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Diffusion-weighted magnetic resonance imaging in peritoneal carcinomatosis from suspected ovarian cancer: Diagnostic performance in correlation with surgical findings

European Journal of Radiology Nov 28, 2019

Prado JG, Hernando CG, Delgado DV, et al. - Fifty individuals with suspicious disseminated ovarian cancer (OC, a most prevalent cause of death by gynecological cancer in developed countries) underwent cytoreduction and whole-body DWI with background suppression MRI (WB-DWIBS/MRI) in order to evaluate the diagnostic performance (DP) and tumor burden association of WB-DWIBS/MRI in peritoneal carcinomatosis (PC) of suspected OC using the Peritoneal Cancer Index, referring to cytoreduction surgery as the standard reference. Nearly 72% were epithelial OC and 78% attained complete cytoreduction. The highest positive rate and DP was exhibited by the pelvis and right hypochondrium while the intestinal regions showed the least. Thus, in OC PC, WB-DWIBS/MRI is certain to describe, quantify and prognosticate complete cytoreductive surgery.
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