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Krishnamurthy S, Balasubramaniam R. Role of Imaging in Peritoneal Surface Malignancies. Indian J Surg Oncol. 2016;7(4):441-452doi: 10.1007/s13193-016-0539-8.
Krishnamurthy, S., & Balasubramaniam, R. (2016). Role of Imaging in Peritoneal Surface Malignancies. Indian journal of surgical oncology, 7(4), 441-452. https://doi.org/10.1007/s13193-016-0539-8
Krishnamurthy, Santosh, and Balasubramaniam, Raghav. "Role of Imaging in Peritoneal Surface Malignancies." Indian journal of surgical oncology vol. 7,4 (2016): 441-452. doi: https://doi.org/10.1007/s13193-016-0539-8
Krishnamurthy S, Balasubramaniam R. Role of Imaging in Peritoneal Surface Malignancies. Indian J Surg Oncol. 2016 Dec;7(4):441-452. doi: 10.1007/s13193-016-0539-8. Epub 2016 Jun 08. PMID: 27872533; PMCID: PMC5097766.
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Indian J Surg Oncol. 2016 Dec;7(4):441-452. doi: 10.1007/s13193-016-0539-8. Epub 2016 Jun 08.

Role of Imaging in Peritoneal Surface Malignancies.

Indian journal of surgical oncology

Santosh Krishnamurthy, Raghav Balasubramaniam

Affiliations

  1. Department of Radiology and Imaging, Fortis Hospital, Bangalore, India.

PMID: 27872533 PMCID: PMC5097766 DOI: 10.1007/s13193-016-0539-8

Abstract

Imaging plays a vital role in the evaluation of peritoneal malignancies. The presence of peritoneal metastases (PM) alters tumor staging, with direct implications in treatment choice and prognosis. Cytoreductive surgery (CRS) and Hyperthermic intraperitoneal chemotherapy (HIPEC) as a combined modality treatment have led to prolonged survival and even cure in selected patients with PM. Better outcomes are seen in patients with limited disease spread. Therefore, early diagnosis of peritoneal tumor seeding is essential. Despite significant advancement of technology, assessment of the origin of PM is often difficult, due partly to the complex peritoneal anatomy and partly due to the complex overlap of imaging features. Multidetector CT (MDCT) is the main stay due to its wide availbility, rapid evaluation, robust technique and good resolution. Imaging plays a vital role in selecting patients for the combined modality treatment. MRI is not as popular as CT due to limited availability, time required for the study and lack of experience with interpreting the results. PET-CT is useful in ruling out extra peritoneal disease and it is the CT component that is more reliable for predicting the disease extent. This article reviews the current use of various imaging modalities in various stages of treatment of patients with PM especially those undergoing CRS and HIPEC.

Keywords: CT; MRI; Peritoneal carcinomatosis; Peritoneal malignancy

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