Radiological and Surgical Correlation of Disease Burden in Advanced Ovarian Cancer Using Peritoneal Carcinomatosis Index

Multidetector computed tomography in diagnosing peritoneal metastases in ovarian carcinoma

“…MDCT-PCI has a good correlation with surgical-PCI in OC (11,28,(37)(38)(39)(40)(41)(42)(43)(44)(45)(46)(47)(48). In a prospective study including 85 patients with OC, MDCT and laparoscopy correctly diagnosed PMs in 88.2% and 90.6% of patients, respectively.…”

“…Another prospective study reported that the agreement between CT and laparoscopy in the preoperative categorization of PCI was good in patients with a PCI < 10 and excellent in cases with a PCI of 10-20 and PCI > 20 (11). The highest CT detection rates have been reported for central abdomen (R0) and pelvis (R6) (42,48). A retrospective study of 43 patients with primary or recurrent advanced OC, reported MDCT sensitivity, specificity, and accuracy of 100%, 40%, and 93%, respectively, in the detection of PC in a per-patient analysis.…”

Imaging of Peritoneal Metastases in Ovarian Cancer Using MDCT, MRI, and FDG PET/CT: A Systematic Review and Meta-Analysis

“…In total, 23 datasets evaluated the presence of PMs in OC with MDCT [26,27,30,52,[56][57][58][59][63][64][65][66][67][68][69][70][71][72][73][74][75][76]78] (Table 4); 2, 3, and 8 studies were performed on a 4-row [52,58], 16-row [56,57,74], and 64-row [27,30,59,63,67,70,72,75] MDCT scanner, respectively, 4 studies used both a 16-row and a 64-row CT [64,66,73,76], and 1 report used a 4-row, a 16-row, and a 64-row [65] CT machine (Table 5). Overall, 20 studies [27,30,52,[56][57][58]...…”

“…Overall, 20 studies [27,30,52,[56][57][58][59][63][64][65][66][67][68][69][70][71][72][73][74]76,78] reported the intravenous administration of iodinated contrast medium; 10 of them used the portal phase [27,56-59, 66-68,73,78], 4 used both the arterial and the portal phase [52,65,74,76], 1 used the arterial phase [72], and 1 study used both the portal and the delayed phase [69]. The use of luminal contrast was reported in 15 studies [30,52,[64][65][66][67][68][69][70][71][72][73][74]76,78]; 8 studies reported the oral administration of H 2 O and diluted contrast medium, including iodinated contrast material in 4 reports [30,66,74,…”

“…Six studies were performed on a 16-row [42,56,57,64,67,68] scanner, four on a 64-row [30,63,70,77] system, and three studies, each one used a 4-row [54], an 8-row [55], and a spiral [66] CT machine (Table 7). The following reference tests were used: surgical and histopathologic results (n = 21) [26,30,42,44,51,53,54,57,60,[62][63][64][65]67,71,72,[74][75][76][77][78], surgical findings (n = 3) [52,58,68], surgical and histopathologic results or follow-up (n = 8) [27,55,56,59,61,66,70,73], and follow-up (n = 1) [69] (Table 4).…”