Abstract
Cervical malignancies account for 14% of all female malignancies. Revised FIGO staging guidelines of 2018 give importance to and take into consideration the imaging findings. This article aims to review the role of MRI in preoperative as well as postoperative evaluation of these malignancies. A systematic literature review was conducted through online databases including PubMed and Medline. Relevant publications on the role of MRI in detection, staging and follow-up of cervical malignancies were reviewed and included in the analysis. MRI has emerged as the most sensitive noninvasive imaging modality for accurately assessing the tumor volume, parametrial invasion, pelvic wall/lymph node involvement and bladder or rectal invasion. Dynamic contrast studies with diffusion-weighted imaging can help in the evaluation of recurrence of the disease as well as in differentiating metastatic nodes from infective nodes. MRI with advanced techniques like dynamic contrast studies and diffusion-weighted imaging is the most sensitive imaging modality available today for pre- and post-treatment cervical malignancies.
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