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Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma
Objectives To analyse the diagnostic accuracy and to establish a predictive score based on diffusion-weighted magnetic resonance imaging (DWMRI) compared to exploratory laparotomy (EL) for predicting suboptimal cytoreductive surgery for different intra-abdominal sites of implants in patients with ov...
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| Published in: | European radiology 2013-09, Vol.23 (9), p.2636-2642 |
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| container_title | European radiology |
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| creator | Espada, Mercedes Garcia-Flores, Jose R. Jimenez, Mar Alvarez-Moreno, Elena De Haro, Mar Gonzalez-Cortijo, Lucia Hernandez-Cortes, Gines Martinez-Vega, Vicente Sainz De La Cuesta, Ricardo |
| description | Objectives
To analyse the diagnostic accuracy and to establish a predictive score based on diffusion-weighted magnetic resonance imaging (DWMRI) compared to exploratory laparotomy (EL) for predicting suboptimal cytoreductive surgery for different intra-abdominal sites of implants in patients with ovarian cancer.
Methods
Thirty-four patients with advanced ovarian carcinoma were studied. Preoperative DWMRI of the abdomen and pelvis was performed. DWMRI findings were compared with EL. Ten anatomical sites were selected for inclusion in the score. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy for suboptimal cytoreduction were calculated for both DWMRI and EL. Receiver operating characteristic (ROC) curve analysis was used to assess the ability to predict suboptimal cytoreduction.
Results
Using predictive score, ROC curves were generated with an area under the curve of 0.938 for DWMRI and 0.947 for EL (
P
|
| doi_str_mv | 10.1007/s00330-013-2837-7 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1419344578</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1419344578</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-5623442c27536e1d54d7f75aec700bb40fa0b43f1f3f14feff4277d41cc9e07f3</originalsourceid><addsrcrecordid>eNp1kc2KFDEUhYMoTjv6AG4k4MZN9OanOlVLGX9hwI2ui1TqpjtjVVImqR761Xw609OjiOAiBHK-ey45h5DnHF5zAP0mA0gJDLhkopWa6Qdkw5UUjEOrHpINdLJluuvUBXmS8w0AdFzpx-RCyC2oFmBDfr7zzq3Zx8Bu0e_2BUc6m13A4i1NmGMwwSL19c2HHcWDmVZTKk6joz6UZJgZxjj7YCaafcF8J8zLZELJtES6JBy9LXTy33Hy-xjHE5HXIS6l2k7UHkuszGqLP2AV0g7TsXrTpS7Ck8utL3saDyZ5E6g1yfoQZ_OUPHJmyvjs_r4k3z68_3r1iV1_-fj56u01s1KLwpqtkEoJK3Qjt8jHRo3a6cag1QDDoMAZGJR03NWjHDqnhNaj4tZ2CNrJS_Lq7Luk-GPFXPrZZ4tT_SHGNfdc8a5uaHRb0Zf_oDdxTTWaO6rdigY6VSl-pmyKOSd0_ZJqEunYc-hPxfbnYvtabH8qttd15sW98zrMOP6Z-N1kBcQZyFUKNcK_Vv_X9RdnabNR</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1418625094</pqid></control><display><type>article</type><title>Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma</title><source>Springer Link</source><creator>Espada, Mercedes ; Garcia-Flores, Jose R. ; Jimenez, Mar ; Alvarez-Moreno, Elena ; De Haro, Mar ; Gonzalez-Cortijo, Lucia ; Hernandez-Cortes, Gines ; Martinez-Vega, Vicente ; Sainz De La Cuesta, Ricardo</creator><creatorcontrib>Espada, Mercedes ; Garcia-Flores, Jose R. ; Jimenez, Mar ; Alvarez-Moreno, Elena ; De Haro, Mar ; Gonzalez-Cortijo, Lucia ; Hernandez-Cortes, Gines ; Martinez-Vega, Vicente ; Sainz De La Cuesta, Ricardo</creatorcontrib><description>Objectives
To analyse the diagnostic accuracy and to establish a predictive score based on diffusion-weighted magnetic resonance imaging (DWMRI) compared to exploratory laparotomy (EL) for predicting suboptimal cytoreductive surgery for different intra-abdominal sites of implants in patients with ovarian cancer.
Methods
Thirty-four patients with advanced ovarian carcinoma were studied. Preoperative DWMRI of the abdomen and pelvis was performed. DWMRI findings were compared with EL. Ten anatomical sites were selected for inclusion in the score. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy for suboptimal cytoreduction were calculated for both DWMRI and EL. Receiver operating characteristic (ROC) curve analysis was used to assess the ability to predict suboptimal cytoreduction.
