Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group

Stephanie Nougaret; Doenja M. J. Lambregts; Geerard L. Beets; Regina G. H. Beets-Tan; Lennart Blomqvist; David Burling; Quentin Denost; Maria A. Gambacorta; Benedetta Gui; Ann Klopp; Yulia Lakhman; Kate E. Maturen; Riccardo Manfredi; Iva Petkovska; Luca Russo; Atul B. Shinagare; James A. Stephenson; Damian Tolan; Aradhana M. Venkatesan; Aaron J. Quyn; Rosemarie Forstner

doi:10.1007/s00330-024-10940-z

Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group

Stephanie Nougaret
, Doenja M. J. Lambregts
, Geerard L. Beets
, Regina G. H. Beets-Tan
, Lennart Blomqvist
, David Burling
, Quentin Denost
, Maria A. Gambacorta
, Benedetta Gui
, Ann Klopp
, Yulia Lakhman
, Kate E. Maturen
, Riccardo Manfredi
, Iva Petkovska
, Luca Russo
, Atul B. Shinagare
, James A. Stephenson
, Damian Tolan
, Aradhana M. Venkatesan
, Aaron J. Quyn

Rosemarie Forstner (Last author)

Department of Radiology

Universite de Montpellier
Netherlands Cancer Institute
Karolinska Institutet (ALF)
Imperial College London
Clin Tivoli
Dept Radiat Oncol Radiat Oncol & Hematol
Catholic University of the Sacred Heart
University of Texas System
Memorial Sloan Kettering Cancer Center
University of Michigan System
Dept Bioimaging Radiat Oncol & Hematol
MD, MPH Mandy Brown Belfort, Harvard University
Department of Radiology, University College London Hospitals NHS Foundation Trust London, United KingdomDr. Anne Schmitt, PhD
Saint James's University Hospital
Leeds Beckett University

Research output: Contribution to journal › Original Article › peer-review

14 Citations (Web of Science)

Abstract

Pelvic exenteration (PE) is a radical surgical approach designed for the curative treatment of advanced pelvic malignancies, requiring en-bloc resection of multiple pelvic organs. While the procedure is radical, it has shown promise in enhancing long-term survival and is now comparable in surgical mortality to elective resections for primary pelvic cancers. Imaging plays a crucial role in preoperative planning, with MRI, CT, and PET/CT being pivotal in assessing the extent of cancer and formulating a surgical roadmap. This paper presents clinical practice guidelines for imaging in the context of PE, developed jointly by ESGAR, SAR, ESUR, and the PelvEx Collaborative. These guidelines aim to standardize imaging protocols and reporting to improve the preoperative assessment and facilitate decision-making in the multidisciplinary treatment of pelvic cancers. Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care.

Original language	English
Number of pages	11
Journal	European Radiology
Early online date	Aug 2024
DOIs	https://doi.org/10.1007/s00330-024-10940-z
Publication status	Published - 25 Aug 2024

Keywords

Ct
Cancer
Mri
Pet/ct
Pelvic exenteration

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10.1007/s00330-024-10940-z

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Nougaret, S., Lambregts, D. M. J., Beets, G. L., Beets-Tan, R. G. H., Blomqvist, L., Burling, D., Denost, Q., Gambacorta, M. A., Gui, B., Klopp, A., Lakhman, Y., Maturen, K. E., Manfredi, R., Petkovska, I., Russo, L., Shinagare, A. B., Stephenson, J. A., Tolan, D., Venkatesan, A. M., ... Forstner, R. (2024). Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group. European Radiology. https://doi.org/10.1007/s00330-024-10940-z

@article{68280d1c94da459cb3b76f0e24a7d6e7,

title = "Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group",

abstract = "Pelvic exenteration (PE) is a radical surgical approach designed for the curative treatment of advanced pelvic malignancies, requiring en-bloc resection of multiple pelvic organs. While the procedure is radical, it has shown promise in enhancing long-term survival and is now comparable in surgical mortality to elective resections for primary pelvic cancers. Imaging plays a crucial role in preoperative planning, with MRI, CT, and PET/CT being pivotal in assessing the extent of cancer and formulating a surgical roadmap. This paper presents clinical practice guidelines for imaging in the context of PE, developed jointly by ESGAR, SAR, ESUR, and the PelvEx Collaborative. These guidelines aim to standardize imaging protocols and reporting to improve the preoperative assessment and facilitate decision-making in the multidisciplinary treatment of pelvic cancers. Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care.",

