Staging of peritoneal carcinomatosis: Enhanced CT vs. PET/CT

Clarisse Dromain, Sophie Leboulleux, Anne Auperin, Diane Goere, David Malka, Jean Lumbroso, Martin Schumberger, Robert Sigal, Dominique Elias

Research output: Contribution to journalArticlepeer-review

184 Scopus citations

Abstract

Purpose: To assess and compare the performance of CT and 18F-FDG-PET/CT in the evaluation of peritoneal carcinomatosis (PC). Method and materials: Thirty consecutive patients with PC and scheduled for a surgery underwent a CT of the abdomen and pelvis and a whole-body 18F-FDG PET/CT. The extent of PC was assessed precisely using the peritoneal cancer index combining the distribution of tumor throughout 11 abdominopelvic regions with a lesion size score. CT and PET/CT imaging results were compared in all patients with intraoperative findings using an interclass correlation test. Results: The presence of PC was correctly determined on CT and PET/CT in 23/28 and 16/28 patients, respectively. The extent of PC was understaged with CT and PET/CT in 27 patients and overstaged with CT and PET/CT in 1 and 2 patients, respectively. The interclass correlation was 0.53 (moderate) between CT and surgery and 0.12 (low) between PET/CT and surgery. The interclass correlation was higher for mucinous tumor (0.63) than for non-mucinous (0.16) on CT imaging whereas no difference was found in PET/CT. Conclusion: The intraperitoneal assessment of the extent of carcinomatosis, necessary to assess prognosis and treatment planning, is not accurate enough with CT and PET/CT imaging.

Original languageEnglish
Pages (from-to)87-93
Number of pages7
JournalAbdominal Imaging
Volume33
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Keywords

  • Colorectal carcinoma
  • Computed tomography
  • FDG-PET
  • Mucinous
  • Peritoneal carcinomatosis
  • Peritoneum CT

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