EANM/SNMMI practice guideline for [18F]FDG PET/CT external beam radiotherapy treatment planning in uterine cervical cancer v1.0

Eur J Nucl Med Mol Imaging. 2021 Apr;48(4):1188-1199. doi: 10.1007/s00259-020-05112-2. Epub 2020 Dec 4.

Abstract

Purpose: The aim of this EANM / SNMMI Practice Guideline with ESTRO endorsement is to provide general information and specific considerations about [18F]FDG PET/CT in advanced uterine cervical cancer for external beam radiotherapy planning with emphasis on staging and target definition, mostly in FIGO stages IB3-IVA and IVB, treated with curative intention.

Methods: Guidelines from related fields, relevant literature and leading experts have been consulted during the development of this guideline. As this field is rapidly evolving, this guideline cannot be seen as definitive, nor is it a summary of all existing protocols. Local variations should be taken into consideration when applying this guideline.

Conclusion: The background, common clinical indications, qualifications and responsibilities of personnel, procedure / specifications of the examination, documentation / reporting and equipment specifications, quality control and radiation safety in imaging is discussed with an emphasis on the multidisciplinary approach.

Keywords: Cervical cancer; Guideline; PET/CT; Positron emission tomography; Radiation oncology; Treatment planning; [18F]FDG.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Fluorodeoxyglucose F18*
  • Humans
  • Neoplasm Staging
  • Positron Emission Tomography Computed Tomography
  • Positron-Emission Tomography
  • Radiopharmaceuticals
  • Uterine Cervical Neoplasms* / diagnostic imaging
  • Uterine Cervical Neoplasms* / pathology
  • Uterine Cervical Neoplasms* / radiotherapy

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18