Vulvar cancer staging: guidelines of the European Society of Urogenital Radiology (ESUR)

Objective The aim of the Female Pelvic Imaging Working Group of the European Society of Urogenital Radiology (ESUR) was to develop imaging staging guidelines for vulvar cancer and to propose standardised MRI protocols and reporting. Methods The guidelines recommended from the ESUR in this article resulted from a questionnaire analysis regarding imaging staging of vulvar cancer that was answered by all members of the Female Pelvic Imaging Working Group. Only the answers with an agreement equal to or more than 80% were considered. Additionally, the literature was reviewed to complement and further support our conclusions. Results The critical review of the literature and consensus obtained among experts allows for recommendations regarding imaging staging guidelines, patient preparation, MRI protocol, and a structured MRI report. Conclusions Standardising image acquisition techniques and MRI interpretation reduces ambiguity and ultimately improves the contribution of radiology to the staging and management of patients with vulvar cancer. Moreover, structured reporting assists with the communication of clinically relevant information to the referring physician.

Количественные параметры ультразвуковой диагностики варикоцеле у взрослых в рутинной практике

В письме главному редактору поднимаются вопросы оценки количественных параметров при ультразвуковом исследовании органов мошонки у взрослых пациентов с варикоцеле в связи с выходом в 2020 г. Рекомендаций Европейского общества урогенитальной радиологии (European Society of Urogenital Radiology (ESUR)) по ультразвуковой диагностике варикоцеле. Обсуж­даются вопросы обязательного включения в технологический и описательный протоколы ультразвукового исследования таких параметров, как объем яичка, диаметр вен и продолжительность рефлюкса, а также их пороговые и референсные значения. Ключевые сло­ва: ультразвуковое исследование органов мошонки, бесплодие, варикоцеле.

Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations

Although often asymptomatic and detected incidentally, varicocele is a relatively common problem in patients who seek medical attention for infertility problems. Ultrasound (US) is the imaging modality of choice for evaluation, but there is no consensus on the diagnostic criteria, classification, and examination technique. In view of this uncertainty, the Scrotal and Penile Imaging Working Group of the European Society of Urogenital Radiology (ESUR-SPIWG) undertook a systematic review of the available literature on this topic, to use as the basis for evidence-based guidelines and recommendations. This paper provides the results of the systematic review on which guidelines were constructed.