Results
Using predictive score, ROC curves were generated with an area under the curve of 0.938 for DWMRI and 0.947 for EL (
P
< 0.0001). For DWMRI, a score ≥6 had the highest overall accuracy at 91.1 % and identified patients with unnecessary EL with a sensitivity of 75 %. For EL, a score ≥4 had the highest overall accuracy at 88.2 % and was able to identify patients with unnecessary EL with a sensitivity of 87.5 %.
Conclusions
DWMRI is an emerging technique that may be useful to predict suboptimal cytoreduction in ovarian cancer.
Key Points
•
DWMRI is increasingly used in ovarian cancer.
•
DWMRI is an accurate technique for depicting intra-abdominal sites of implants
•
DWMRI is useful for predicting optimal cytoreductive surgical outcome.
•
We report a high predictive value similar to exploratory laparotomy.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-013-2837-7</identifier><identifier>PMID: 23604800</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Abdomen - pathology ; Accuracy ; Adult ; Aged ; Brachytherapy - methods ; Cancer therapies ; Carcinoma - pathology ; Carcinoma - radiotherapy ; Carcinoma - surgery ; Chemotherapy ; Diagnostic Radiology ; Diffusion Magnetic Resonance Imaging - methods ; Female ; Gynecology ; Hospitals ; Humans ; Imaging ; Internal Medicine ; Interventional Radiology ; Laparotomy ; Magnetic resonance imaging ; Medical prognosis ; Medicine ; Medicine & Public Health ; Mesentery ; Middle Aged ; Neuroradiology ; Oncology ; Ovarian cancer ; Ovarian Neoplasms - pathology ; Ovarian Neoplasms - radiotherapy ; Ovarian Neoplasms - surgery ; Patients ; Pelvis ; Predictive Value of Tests ; Radiology ; Reference Values ; Reproducibility of Results ; ROC Curve ; Sensitivity and Specificity ; Surgery ; Surgical outcomes ; Treatment Outcome ; Ultrasound</subject><ispartof>European radiology, 2013-09, Vol.23 (9), p.2636-2642</ispartof><rights>European Society of Radiology 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-5623442c27536e1d54d7f75aec700bb40fa0b43f1f3f14feff4277d41cc9e07f3</citedby><cites>FETCH-LOGICAL-c372t-5623442c27536e1d54d7f75aec700bb40fa0b43f1f3f14feff4277d41cc9e07f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23604800$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Espada, Mercedes</creatorcontrib><creatorcontrib>Garcia-Flores, Jose R.</creatorcontrib><creatorcontrib>Jimenez, Mar</creatorcontrib><creatorcontrib>Alvarez-Moreno, Elena</creatorcontrib><creatorcontrib>De Haro, Mar</creatorcontrib><creatorcontrib>Gonzalez-Cortijo, Lucia</creatorcontrib><creatorcontrib>Hernandez-Cortes, Gines</creatorcontrib><creatorcontrib>Martinez-Vega, Vicente</creatorcontrib><creatorcontrib>Sainz De La Cuesta, Ricardo</creatorcontrib><title>Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><addtitle>Eur Radiol</addtitle><description>Objectives
To analyse the diagnostic accuracy and to establish a predictive score based on diffusion-weighted magnetic resonance imaging (DWMRI) compared to exploratory laparotomy (EL) for predicting suboptimal cytoreductive surgery for different intra-abdominal sites of implants in patients with ovarian cancer.
Methods
Thirty-four patients with advanced ovarian carcinoma were studied. Preoperative DWMRI of the abdomen and pelvis was performed. DWMRI findings were compared with EL. Ten anatomical sites were selected for inclusion in the score. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy for suboptimal cytoreduction were calculated for both DWMRI and EL. Receiver operating characteristic (ROC) curve analysis was used to assess the ability to predict suboptimal cytoreduction.
Results
Using predictive score, ROC curves were generated with an area under the curve of 0.938 for DWMRI and 0.947 for EL (
P
< 0.0001). For DWMRI, a score ≥6 had the highest overall accuracy at 91.1 % and identified patients with unnecessary EL with a sensitivity of 75 %. For EL, a score ≥4 had the highest overall accuracy at 88.2 % and was able to identify patients with unnecessary EL with a sensitivity of 87.5 %.
Conclusions
DWMRI is an emerging technique that may be useful to predict suboptimal cytoreduction in ovarian cancer.
Key Points
•
DWMRI is increasingly used in ovarian cancer.
