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Peritoneal MRI in patients undergoing cytoreductive surgery and HIPEC: History, clinical applications, and

Russell N Low1, Robert M Barone2, Pascal Rousset3

  • 1Department of Radiology, Sharp Memorial Hospital, 7901 Frost Street, San Diego, CA, 92123, USA.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|March 11, 2019
PubMed

Insights

Magnetic resonance imaging (MRI) offers significant advantages for evaluating peritoneal metastases. A standardized MRI protocol aids surgeons in surgical planning and detecting early recurrence.

Area of Science:

  • Radiology
  • Oncology
  • Surgical Oncology

Background:

  • Peritoneal metastases present diagnostic challenges for conventional imaging.
  • Early detection and accurate staging are crucial for curative surgical intervention.

Purpose of the Study:

  • To highlight the advantages of a standardized Magnetic Resonance Imaging (MRI) protocol for evaluating peritoneal metastases.
  • To demonstrate MRI's role in surgical planning and postoperative surveillance.

Main Methods:

  • Utilizing a standardized peritoneal MRI protocol including diffusion-weighted and gadolinium-enhanced sequences.
  • Expert radiologist interpretation for quantitative and qualitative assessment of lesion localization.
  • Close collaboration between oncologic surgeons and radiologists.

Main Results:

  • Standardized MRI protocol efficiently detects small peritoneal tumors often missed by other modalities.
  • MRI provides quantitative and qualitative data crucial for surgical decision-making and planning.
  • MRI facilitates accurate preoperative assessment and surveillance for early recurrence detection.

Conclusions:

  • Standardized MRI is a powerful tool for preoperative evaluation of patients with peritoneal metastases.
  • MRI assists surgeons in selecting candidates for curative surgery and planning procedures.
  • MRI plays a vital role in the surveillance of patients undergoing treatment for peritoneal metastases.
Keywords:
Peritoneal cancer indexPeritoneal carcinomatosisPeritoneal metastasesPreoperative assessmentPseudomyxoma peritoneiResectability

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