Peritoneal carcinomatosis: imaging with 64-MDCT and 3T MRI with diffusion-weighted imaging
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Peritoneal carcinomatosis is usually associated with a poor overall survival rate. Recently, introduction of more aggressive surgical treatment and intraperitoneal chemotherapy appears to significantly increase the overall survival rate for these patients. A detailed preoperative assessment of peritoneal carcinomatosis could be very challenging in the field of imaging, but a new aggressive surgical approach requires an accurate preoperative assessment of the disease. Cross-sectional imaging using CT and MRI with diffusion-weighted imaging (DWI) sequences is important for appropriate management of patients with peritoneal carcinomatosis. Appreciation of the spectrum of diagnostic patterns and pitfalls as well as different sites of involvement of peritoneal carcinomatosis using CT and DWI is crucial for appropriate surgical treatment.
Key wordsOvarian cancer Peritoneal carcinomatosis Multidetector CT DWI MRI
- 1.American Cancer Society (2008) Cancer facts and figures 2008. Atlanta, GA: American Cancer SocietyGoogle Scholar
- 4.Meyers MA (1976) Dynamic radiology of the abdomen: normal and pathologic anatomy. New York: Springer-Verlag, pp 37–71Google Scholar
- 10.Verwaal VJ, Bruin S, Boot H, van Slooten G, van Tinteren H (2008) 8-Year follow-up of randomized trial: cytoreduction and hyperthermic intraperitoneal chemotherapy versus systemic chemotherapy in patients with peritoneal carcinomatosis of colorectal cancer. Ann Surg Oncol 15:2633–2635CrossRefGoogle Scholar
- 21.Amendola MA (1985) The role of CT in the evaluation of ovarian malignancy. CRC Crit Rev Diagn Imaging 24:329–368Google Scholar