ACR Appropriateness Criteria ® Staging and Follow-Up of Ovarian Cancer

Mitchell, Donald G.; Javitt, Marcia C.; Glanc, Phyllis; Bennett, Genevieve L.; Brown, Douglas L.; Dubinsky, Theodore J.; Harisinghani, Mukesh G.; Harris, Robert D.; Horowitz, Neil S.; Pandharipande, Pari V.; Pannu, Harpreet K.; Podrasky, Ann E.; Royal, Henry D.; Shipp, Thomas; Siegel, Cary; Simpson, Lynn L.; Wong-You-Cheong, Jade J.; Zelop, Carolyn M.

doi:10.1016/j.jacr.2018.03.015

Cited by 56 publications

(72 citation statements)

References 89 publications

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“…Although advanced cross-sectional imaging, such as CT, is not specifically recommended by the FIGO staging system, it is a common practice in resource-rich countries such as the United States (Table 2) (38). Imaging with CT, fluorine 18 ( 18 F) fluorodeoxyglucose (FDG) PET/CT, and/or MRI may assist in initial treatment planning by allowing assessment of the resectability of tumors, the candidacy of patients for effective cytoreductive surgery, the need for neoadjuvant or postoperative chemotherapy if debulking is suboptimal, and the need for referral to a gynecologic oncologist (38).…”

Section: Staging/treatment Planningmentioning

confidence: 99%

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Mucinous Neoplasms of the Ovary: Radiologic-Pathologic Correlation

Marko¹,

Marko²,

Pachigolla³

et al. 2019

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Section: Staging/treatment Planningmentioning

confidence: 99%

“…CT of the abdomen and pelvis with intravenous and oral contrast material is the imaging modality of choice in initial staging of pretreatment ovarian cancer (38) (Fig 7). CT is useful for detecting metastases to the peritoneum, omentum, mesentery, liver, spleen, lymph nodes, and lungs (39,40).…”

Section: Staging/treatment Planningmentioning

confidence: 99%

Mucinous Neoplasms of the Ovary: Radiologic-Pathologic Correlation

Marko¹,

Marko²,

Pachigolla³

et al. 2019

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“…Of the different imaging modalities available in our armamentarium, contrast-enhanced computed tomography (CECT) is the primary modality of choice for staging of ovarian cancer with over 90% accuracy for staging. 24 The recommended imaging protocol is CECT of the thorax, abdomen, and pelvis, in arterial and venous phase; with positive or neutral oral contrast; reconstructed as 3 mm sections; images reviewed in axial and coronal planes. 20 Nearly 30% of patients with pleural effusion can have mediastinal nodes, pleural or lung metastases, and thus it is useful to include thorax in the imaging protocol.…”

Section: Imaging For Staging Ovarian Cancermentioning

confidence: 99%

“…However, PET-CT has a role in diagnosing recurrent ovarian cancer and for identifying extraperitoneal metastases. 24,26…”

Section: Imaging For Staging Ovarian Cancermentioning

confidence: 99%

Management Driven Structured Reporting in Ovarian Cancer

Chandramohan

Panda

Thomas

et al. 2019

Journal of Gastrointestinal and Abdominal Radiology

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Since majority (80%) of ovarian cancer patients present at an advanced stage, imaging performed on these patients have numerous findings. The combination of multiple findings on imaging, complexity of anatomical structures which are involved in ovarian cancer, and the need to perceive certain subtle imaging features which would impact management often makes it challenging to systematically review images of these patients. Similarly, it is difficult to effectively communicate these findings in radiology reports. Structured reporting that is geared toward clinical decision-making has been an area of recognized need. An understanding of the review areas, which aid clinical decision-making in a multidisciplinary team setting at our institution led us to the proposed structured reporting template for ovarian cancer. Through this review, the authors would like to share this reporting template with examples.

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“…Ovarian carcinoma is the fifth leading cause of cancer death in women in the United States, after lung, breast, colorectal and pancreatic carcinoma, contributing to more than 3% of all carcinomas in women and the highest cause of death compared to other gynecological malignancies (Kang et al, 2018). The incidence of ovarian carcinoma increased by more than 30% in the last decade, while the mortality due to ovarian carcinoma increased by 18%.…”

Section: Introductionmentioning

confidence: 99%

CT SCAN FEATURES OF NON EPITHELIAL OVARIAN CANCER A RETROSPECTIVE STUDY IN RADIODIAGNOSTIC DEPARTMENT OF dr. SOETOMO GENERAL HOSPITAL SURABAYA AT JANUARY 2016 JULY 2019

Situmeang¹,

Mardiyana²,

Soeprijanto³

2020

IJRP

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Ovarian carcinoma is the second most common gynecological malignancy and in Indonesia it is the 5 th most common cause of death in America, and in Indonesia it ranks 3rd after breast and cervix. Non-epithelial ovarian carcinoma is very rare and is often diagnosed at an advanced stage. CT scan is an imaging for diagnostic that can show a profile of non-epithelial ovarian carcinoma and this has never been studied in Dr. Soetomo General Hospital. The objective of this study is to evaluate solid component, cystic, fat, calcified, enhancement, unilateral / bilateral locations on CT scans of non-epithelial ovarian carcinoma patients. From January 2016 until July 2019, 55 patients of epithelial ovarian cancer with histopathological proven (age range 08-70 years) were enrolled in the study. Patient did CT scan before operation. CT scan was evaluated in raw data. Based on age category, age range was 08-70 years. 43.6% of patients are in the age range 41-60 years. CT scan features of non-epithelial ovarian cancer at Dr. Soetomo General Hospital on Germ Cell Tumor type 28 cases (50.9%), Sex Cord Stromal Tumor 26 people (47.3%), Tumor metastasis 1 case (1.8 %). Solid degenerative changes, necrosis, bleeding, and irregular contours were found in 85.5% of cases. Cystic features were found in 85.5% of cases, 14.5% of cases had no cystic component. Fat features were found in 23.6% of cases. Calcification features were found in 72.7% of cases. Enhancement was found in 98.2% of cases. As many as 96.4% of cases were found in unilateral. The CT scan feature of the germ cell tumor contained solid irregular components, enhancement, and unilateral, as many as 85.7% of cases had the cystic component, fat density and calcification were obtained in mature and immature teratomas. Sex cord stromal tumors have an irregular solid component and enhancement (enhancement), as many as 84.6% of cases with a cystic component, 83.3% of cases of unilateral.Tumor metastasis shows a unilateral appearance of a cystic mass with solid component.

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ACR Appropriateness Criteria ® Staging and Follow-Up of Ovarian Cancer

Cited by 56 publications

References 89 publications

Mucinous Neoplasms of the Ovary: Radiologic-Pathologic Correlation

Mucinous Neoplasms of the Ovary: Radiologic-Pathologic Correlation

Management Driven Structured Reporting in Ovarian Cancer

CT SCAN FEATURES OF NON EPITHELIAL OVARIAN CANCER A RETROSPECTIVE STUDY IN RADIODIAGNOSTIC DEPARTMENT OF dr. SOETOMO GENERAL HOSPITAL SURABAYA AT JANUARY 2016 JULY 2019

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