keywords = "Ct, Cancer, Mri, Pet/ct, Pelvic exenteration",

author = "Stephanie Nougaret and Lambregts, \{Doenja M. J.\} and Beets, \{Geerard L.\} and Beets-Tan, \{Regina G. H.\} and Lennart Blomqvist and David Burling and Quentin Denost and Gambacorta, \{Maria A.\} and Benedetta Gui and Ann Klopp and Yulia Lakhman and Maturen, \{Kate E.\} and Riccardo Manfredi and Iva Petkovska and Luca Russo and Shinagare, \{Atul B.\} and Stephenson, \{James A.\} and Damian Tolan and Venkatesan, \{Aradhana M.\} and Quyn, \{Aaron J.\} and Rosemarie Forstner",

note = "Fostner: Department of Radiology, Uniklinikum Salzburg, PMU, Salzburg, Austria",

year = "2024",

month = aug,

day = "25",

doi = "10.1007/s00330-024-10940-z",

language = "English",

journal = "European Radiology",

issn = "0938-7994",

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Nougaret, S, Lambregts, DMJ, Beets, GL, Beets-Tan, RGH, Blomqvist, L, Burling, D, Denost, Q, Gambacorta, MA, Gui, B, Klopp, A, Lakhman, Y, Maturen, KE, Manfredi, R, Petkovska, I, Russo, L, Shinagare, AB, Stephenson, JA, Tolan, D, Venkatesan, AM, Quyn, AJ & Forstner, R 2024, 'Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group', European Radiology. https://doi.org/10.1007/s00330-024-10940-z

TY - JOUR

T1 - Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group

AU - Nougaret, Stephanie

AU - Lambregts, Doenja M. J.

AU - Beets, Geerard L.

AU - Beets-Tan, Regina G. H.

AU - Blomqvist, Lennart

AU - Burling, David

AU - Denost, Quentin

AU - Gambacorta, Maria A.

AU - Gui, Benedetta

AU - Klopp, Ann

AU - Lakhman, Yulia

AU - Maturen, Kate E.

AU - Manfredi, Riccardo

AU - Petkovska, Iva

AU - Russo, Luca

AU - Shinagare, Atul B.

AU - Stephenson, James A.

AU - Tolan, Damian

AU - Venkatesan, Aradhana M.

AU - Quyn, Aaron J.

AU - Forstner, Rosemarie

N1 - Fostner: Department of Radiology, Uniklinikum Salzburg, PMU, Salzburg, Austria

PY - 2024/8/25

Y1 - 2024/8/25

N2 - Pelvic exenteration (PE) is a radical surgical approach designed for the curative treatment of advanced pelvic malignancies, requiring en-bloc resection of multiple pelvic organs. While the procedure is radical, it has shown promise in enhancing long-term survival and is now comparable in surgical mortality to elective resections for primary pelvic cancers. Imaging plays a crucial role in preoperative planning, with MRI, CT, and PET/CT being pivotal in assessing the extent of cancer and formulating a surgical roadmap. This paper presents clinical practice guidelines for imaging in the context of PE, developed jointly by ESGAR, SAR, ESUR, and the PelvEx Collaborative. These guidelines aim to standardize imaging protocols and reporting to improve the preoperative assessment and facilitate decision-making in the multidisciplinary treatment of pelvic cancers. Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care.

AB - Pelvic exenteration (PE) is a radical surgical approach designed for the curative treatment of advanced pelvic malignancies, requiring en-bloc resection of multiple pelvic organs. While the procedure is radical, it has shown promise in enhancing long-term survival and is now comparable in surgical mortality to elective resections for primary pelvic cancers. Imaging plays a crucial role in preoperative planning, with MRI, CT, and PET/CT being pivotal in assessing the extent of cancer and formulating a surgical roadmap. This paper presents clinical practice guidelines for imaging in the context of PE, developed jointly by ESGAR, SAR, ESUR, and the PelvEx Collaborative. These guidelines aim to standardize imaging protocols and reporting to improve the preoperative assessment and facilitate decision-making in the multidisciplinary treatment of pelvic cancers. Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care.

KW - Ct

KW - Cancer

KW - Mri

KW - Pet/ct

KW - Pelvic exenteration

UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=pmu_pure&SrcAuth=WosAPI&KeyUT=WOS:001296993100001&DestLinkType=FullRecord&DestApp=WOS_CPL

U2 - 10.1007/s00330-024-10940-z

DO - 10.1007/s00330-024-10940-z

M3 - Original Article

C2 - 39181949

SN - 0938-7994

JO - European Radiology

JF - European Radiology

ER -

Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group

Abstract

Keywords

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Correction: Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group

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