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Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group.
Stephanie Nougaret1, Doenja M J Lambregts2, Geerard L Beets3
1Department of Radiology, PINKCC lab, U1194, Montpellier Cancer Center, Montpellier, France. stephanienougaret@free.fr.
European Radiology
|August 24, 2024
Summary
Pelvic exenteration (PE) guidelines standardize imaging for advanced pelvic cancers. Magnetic resonance imaging (MRI) is essential for staging, ensuring precise surgical planning and improved patient outcomes through multidisciplinary review.
Area of Science:
- Oncology
- Radiology
- Surgical Oncology
Background:
- Pelvic exenteration (PE) is a critical curative surgery for advanced pelvic malignancies.
- PE offers improved long-term survival, with surgical mortality comparable to elective resections.
- Preoperative imaging is vital for assessing cancer extent and surgical planning.
Purpose of the Study:
- To establish clinical practice guidelines for imaging in pelvic exenteration (PE).
- To standardize imaging protocols and reporting for preoperative assessment.
- To enhance decision-making in the multidisciplinary treatment of pelvic cancers.
Main Methods:
- Development of guidelines by ESGAR, SAR, ESUR, and the PelvEx Collaborative.
- Recommendations focus on imaging modalities like MRI, CT, and PET/CT.
- Emphasis on structured reporting and multidisciplinary review.
Main Results:
- MRI is mandatory for accurate local staging in PE.
- Structured reporting templates are recommended for clarity and consistency.
- Multidisciplinary review of imaging is critical for optimal surgical planning.
Conclusions:
- Standardized imaging guidelines improve preoperative assessment for PE.
- Clear, precise imaging reports are essential for patient care.
- A multidisciplinary approach is crucial for successful PE treatment.