•
DWMRI is an accurate technique for depicting intra-abdominal sites of implants
•
DWMRI is useful for predicting optimal cytoreductive surgical outcome.
•
We report a high predictive value similar to exploratory laparotomy.</description><subject>Abdomen</subject><subject>Abdomen - pathology</subject><subject>Accuracy</subject><subject>Adult</subject><subject>Aged</subject><subject>Brachytherapy - methods</subject><subject>Cancer therapies</subject><subject>Carcinoma - pathology</subject><subject>Carcinoma - radiotherapy</subject><subject>Carcinoma - surgery</subject><subject>Chemotherapy</subject><subject>Diagnostic Radiology</subject><subject>Diffusion Magnetic Resonance Imaging - methods</subject><subject>Female</subject><subject>Gynecology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Imaging</subject><subject>Internal Medicine</subject><subject>Interventional Radiology</subject><subject>Laparotomy</subject><subject>Magnetic resonance imaging</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesentery</subject><subject>Middle Aged</subject><subject>Neuroradiology</subject><subject>Oncology</subject><subject>Ovarian cancer</subject><subject>Ovarian Neoplasms - pathology</subject><subject>Ovarian Neoplasms - radiotherapy</subject><subject>Ovarian Neoplasms - surgery</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Predictive Value of Tests</subject><subject>Radiology</subject><subject>Reference Values</subject><subject>Reproducibility of Results</subject><subject>ROC Curve</subject><subject>Sensitivity and Specificity</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Treatment Outcome</subject><subject>Ultrasound</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><recordid>eNp1kc2KFDEUhYMoTjv6AG4k4MZN9OanOlVLGX9hwI2ui1TqpjtjVVImqR761Xw609OjiOAiBHK-ey45h5DnHF5zAP0mA0gJDLhkopWa6Qdkw5UUjEOrHpINdLJluuvUBXmS8w0AdFzpx-RCyC2oFmBDfr7zzq3Zx8Bu0e_2BUc6m13A4i1NmGMwwSL19c2HHcWDmVZTKk6joz6UZJgZxjj7YCaafcF8J8zLZELJtES6JBy9LXTy33Hy-xjHE5HXIS6l2k7UHkuszGqLP2AV0g7TsXrTpS7Ck8utL3saDyZ5E6g1yfoQZ_OUPHJmyvjs_r4k3z68_3r1iV1_-fj56u01s1KLwpqtkEoJK3Qjt8jHRo3a6cag1QDDoMAZGJR03NWjHDqnhNaj4tZ2CNrJS_Lq7Luk-GPFXPrZZ4tT_SHGNfdc8a5uaHRb0Zf_oDdxTTWaO6rdigY6VSl-pmyKOSd0_ZJqEunYc-hPxfbnYvtabH8qttd15sW98zrMOP6Z-N1kBcQZyFUKNcK_Vv_X9RdnabNR</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Espada, Mercedes</creator><creator>Garcia-Flores, Jose R.</creator><creator>Jimenez, Mar</creator><creator>Alvarez-Moreno, Elena</creator><creator>De Haro, Mar</creator><creator>Gonzalez-Cortijo, Lucia</creator><creator>Hernandez-Cortes, Gines</creator><creator>Martinez-Vega, Vicente</creator><creator>Sainz De La Cuesta, Ricardo</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20130901</creationdate><title>Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma</title><author>Espada, Mercedes ; Garcia-Flores, Jose R. ; Jimenez, Mar ; Alvarez-Moreno, Elena ; De Haro, Mar ; Gonzalez-Cortijo, Lucia ; Hernandez-Cortes, Gines ; Martinez-Vega, Vicente ; Sainz De La Cuesta, Ricardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-5623442c27536e1d54d7f75aec700bb40fa0b43f1f3f14feff4277d41cc9e07f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Abdomen</topic><topic>Abdomen - pathology</topic><topic>Accuracy</topic><topic>Adult</topic><topic>Aged</topic><topic>Brachytherapy - methods</topic><topic>Cancer therapies</topic><topic>Carcinoma - pathology</topic><topic>Carcinoma - radiotherapy</topic><topic>Carcinoma - surgery</topic><topic>Chemotherapy</topic><topic>Diagnostic Radiology</topic><topic>Diffusion Magnetic Resonance Imaging - methods</topic><topic>Female</topic><topic>Gynecology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Imaging</topic><topic>Internal Medicine</topic><topic>Interventional Radiology</topic><topic>Laparotomy</topic><topic>Magnetic resonance imaging</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesentery</topic><topic>Middle Aged</topic><topic>Neuroradiology</topic><topic>Oncology</topic><topic>Ovarian cancer</topic><topic>Ovarian Neoplasms - pathology</topic><topic>Ovarian Neoplasms - radiotherapy</topic><topic>Ovarian Neoplasms - surgery</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Predictive Value of Tests</topic><topic>Radiology</topic><topic>Reference Values</topic><topic>Reproducibility of Results</topic><topic>ROC Curve</topic><topic>Sensitivity and Specificity</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Espada, Mercedes</creatorcontrib><creatorcontrib>Garcia-Flores, Jose R.