Evidence mapPaperPMID 29995239Full record

ReviewEuropean radiology2019

Endometrial Cancer MRI staging: Updated Guidelines of the European Society of Urogenital Radiology.

Stephanie Nougaret, Mariana Horta, Evis Sala, Yulia Lakhman, Isabelle Thomassin-Naggara, Aki Kido, Gabriele Masselli, Nishat Bharwani, Elizabeth Sadowski, Andrea Ertmer and 5 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in European radiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 133 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 5 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Gender bias in shared decision-making among cancer care guidelines: A systematic review.Health expectations : an international journal of public participation in health care and health policy · 2023
    Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Review
  16. [Cancers · 2026
    Article
  17. Article
  18. Review
  19. Review
  20. Predicting aggressive disease and poor outcome in endometrial cancer using preoperative [European journal of nuclear medicine and molecular imaging · 2025
    Article

73 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Stephanie NougaretIRCM, Montpellier Cancer Research institute, 208 Ave des Apothicaires, 34295, Montpellier, France. stephanienougaret@free.fr.
Mariana HortaDepartment of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, R. Prof. Lima Basto, 1099-023, Lisboa Codex, Portugal.
Evis SalaDepartment of Radiology Box 218, Cambridge Biomedical Campus Cambridge, CB2 0QQ, Cambridge, UK.
Yulia LakhmanDepartment of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA.
Isabelle Thomassin-NaggaraUPMC Univ. Paris 06, Institut Universitaire de Cancérologie, Assistance Publique - Hôpitaux de Paris (AP-HP), Hôpital Tenon, Sorbonne Universités, Service de Radiologie, 54 avenue Gambetta, 75020, Paris, France.
Aki KidoDepartment of Diagnostic Radiology and Nuclear Medicine, Kyoto University Hospital, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Gabriele MasselliRadiology Department, Sapienza University, Viale del Policlinico 155, 00161, Rome, Italy.
Nishat BharwaniDepartment of Radiology, St Mary's Hospital, Imperial College Healthcare NHS Trust, Department of Surgery and Cancer, Imperial College, London. 3rd Floor, Queen Elizabeth the Queen Mother Building, Praed St, London, W21NY, UK.
Elizabeth SadowskiDepartments of Radiology, Obstetrics and Gynecology, University of Wisconsin SMPH, Madison, WI, USA.
Andrea ErtmerDepartment of Radiology, Spital Bülach, Spitalstrasse 24, CH-8180, Bülach, Switzerland.
Milagros Otero-GarciaComplexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.
Rahel A Kubik-HuchDepartment of Radiology, Kantonsspital Baden, Baden, Switzerland.
Teresa M CunhaDepartment of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, R. Prof. Lima Basto, 1099-023, Lisboa Codex, Portugal.
Andrea RockallThe Royal Marsden Hospital NHS Foundation Trust, London, UK.
Rosemarie ForstnerDepartment of Radiology Müllner Hauptstr, 48 Universitätsklinikum Salzburg, PMU 5020, Salzburg, Austria.

Funding

Cancer Research UK 12783
6 · The paper itself

Abstract

objectivesTo update the 2009 ESUR endometrial cancer guidelines and propose strategies to standardize image acquisition, interpretation and reporting for endometrial cancer staging with MRI.

methodsThe published evidence-based data and the opinion of experts were combined using the RAND-UCLA Appropriateness Method and formed the basis for these consensus guidelines. The responses of the experts to 81 questions regarding the details of patient preparation, MR imaging protocol, image interpretation and reporting were collected, analysed and classified as "RECOMMENDED" versus "NOT RECOMMENDED" (if at least 80% consensus among experts) or uncertain (if less than 80% consensus among experts).

resultsConsensus regarding patient preparation, MR image acquisition, interpretation and reporting was determined using the RAND-UCLA Appropriateness Method. A tailored MR imaging protocol and a standardized report were recommended.

conclusionsThese consensus recommendations should be used as a guide for endometrial cancer staging with MRI. KEY POINTS: • MRI is recommended for initial staging of endometrial cancer. • MR imaging protocol should be tailored based on the risk of lymph node metastases. • Myometrial invasion is best assessed using combined axial-oblique T2WI, DWI and contrast-enhanced imaging. • The mnemonic "Clinical and MRI Critical TEAM" summarizes key elements of the standardized report.

Indexed as

Guidelines as TopicRadiologySocieties, MedicalEndometrial NeoplasmsEuropeFemaleHumansMagnetic Resonance ImagingNeoplasm StagingDiffusionEndometrial cancerGuidelineMagnetic resonance imagingUterus

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.