Current imaging techniques for staging and assessing the resectability of advanced ovarian cancer

Syrkashev E.M., Solopova A.E., Bychenko V.G., Khabas G.N.

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health of the Russian Federation, Moscow
The authors have carried out a systematic analysis of the information value of imaging techniques in staging and assessing the resectability of advanced ovarian cancer. They have analyzed works on this topic published in the Pubmed journals over the past 15 years. The extent of the process remains the most important prognostic factor of the disease. Surgical staging is leading in the treatment of ovarian cancer; nevertheless, diagnostic imaging techniques assume a key significance in determining patient management tactics and identifying unresectable tumors. The paper provides information on the most reproducible research procedures, interpretation of the findings, and choice of an optimal examination method. Despite the fact that multispiral computed tomography is the gold standard for examining women with advanced ovarian cancer, the functional methods used in MRI can potentially be crucial in staging and assessing the resectability of ovarian cancer when deciding to undergo primary optimal cytoreduction in the near future. Moreover, none of the proposed methods for predicting cytoreduction is generally accepted; there is no consensus on the most optimal procedure.

Keywords

advanced ovarian cancer
staging
MRI
CT
imaging
metastatic patterns

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Received 04.09.2019

Accepted 04.10.2019

About the Authors

Egor M. Syrkashev, M.D., Researcher of the Radiology Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation; e-mail: e_syrkashev@oparina4.ru
4 Oparin str, 117997, Moscow, Russia
Alina E. Solopova, PhD in Medical sciences, Leading Researcher, Radiology Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation; e-mail:a_solopova@oparina4.ru
4 Oparin str, 117997, Moscow, Russia
Vladimir G. Bychenko, M.D., Ph.D., Head of Radiology Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation; e-mail:v_bychenko@oparina4.ru
4 Oparin str, 117997, Moscow, Russia
Grigorii N. Khabas, M.D., Ph.D., Head of Innovative Oncology and Gynecology Department, National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I. Kulakov of Ministry of Healthcare of Russian Federation; e-mail: g_khabas@oparina4.ru
4 Oparin str, 117997, Moscow, Russia

For citation: Syrkashev E.M., Solopova A.E., Bychenko V.G., Khabas G.N. Current imaging techniques for staging and assessing the resectability of advanced ovarian cancer.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2019; (10): 66-74. (in Russian).
http://dx.doi.org/10.18565/aig.2019.10.66-74

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