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Quantitation of Intra-peritoneal Ovarian Cancer Metastasis

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"PAUSE": a method for communicating radiological extent of peritoneal malignancy.

A Chandramohan¹, A Thrower², S A Smith²

¹Department of Radiology, Basingstoke and North Hampshire Hospital, Hampshire Hospitals NHS Foundation Trust, RG24 9NA, UK; Department of Radiology, Christian Medical College, Vellore, India.

Clinical Radiology

|August 6, 2017

Summary

Radiology reporting for peritoneal malignancy can be standardized using the "PAUSE" acronym. This framework ensures key imaging findings are consistently reported to guide surgical decisions for cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).

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Area of Science:

Oncology
Radiology
Surgical Oncology

Background:

Reporting of radiology findings in patients with peritoneal malignancy is variable and lacks standardization.
Consistent and comprehensive radiology reports are crucial for patient management and surgical planning.

Purpose of the Study:

To introduce and validate the
PAUSE
acronym for standardizing radiology reports in patients with peritoneal malignancy.
To highlight key imaging features that determine the feasibility and prognosis of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC).

Main Methods:

Development of the
PAUSE
acronym, representing Primary tumor and peritoneal carcinomatosis index (PCI), Ascites and abdominal wall involvement, Unfavorable sites, Small bowel and mesenteric disease, and Extra peritoneal metastases.
Emphasis on imaging features critical for surgical decision-making and predicting treatment outcomes.

Main Results:

The
PAUSE
acronym provides a structured approach to reporting essential radiological findings.
Standardization through
PAUSE
can improve communication between radiologists and surgical teams.

Conclusions:

The
PAUSE
acronym offers a valuable tool for standardizing radiology reports in peritoneal malignancy.
Consistent reporting facilitates better patient selection and optimization for CRS and HIPEC, potentially improving surgical outcomes.