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Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 COMMENTARY Invited Commentary on American College of Radiology Appropriateness Criteria Endometrial Carcinoma Ryan O’Malley, MD, and Manjiri K. Dighe, MD, FSRU, FSAR he new American College of Radiology (ACR) Appropriateness Criteria for pre- Ttreatment evaluation and follow-up of endometrial cancer (EC) provide updated imaging guidelines for initial preoperative staging and follow-up. As in the prior recommendations from 2011, dynamic contrast-enhanced magnetic resonance imaging (DCE MRI) continues to be the primary imaging modality for preoperative staging and treatment planning (both for evaluation of the tumor’s local extent and lymph node involvement). Transabdominal and transvaginal ultrasound (US), computed tomography (CT), and positron emission to- mography (PET) remain important, but complementary modalities. Although the core of the recommendations has not changed significantly since the prior iteration, the updated version provides several helpful clarifications and adds essential discussion regarding novel applications in MRI, US, and PET, while still acknowledging areas where controversy and uncertainty exist. Since 1988, the International Federation of Gynecology and Obstetrics has recom- mended surgical staging for EC as the most accurate assessment of disease extent. As such, in the United States, preoperative imaging is not routine and primarily recommended only for selected
Ultrasound quarterly – Wolters Kluwer Health
Published: Mar 1, 2014
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