</creatorcontrib><creatorcontrib>Jimenez, Mar</creatorcontrib><creatorcontrib>Alvarez-Moreno, Elena</creatorcontrib><creatorcontrib>De Haro, Mar</creatorcontrib><creatorcontrib>Gonzalez-Cortijo, Lucia</creatorcontrib><creatorcontrib>Hernandez-Cortes, Gines</creatorcontrib><creatorcontrib>Martinez-Vega, Vicente</creatorcontrib><creatorcontrib>Sainz De La Cuesta, Ricardo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>ProQuest Nursing & Allied Health Database</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Espada, Mercedes</au><au>Garcia-Flores, Jose R.</au><au>Jimenez, Mar</au><au>Alvarez-Moreno, Elena</au><au>De Haro, Mar</au><au>Gonzalez-Cortijo, Lucia</au><au>Hernandez-Cortes, Gines</au><au>Martinez-Vega, Vicente</au><au>Sainz De La Cuesta, Ricardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma</atitle><jtitle>European radiology</jtitle><stitle>Eur Radiol</stitle><addtitle>Eur Radiol</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>23</volume><issue>9</issue><spage>2636</spage><epage>2642</epage><pages>2636-2642</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><abstract>Objectives
To analyse the diagnostic accuracy and to establish a predictive score based on diffusion-weighted magnetic resonance imaging (DWMRI) compared to exploratory laparotomy (EL) for predicting suboptimal cytoreductive surgery for different intra-abdominal sites of implants in patients with ovarian cancer.
Methods
Thirty-four patients with advanced ovarian carcinoma were studied. Preoperative DWMRI of the abdomen and pelvis was performed. DWMRI findings were compared with EL. Ten anatomical sites were selected for inclusion in the score. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy for suboptimal cytoreduction were calculated for both DWMRI and EL. Receiver operating characteristic (ROC) curve analysis was used to assess the ability to predict suboptimal cytoreduction.
Results
Using predictive score, ROC curves were generated with an area under the curve of 0.938 for DWMRI and 0.947 for EL (
P
< 0.0001). For DWMRI, a score ≥6 had the highest overall accuracy at 91.1 % and identified patients with unnecessary EL with a sensitivity of 75 %. For EL, a score ≥4 had the highest overall accuracy at 88.2 % and was able to identify patients with unnecessary EL with a sensitivity of 87.5 %.
Conclusions
DWMRI is an emerging technique that may be useful to predict suboptimal cytoreduction in ovarian cancer.
Key Points
•
DWMRI is increasingly used in ovarian cancer.
•
DWMRI is an accurate technique for depicting intra-abdominal sites of implants
•
DWMRI is useful for predicting optimal cytoreductive surgical outcome.
•
We report a high predictive value similar to exploratory laparotomy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>23604800</pmid><doi>10.1007/s00330-013-2837-7</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0938-7994 |
| ispartof | European radiology, 2013-09, Vol.23 (9), p.2636-2642 |
| issn | 0938-7994 1432-1084 |
| language | eng |
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| source | Springer Link |
| subjects | Abdomen Abdomen - pathology Accuracy Adult Aged Brachytherapy - methods Cancer therapies Carcinoma - pathology Carcinoma - radiotherapy Carcinoma - surgery Chemotherapy Diagnostic Radiology Diffusion Magnetic Resonance Imaging - methods Female Gynecology Hospitals Humans Imaging Internal Medicine Interventional Radiology Laparotomy Magnetic resonance imaging Medical prognosis Medicine Medicine & Public Health Mesentery Middle Aged Neuroradiology Oncology Ovarian cancer Ovarian Neoplasms - pathology Ovarian Neoplasms - radiotherapy Ovarian Neoplasms - surgery Patients Pelvis Predictive Value of Tests Radiology Reference Values Reproducibility of Results ROC Curve Sensitivity and Specificity Surgery Surgical outcomes Treatment Outcome Ultrasound |
| title | Diffusion-weighted magnetic resonance imaging evaluation of intra-abdominal sites of implants to predict likelihood of suboptimal cytoreductive surgery in patients with ovarian carcinoma |
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