Evidence mapPaperPMID 39181949Full record

GuidelineEuropean radiology2025

Imaging in pelvic exenteration-a multidisciplinary practice guide from the ESGAR-SAR-ESUR-PelvEx collaborative group.

Stephanie Nougaret, Doenja M J Lambregts, Geerard L Beets, Regina G H Beets-Tan, Lennart Blomqvist, David Burling, Quentin Denost, Maria A Gambacorta, Benedetta Gui, Ann Klopp and 11 more

Erratum issuedAbstract readPractice Guideline
In one paragraph

Guideline in European radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
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

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Stephanie Nougaret *Department of Radiology, PINKCC lab, U1194, Montpellier Cancer Center, Montpellier, France. stephanienougaret@free.fr.ORCID http://orcid.org/0000-0002-6398-8648
Doenja M J Lambregts *Department of Radiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Geerard L BeetsDepartment of Surgery, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Regina G H Beets-TanDepartment of Radiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Lennart BlomqvistDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Sweden & Department of Radiation Physics/Nuclear Medicine, Karolinska University Hospital, Solna, Sweden.
David BurlingIntestinal Imaging Centre, St Mark's Hospital, London North West University Healthcare NHS, London, UK.
Quentin DenostBordeaux ColoRectal institute, Clinique Tivoli, Bordeaux, France.
Maria A GambacortaDepartment of Radiation Oncology, Fondazione Policlinico Universitario A.Gemelli IRCCS, Rome, Italy.
Benedetta GuiDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Ann KloppDepartment of Radiation Oncology, University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Yulia LakhmanDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Kate E MaturenDepartments of Radiology and Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.
Riccardo ManfrediDepartment of Bioimaging, Radiation Oncology and Hematology, UOC of Radiodiagnostica Presidio Columbus, Fondazione Policlinico Universitario A. Gemelli IRCSS, Rome, Italy.
Iva PetkovskaDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Luca RussoDepartment of Bioimaging, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.
Atul B ShinagareDepartment of Radiology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
James A StephensonDepartment of Radiology, University College London Hospitals NHS Foundation Trust, London, UK.
Damian TolanDepartment of Radiology, St James's University Hospital, Leeds, UK.
Aradhana M VenkatesanDepartment of Abdominal Imaging, Division of Diagnostic Imaging, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA.
Aaron J Quyn *John Goligher Colorectal Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK.
Rosemarie Forstner *Department of Radiology, Uniklinikum Salzburg, PMU, Salzburg, Austria.

Funding

HORIZON EUROPE European Research Council 101077710
6 · The paper itself

Abstract

Pelvic exenteration (PE) is a radical surgical approach designed for the curative treatment of advanced pelvic malignancies, requiring en-bloc resection of multiple pelvic organs. While the procedure is radical, it has shown promise in enhancing long-term survival and is now comparable in surgical mortality to elective resections for primary pelvic cancers. Imaging plays a crucial role in preoperative planning, with MRI, CT, and PET/CT being pivotal in assessing the extent of cancer and formulating a surgical roadmap. This paper presents clinical practice guidelines for imaging in the context of PE, developed jointly by ESGAR, SAR, ESUR, and the PelvEx Collaborative. These guidelines aim to standardize imaging protocols and reporting to improve the preoperative assessment and facilitate decision-making in the multidisciplinary treatment of pelvic cancers. Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care. CLINICAL RELEVANCE STATEMENT: Our recommendations underscore the importance of a multidisciplinary approach and the need for clear and precise imaging reports to optimize patient care. KEY POINTS: MRI is mandatory for local staging in pelvic exenteration. Structured reporting (using the template provided in this guide) is recommended. Multidisciplinary review of imaging is critical for surgical planning.

Indexed as

Pelvic ExenterationPelvic NeoplasmsHumansMagnetic Resonance ImagingNeoplasm StagingPositron Emission Tomography Computed TomographyCancerCTMRIPelvic exenterationPET/CT

Identifiers

PMID39181949
PMCPMC12021987

What Socratic holds

Textmetadata
LicenceCC BY
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.