Ovarian Cancer
Conditions
Brief summary
The only chance of cure for patients with advanced stage ovarian cancer is complete cytoreductive surgery (CRS). The only way to determine whether complete CRS can be achieved is by a laparoscopy. However, diffusion-weighted magnetic resonance imaging (DW-MRI) has a very high sensitivity to detect small volume malignant disease, making it a potentially suitable staging tool. Aim of this study is to determine the performance of DW-MRI for predicting whether complete CRS can be achieved.
Interventions
In addition to the standard diagnostic work-up patients will receive an additional MRI scan 0-21 days prior to their scheduled surgery.
Sponsors
Study design
Intervention model description
Patients will undergo an additional MRI, including a diffusion-weighted sequence, for assessing the extent of peritoneal carcinomatosis. Whether or not cytoreductive surgery is feasible will be scored using the peritoneal cancer index on diffusion-weighted magnetic resonance imaging
Eligibility
Inclusion criteria
* Patients with advanced stage (FIGO stage III or IV) ovarian cancer scheduled for primary or interval cytoreductive surgery * Age \>18 years * Written and signed informed consent * WHO 0-2 * Able to read and write Dutch
Exclusion criteria
* Patients with contraindications for MRI * Patients with contraindications for CRS * Known additional malignancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic performance of DW-MRI to predict a complete cytoreductive surgery | 1 month | Patients will undergo an additional MRI, besides their regular diagnostic workup, for assessing the extent of peritoneal carcinomatosis. Whether or not complete cytoreductive surgery is feasible will be determined on DW-MRI independently by two radiologists. The outcome wil be defined as the number of cytoreductive procedures correctly predicted by DW-DWI. |
Countries
Netherlands