João Lopes Dias
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  2. Teresa Margarida Cunha
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Corresponding author

Correspondence to João Lopes Dias .

Editor information

Editors and Affiliations

  1. Professor and Chair, Radiology Department, Hacettepe University School of Medicine Radiology Department, Ankara, Turkey

    Deniz Akata

  2. Head of Computational Clinical Imaging Group, Centre for the Unknown, Champalimaud Foundation, Lisbon, Portugal

    Nikolaos Papanikolaou

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Dias, J.L., Cunha, T.M. (2018). Cervical Masses. In: Akata, D., Papanikolaou, N. (eds) Diffusion Weighted Imaging of the Genitourinary System. Springer, Cham. https://doi.org/10.1007/978-3-319-69575-4_6

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  • DOI: https://doi.org/10.1007/978-3-319-69575-4_6

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  • Print ISBN: 978-3-319-69574-7

  • Online ISBN: 978-3-319-69575-4

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