rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2015-0-6-43-55rentrad-92Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS OF LITERATUREМультипараметрическая магнитно-резонансная томография в диагностике рака шейки маткиMultiparameter magnetic resonance imaging in the diagnosis of cancer of the cervix uteriТарачковаЕ. В.TarachkovaE. V.

аспирант

Postgraduate

СтрельцоваО. Н,Strel’tsovaO. N.

к. м. н., рентгенолог

MD, PhD, Radiologist

ПановО. В.PanovV. O.

к. м. н., доцент кафедры лучевой диагностики, лучевой терапии и медицинской физики, вед. науч. сотр.

MD, PhD, Associate Professor of the Department of Radiation Diagnosis,Radiotherapy and Medical Physics, Leading Research Associate

БазаеваИ. Я.BazaevaI. Ya.

аспирант

Postgraduate

ТюринИ. Е.TyurinI. E.

д. м. н., профессор, заведующий кафедрой лучевой диагностики, лучевой терапии и медицинской физики, вед. науч. сотр.

MD, PhD, DSc, Professor, Head of the Department of Radiation Diagnosis,Radiotherapy and Medical Physics, Leading Research Associate

ГБОУ ДПО «Российская медицинская академия последипломного образования» Министерства здравоохранения РФРоссияRussian Medical Academy of Postgraduate Education, Ministry of Health of the RFRussian FederationФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» Министерства здравоохранения РФРоссияN.N. Blokhin Russian Cancer Research Center, Ministry of Health of the RFRussian FederationГБОУ ДПО «Российская медицинская академия последипломного образования» Министерства здравоохранения РФ, ФГБУ «Российский онкологический научный центр им. Н.Н. Блохина» Министерства здравоохранения РФРоссияRussian Medical Academy of Postgraduate Education, Ministry of Health of the RF, N.N. Blokhin Russian Cancer Research Center, Ministry of Health of the RFRussian Federation201509032016064355Copyright © Тарачкова Е.В., Стрельцова О.Н., Панов О.В., Базаева И.Я., Тюрин И.Е., 20162016Тарачкова Е.В., Стрельцова О.Н., Панов О.В., Базаева И.Я., Тюрин И.Е.Tarachkova E.V., Strel’tsova O.N., Panov V.O., Bazaeva I.Y., Tyurin I.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/92

Рак шейки матки (РШМ) занимает третье место в структуре заболеваемости злокачественными новообразованиями у женщин. Выбор метода лечения РШМ прежде всего зависит от распространенности опухолевого процесса, то есть от стадии заболевания. Определение стадии РШМ основано на клинической классификации Международной федерации акушеров-гинекологов FIGO (2009 г.) и имеет ряд существенных ограничений в оценке инвазии параметриев, распространенияопухоли на стенки таза, поражения регионарных лимфоузлов и определении истинных размеров опухоли. В настоящее время методом выбора при проведении стадирования инвазивного РШМ является магнитно-резонансная томография (МРТ). Мультипараметрическая МРТ позволяет повысить эффективность диагностики, в том числе микроинвазивного рака шейки матки (FIGO, 2009 г.), планировать хирургическое и/или химиолучевое лечение, оценивать его эффективность, диагностировать местный рецидив заболевания.

Cancer of the cervix uteri (CCU) ranks third in the incidence of malignancies in women. The choice of CCU treatment mainly depends on the extent of the tumor process, i.e. the stage of the disease. Determining the stage of CCU is based on the clinical classification of the International Federation of Gynecology and Obstetrics (FIGO) (2009) and has a number of substantial limitations in evaluating parametrial invasion, tumor spread to the pelvic wall, and involvement of regional lymph nodes and in determining the true tumor sizes. Magnetic resonance imaging (MRI) is now the method of choice in staging invasive CCU.Multiparameter MRI will be able to enhance the efficiency of diagnosing microinvasive CCU as well (FIGO 2009), to plan surgical and/or chemoradiation treatment, to evaluate its efficiency, and to diagnose locally recurrent CCU.

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The authors declare that there are no conflicts of interest present.