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GTV Definition : Positive nodes

Lymphangiogram

CT

Positive node ≥ 1 cm

MRI

Positive node ≥ 1 cm

sensitivity

specificity

sensitivity

specificity

sensitivity

specificity

29-78%

62-98%

24-80%

78-93%

24-75%

88-100%

NEEDS FOR IMPROVEMENT

Node sampling by laparoscopy in non bulky Stage I and II

Enhanced contrast dynamic MRI, specific contrast agents for

detection of occult metastasis

PET-CT