Cervical Cancer Reporting Lexicon: A Collaboration by the SAR Uterine and Ovarian Cancer DFP, ESUR Female Pelvic Imaging Working Group, and Asian Society of Abdominal Radiology

Cervical cancer treatment involves multidisciplinary care teams composed of gynecologic surgeons, gynecologic oncologists, radiation oncologists, pathologists, and radiologists. The 2018 update of the FIGO cervical cancer staging system incorporated imaging as a source of staging information, reflecting the critical role of imaging in evaluating patients with cervical cancer before and after therapy. However, the lack of standardized terminology has led to challenges in the updated system's application, including ambiguity in management decisions. This collaborative project between the Society of Abdominal Radiology Uterine and Ovarian Cancer Disease-Focused Panel, the European Society of Urogenital Radiology Female Pelvic Imaging Working Group, and the Asian Society of Abdominal Radiology aimed to develop a list of standardized consensus-based terms and definitions for reporting imaging findings in the initial staging, follow-up, and treatment planning of cervical cancer, as well as a report template leveraging the lexicon terms. The lexicon and report template were developed by 20 committee members (17 radiologists, two gynecologic oncologic surgeons, and one radiation oncologist), representing 19 institutions from North America, Europe, and Asia. These tools are intended to improve consistency in the reporting of cervical cancer imaging, to enhance communication among care teams and optimize patient management.