to set out essential information about peritoneal metastases, to provide general knowledge about diagnostic imaging of peritoneal lesions, to indicate several scoring systems that are used in determining the extent of peritoneal carcinomatosis, to point out basic facts about various therapeutic options, to present a concept of a standardized radiology report.
Peritoneal cavity a potential space confined by the parietal and the visceral peritoneum contains serosal fluid - 50-100ml the pathways of circulation of the peritoneal fluid explain the propensity of metastases for occupying certain compartments The fluid accumulates in the most dependent recesses,
which are: the pouch of Douglas in women, the rectovesical recess in men, the right paracolic gutter, the right subhepatic recess (the Morison's pouch), the upper part of the sigmoid mesocolon and...
Findings and procedure details
The role of diagnostic imaging to differentiate a group of patients with extensive carcinomatosis or with unfavorable lesion sites,
who are not amenable to CRS from patients,
in whose case surgical procedures are feasible, to guide sampling of suspicious sites to assess the response to chemotherapy to detect a relapse [5,
11] Imaging modalities Ultrasound an auxiliary modality poor sensitivity in the visualization of peritoneal,
nodal and parenchymal metastases (69%,
The awareness of the clinical implications of radiology reports in patients with peritoneal metastases may lead to a substantial improvement in report quality.
Each diagnostic imaging study should be meticulously searched for signs of involvement of the surgically critical areas,
that potentially might be a cause of unresectability,
and the overall tumor burden should be estimated.
This might prevent unnecessary surgical interventions and might enable choosing a group of patients that would...
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