Iafrate F, Ciolina M, Sammartino P, Baldassari P, Rengo M, Lucchesi P, Sibio S, Accarpio F, Di Giorgio A, Laghi A
Department of Radiological Sciences, Oncology and Pathology, "Sapienza" University of Rome, Italy.
Abdom Imaging. 2012 Aug;37(4):616-27. doi: 10.1007/s00261-011-9804-z.
Peritoneal carcinomatosis is usually associated with a poor overall survival rate. Recently, introduction of more aggressive surgical treatment and intraperitoneal chemotherapy appears to significantly increase the overall survival rate for these patients. A detailed preoperative assessment of peritoneal carcinomatosis could be very challenging in the field of imaging, but a new aggressive surgical approach requires an accurate preoperative assessment of the disease. Cross-sectional imaging using CT and MRI with diffusion-weighted imaging (DWI) sequences is important for appropriate management of patients with peritoneal carcinomatosis. Appreciation of the spectrum of diagnostic patterns and pitfalls as well as different sites of involvement of peritoneal carcinomatosis using CT and DWI is crucial for appropriate surgical treatment.
腹膜癌病通常与总体生存率低相关。最近，采用更积极的手术治疗和腹腔内化疗似乎能显著提高这些患者的总体生存率。在影像学领域，对腹膜癌病进行详细的术前评估可能极具挑战性，但一种新的积极手术方法需要对疾病进行准确的术前评估。使用CT和MRI以及扩散加权成像（DWI）序列进行横断面成像对于腹膜癌病患者的恰当管理很重要。了解腹膜癌病的诊断模式和陷阱范围以及使用CT和DWI时不同的受累部位对于恰当的手术治疗至关重要。
