Evidence map›Paper›PMID 39798005›Full record

GuidelineEuropean radiology2025

Ovarian cancer staging and follow-up: updated guidelines from the European Society of Urogenital Radiology female pelvic imaging working group.

Stefania Rizzo, Giacomo Avesani, Camilla Panico, Lucia Manganaro, Benedetta Gui, Yulia Lakhman, Pamela Causa Andrieu, Nishat Bharwani, Andrea Rockall, Isabelle Thomassin-Naggara and 4 more

Abstract 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. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Review
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  4. Comparison of [Abdominal radiology (New York) · 2026
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  8. Comparative Performance ofWorld journal of nuclear medicine · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Stefania RizzoImaging Institute of Southern Switzerland (IIMSI), Ente Ospedaliero Cantonale (EOC), via Tesserete 46, 6900, Lugano, Switzerland.
Giacomo AvesaniDepartment of Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy. giacomo.avesani@policlinicogemelli.it.ORCID http://orcid.org/0000-0001-9926-760X
Camilla PanicoDepartment of Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Lucia ManganaroDepartment of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Policlinico Umberto I, Viale del Policlinico 155, 00161, Rome, Italy.
Benedetta GuiDepartment of Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Yulia LakhmanDepartment of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Pamela Causa AndrieuDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.
Nishat BharwaniDepartment of Radiology, Imperial College Healthcare NHS Trust, London, UK.
Andrea RockallDepartment of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
Isabelle Thomassin-NaggaraRadiology Imaging and Interventional Radiology Specialized Department (IRIS), Tenon Hospital, Public Hospital of Paris, Paris, France.
Teresa Margarida CunhaDepartment of Radiology, Instituto Português de Oncologia de Lisboa Francisco Gentil, Lisbon, Portugal.
Evis SalaDepartment of Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Rosemarie Forstner *Department of Radiology, University Hospital of Salzburg, PMU, Salzburg, Austria.
Stephanie Nougaret *Department of Radiology, Montpellier Research Center Institute, PINKCC Laboratory, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide up-to-date European Society of Urogenital Radiology (ESUR) guidelines for staging and follow-up of patients with ovarian cancer (OC).

methodsTwenty-one experts, members of the female pelvis imaging ESUR subcommittee from 19 institutions, replied to 2 rounds of questionnaires regarding imaging techniques and structured reporting used for pre-treatment evaluation of OC patients. The results of the survey were presented to the other authors during the group's annual meeting. The lexicon was aligned with the Society of American Radiology (SAR)-ESUR lexicon; a first draft was circulated, and then comments and suggestions from the other authors were incorporated.

resultsEvaluation of disease extent at diagnosis should be performed by chest, abdominal, and pelvic CT. The radiological report should map the disease with specific mention of sites that may preclude optimal cytoreductive surgery. For suspected recurrence, CT and [

conclusionsCT is the imaging modality of choice for preoperative evaluation and follow-up in OC patients. A structured radiological report, including specific mention of sites that may preclude optimal debulking, is of value for patient management. KEY POINTS: Question Guidelines were last published for ovarian cancer (OC) imaging in 2010; here, guidance on imaging techniques and reporting, incorporating advances in the field, are provided. Findings Structured reports should map out sites of disease, highlighting sites that limit cytoreduction. For suspected recurrence, CT and 18FDG PET-CT are options, and MRI can be considered. Clinical relevance Imaging evaluation of OC patients at initial diagnosis (mainly based on CT), using a structured report that considers surgical needs is valuable in treatment selection and planning.

Indexed as

Ovarian NeoplasmsEuropeFemaleFollow-Up StudiesHumansMagnetic Resonance ImagingNeoplasm StagingPositron Emission Tomography Computed TomographySocieties, MedicalTomography, X-Ray ComputedMagnetic resonance imagingOvarian cancerPhoton emission computed tomographyStructured reportTomography (x-ray computed)

Identifiers

PMID39798005
PMCPMC12165971

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.