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Fig. 11 | Insights into Imaging

Fig. 11

From: Multi-modality organ-based approach to expected imaging findings, complications and recurrent tumour in the genitourinary tract after radiotherapy

Fig. 11

A 42-year-old woman with cervical squamous cell carcinoma showing expected post-RT findings over consecutive MRI examinations. Sagittal T2 TSE sequences performed at baseline (a) and 1-year intervals thereafter (b,c and d). Baseline imaging a demonstrates extensive tumour centred in the cervix with uterine and vaginal invasion (asterisk), and malignant obstruction of the cervical os causing hydrometra. Parametrial invasion was also present (not shown). Note normal marrow signal intensity (M). One-year follow-up imaging b demonstrates reconstitution of the normal zonal anatomy of the cervix and presence of homogeneous low signal intensity of the cervical stroma reliable indicators of complete response. Note global uterine atrophy and fatty replacement of the pelvic marrow, which are expected imaging findings following pelvic RT. Subsequent follow-up examinations performed 2 (c) and 3 (d) years after therapy show progressive uterine atrophy but no recurrent tumour

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