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Fig 1.

56-year old female with histology proven recurrent lymph node metastasis of cervical cancer diagnosed 3 years before.

Pre-operative simultaneous 18F-FDG-PET/MRI (A) and T2-weighted MR imaging (B) show a hypermetabolic left paraaortal metastastic lymph node (arrow) with corresponding diffusion-restriction in DWI (C) and ADC-map (D).

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Fig 2.

Lesion detection and definition of tumor margins (arrow) of primary cervical cancer in fused PET/MRI T2 –HASTE–sequence (A). Manual placement of a polygonal VOI in attenuation corrected PET images (B). ROI adjustment by manual segmentation on (C) the corresponding MRI ADC—map.

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Fig 3.

Absolute SUV of primary and recurrent cervical cancer/metastasis presented through error bars.

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Fig 4.

Absolute ADC values of primary and recurrent cervical cancer/metastasis presented through error bars.

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Fig 5.

Correlation analysis of different SUV and ADC in primary tumors.

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Fig 6.

Correlation of SUV and ADC in primary metastasis.

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Fig 7.

Correlation of SUV and ADC in recurrent tumor sites.

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