Imaging ovarian cancer – from baseline characteristics to high-risk image factors
Most patients with ovarian cancer have a CT scan. The purpose of the scan is partly to confirm the diagnosis, but mostly to demonstrate the extent of the disease.
Currently a full CT report involves determination of the presence or absence of disease at 13 sites. It takes time and may be subjective.
This retrospective study looked at historical CT scans from patients with known outcomes. A new CT scan report, named the short score, was restricted to review of two features; peritoneal carcinomatosis (usually seen as ascites) and enlarged diaphragmatic lymph nodes. Close correlation is seen between the score, the stage of the cancer and survival.
The authors suggest using the score reduces the time to diagnosis and improves the objectivity.
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