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

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Title: Imaging in pelvic exenteration—a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group.
Authors: Nougaret, Stephanie1 (AUTHOR) stephanienougaret@free.fr, Lambregts, Doenja M. J.2 (AUTHOR), Beets, Geerard L.3 (AUTHOR), Beets-Tan, Regina G. H.2 (AUTHOR), Blomqvist, Lennart4 (AUTHOR), Burling, David5 (AUTHOR), Denost, Quentin6 (AUTHOR), Gambacorta, Maria A.7 (AUTHOR), Gui, Benedetta8 (AUTHOR), Klopp, Ann9 (AUTHOR), Lakhman, Yulia10 (AUTHOR), Maturen, Kate E.11 (AUTHOR), Manfredi, Riccardo12 (AUTHOR), Petkovska, Iva10 (AUTHOR), Russo, Luca8 (AUTHOR), Shinagare, Atul B.13 (AUTHOR), Stephenson, James A.14 (AUTHOR), Tolan, Damian15 (AUTHOR), Venkatesan, Aradhana M.16 (AUTHOR), Quyn, Aaron J.17 (AUTHOR)
Source: European Radiology. May2025, Vol. 35 Issue 5, p2681-2691. 11p.
Subjects: Pelvic exenteration, Diagnostic imaging, Tomography, Preoperative care, Interdisciplinary research, Magnetic resonance imaging, Positron emission tomography computed tomography, Medical protocols
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. Clinical relevance statement: Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care. Key Points: MRI is mandatory for local staging in pelvic exenteration. Structured reporting (using the template provided in this guide) is recommended. Multidisciplinary review of imaging is critical for surgical planning. [ABSTRACT FROM AUTHOR]
Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Imaging in pelvic exenteration—a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group.
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  Data: <searchLink fieldCode="AR" term="%22Nougaret%2C+Stephanie%22">Nougaret, Stephanie</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> stephanienougaret@free.fr</i><br /><searchLink fieldCode="AR" term="%22Lambregts%2C+Doenja+M%2E+J%2E%22">Lambregts, Doenja M. J.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Beets%2C+Geerard+L%2E%22">Beets, Geerard L.</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Beets-Tan%2C+Regina+G%2E+H%2E%22">Beets-Tan, Regina G. H.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Blomqvist%2C+Lennart%22">Blomqvist, Lennart</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Burling%2C+David%22">Burling, David</searchLink><relatesTo>5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Denost%2C+Quentin%22">Denost, Quentin</searchLink><relatesTo>6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gambacorta%2C+Maria+A%2E%22">Gambacorta, Maria A.</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gui%2C+Benedetta%22">Gui, Benedetta</searchLink><relatesTo>8</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Klopp%2C+Ann%22">Klopp, Ann</searchLink><relatesTo>9</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lakhman%2C+Yulia%22">Lakhman, Yulia</searchLink><relatesTo>10</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Maturen%2C+Kate+E%2E%22">Maturen, Kate E.</searchLink><relatesTo>11</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Manfredi%2C+Riccardo%22">Manfredi, Riccardo</searchLink><relatesTo>12</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Petkovska%2C+Iva%22">Petkovska, Iva</searchLink><relatesTo>10</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Russo%2C+Luca%22">Russo, Luca</searchLink><relatesTo>8</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shinagare%2C+Atul+B%2E%22">Shinagare, Atul B.</searchLink><relatesTo>13</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stephenson%2C+James+A%2E%22">Stephenson, James A.</searchLink><relatesTo>14</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tolan%2C+Damian%22">Tolan, Damian</searchLink><relatesTo>15</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Venkatesan%2C+Aradhana+M%2E%22">Venkatesan, Aradhana M.</searchLink><relatesTo>16</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Quyn%2C+Aaron+J%2E%22">Quyn, Aaron J.</searchLink><relatesTo>17</relatesTo> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. May2025, Vol. 35 Issue 5, p2681-2691. 11p.
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  Data: <searchLink fieldCode="DE" term="%22Pelvic+exenteration%22">Pelvic exenteration</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnostic+imaging%22">Diagnostic imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Tomography%22">Tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Preoperative+care%22">Preoperative care</searchLink><br /><searchLink fieldCode="DE" term="%22Interdisciplinary+research%22">Interdisciplinary research</searchLink><br /><searchLink fieldCode="DE" term="%22Magnetic+resonance+imaging%22">Magnetic resonance imaging</searchLink><br /><searchLink fieldCode="DE" term="%22Positron+emission+tomography+computed+tomography%22">Positron emission tomography computed tomography</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+protocols%22">Medical protocols</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: 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. Clinical relevance statement: Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care. Key Points: MRI is mandatory for local staging in pelvic exenteration. Structured reporting (using the template provided in this guide) is recommended. Multidisciplinary review of imaging is critical for surgical planning. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s00330-024-10940-z
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