Ioanna Papadopoulou MD, Presenter: Nothing to Disclose

Neil Soneji BSC, MBBS, Abstract Co-Author: Nothing to Disclose

Tara Diane Barwick MBChB, Abstract Co-Author: Nothing to Disclose

Victoria Stewart, Abstract Co-Author: Nothing to Disclose

Andrea Grace Rockall MRCP, FRCR, Abstract Co-Author: Nothing to Disclose

Nishat Bharwani MBBS, FRCR, Abstract Co-Author: Nothing to Disclose

Imaging plays an important role in planning management in women with advanced cervical cancer. Radiotherapy is an integral part of treatment but can be associated with significant complications. The purpose of this exhibit is  1. To illustrate and discuss response monitoring of the primary tumor to radiotherapy 2. To familiarize the reader with the expected post-radiotherapy appearances of the pelvic organs and bony pelvis 3. To highlight radiotherapy-related complications, the optimal imaging modalities and differentiation from recurrent disease.   

Background  Aim Cervical cancer - Radiotherapy planning Response of the primary tumor to radiotherapy - Good treatment response - Refractory disease - Recurrent disease  Expected post-radiotherapy pelvic appearances (soft tissue and bony pelvis) Complications (to include illustrations and discussion of optimal imaging techniques) - Cervical (stenosis, necrosis) - Fistula formation  - Gastro-intestinal (typhlitis, enteritis, stricture) - Urological (cystitis, ureteral stenosis) - Skeletal (sacral insufficiency fractures, osteonecrosis, avascular necrosis, osteomyelitis)  - Radiotherapy induced neoplasms Conclusion  

http://abstract.rsna.org/uploads/2014/14006236/14006236_3b3y.pdf

Papadopoulou, I, Soneji, N, Barwick, T, Stewart, V, Rockall, A, Bharwani, N, Post-radiotherapy Appearances in Cervical Cancer — the Good, the Bad and the Ugly.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14006236.html