CT enterography for predicting necessity of enterectomy in ovarian cancer patients for achieving optimal debulking surgery
10.13929/j.issn.1003-3289.2023.12.022
- VernacularTitle:小肠CT造影预测肠切除术用于卵巢癌患者对实现满意减瘤术的必要性
- Author:
Xiaofang ZHAO
1
;
Liu LIU
;
Lianghua XIE
;
Ping YANG
;
Xun LEI
;
Yun MAO
Author Information
1. 重庆医科大学附属第一医院放射科,重庆 400016
- Keywords:
ovarian neoplasms;
computed tomography enterography;
intestinal resection
- From:
Chinese Journal of Medical Imaging Technology
2023;39(12):1838-1842
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of preoperative CT enterography(CTE)for predicting the necessity of enterectomy in ovarian cancer(OC)patients for achieving optimal debulking surgery(ODS).Methods Preoperative CTE data of 49 patients with pathologically confirmed OC were retrospectively analyzed,including 13 cases received neoadjuvant chemotherapy(NACT)and 36 cases did not.The length(L)and circumference(C)of muscular involvement shown on CTE were taken as criteria for judging the necessity of enterectomy in OC patients([degree 0:no muscular involvement,degree 1:L＜3.0 cm and C＜1/3,degree 2:L≥3.0 cm[A]or C≥1/3[B]).The patients were followed up for at least 1 year after surgery,and the actual operation results were recorded to estimate the ideal surgical strategy.The consistency of CTE evaluated necessity of enterectomy and the ideal surgical strategy was analyzed.Results For patients not undergoing NACT,according to degree 2 A or B showed on CTE,predicted results had excellent agreement with the ideal surgical strategy(Kappa=0.852,P＜0.001),while those according to degree 1 or 2,2 A,2 B were all in good agreement with the ideal surgical strategy(Kappa=0.684-0.771,all P＜0.001).For patients undergoing NACT,the predicted results of degree 2 muscular involvement showed on CTE before NACT had excellent consistencies with the ideal surgical strategy(all Kappa=0.806,all P=0.003).The predicted results of degree 2 muscular involvement showed on CTE after NACT had moderate consistencies with the ideal surgical strategy(all Kappa=0.581,all P=0.021).Conclusion Preoperative CTE could be used to predict the necessity of enterectomy in OC patients for achieving ODS.
