Imaging- Malignancy

Question 1

What is the first line imaging modality in gynecology?

Answer 1

Ultrasound

It is readily available, inexpensive, sensitive and specific for gynecological pathology. It also does not involve ionizing radiation.

Question 2

What modality is most commonly used for staging?

Answer 2

Computed Tomography

It is also used for assessing response to cancer treatment

Question 3

What areas are best evaluated with MRI? (4)

Answer 3

• soft tissue
• bone
• brain
• spine

Question 4

What is the modality of choice for local staging of cervical cancer and endometrial cancer?

Answer 4

MRI

Question 5

What is the accuracy of MRI in evaluation tumor size in cervical ca?

Answer 5

93%

Question 6

Imaging modality for endometrial staging

Answer 6

MRI

Question 7

What imaging modalities are used to assess for recurrent endometrial CA

Answer 7

CT

FDG PET/CT

Question 8

What is the imaging modality to assist with ovarian cancer staging?

Answer 8

-CT

Question 9

What imaging modalities can be used in post operative followup ? (3)

Answer 9

-CT

-FDG PET/CT- high specificity but low sensitivity for recurrent disease

• MRI to assess resectability of local recurrence