<br>FIGO 2023 子宫内膜癌的术前影像学评估,Journal of Magnetic Resonance Imaging

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FIGO 2023 子宫内膜癌的术前影像学评估
Journal of Magnetic Resonance Imaging ( IF 3.3 ) Pub Date : 2023-12-26 , DOI: 10.1002/jmri.29161
Aki Kido _{1,

2} , Yuki Himoto ₂ , Yasuhisa Kurata ₂ , Sachiko Minamiguchi ₃ , Yuji Nakamoto ₂

Affiliation

子宫内膜癌的分期基于国际妇产科联合会（FIGO）根据手术标本检查的分期系统，并于 2023 年进行了修订，距离 2009 年最后一次修订已有 14 年。分子和组织学分类已纳入新的 FIGO 系统，反映了子宫内膜癌的生物学行为和预后。尽管如此，包括超声、计算机断层扫描（CT）、磁共振成像（MRI）和正电子发射断层扫描在内的成像方式的基本作用，作为肿瘤扩展的术前评估以及 CT 和 MRI 成像中的评估点没有改变，除了几个局部肿瘤扩展点。在放射学领域，通过计算技术的快速进步，它也经历了显着的进步。深度学习重建技术的应用有助于缩短采集时间或提高质量。从图像中提取各种定量特征的影像组学也有望具有定量预测风险因素的潜力，例如组织学类型和淋巴血管间隙浸润，这是新 FIGO 系统中新包含的。本文就新 FIGO 系统的术前影像学诊断、影像学分析的最新进展及其在子宫内膜癌中的临床贡献进行综述。

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Preoperative Imaging Evaluation of Endometrial Cancer in FIGO 2023

The staging of endometrial cancer is based on the International Federation of Gynecology and Obstetrics (FIGO) staging system according to the examination of surgical specimens, and has revised in 2023, 14 years after its last revision in 2009. Molecular and histological classification has incorporated to new FIGO system reflecting the biological behavior and prognosis of endometrial cancer. Nonetheless, the basic role of imaging modalities including ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography, as a preoperative assessment of the tumor extension and also the evaluation points in CT and MRI imaging are not changed, other than several point of local tumor extension. In the field of radiology, it has also undergone remarkable advancement through the rapid progress of computational technology. The application of deep learning reconstruction techniques contributes the benefits of shorter acquisition time or higher quality. Radiomics, which extract various quantitative features from the images, is also expected to have the potential for the quantitative prediction of risk factors such as histological types and lymphovascular space invasion, which is newly included in the new FIGO system. This article reviews the preoperative imaging diagnosis in new FIGO system and recent advances in imaging analysis and their clinical contributions in endometrial cancer.

更新日期：2023-12-26

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