ESR Essentials: uterine cancers—practice recommendations by the European Society of Urogenital Radiology - Takeaways - MDSpire

ESR Essentials: uterine cancers—practice recommendations by the European Society of Urogenital Radiology

  • By

  • Roberta Valerieva Ninkova

  • Silvia Bottazzi

  • Yulia Lakhman

  • Benedetta Gui

  • Stefania Rizzo

  • Isabelle Thomassin Naggara

  • Lucia Manganaro

  • Stephanie Nougaret

  • July 1, 2026

  • 0 min

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  • 1

    MRI is essential for assessing local tumor extent in cervical cancer and confirming eligibility for fertility-sparing surgery.

  • 2

    MRI should determine maximal tumor size, measure tumor-internal os distance, and evaluate parametrial invasion for treatment selection.

  • 3

    In endometrial cancer, MRI is crucial for evaluating myometrial invasion and cervical stromal involvement prior to fertility-sparing treatment.

  • 4

    MRI is the preferred imaging modality for differentiating uterine leiomyomas from leiomyosarcomas and assessing indeterminate myometrial lesions.

  • 5

    The European Society of Urogenital Radiology recommends adherence to specific MRI protocols for accurate staging and treatment planning in uterine cancers.

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