title: [Radiological diagnostics of ovarian cancer].
abstract: Ovarian cancer is diagnosed in stages FIGO III/IV in up to 75% of cases. Despite medical advances the 5-year survival rate has only been moderately increased to 44% during recent years. The initial evaluation is performed using transvaginal ultrasound (US) (sensitivity 90-96%, specificity 98-99% for detection of ovarian lesions). Probably benign findings will be followed-up sonographically or will be laparoscopically excised. Magnetic resonance imaging (MRI) allows a definitive diagnosis in more than 90% of sonographically indeterminate lesions. Malignant lesions require computer tomography (CT) staging and treatment in gynecology centers in a multidisciplinary setting. Peritoneal implants larger than 1 cm are detected equally by CT and MRI. Detection of ascites which is associated with peritoneal carcinomatosis in up to 80% of cases is equally feasible by US, CT and MRI.
authors.affiliation: Universitätsinstitut für Radiologie, Paracelsus Medizinische Universität, Salzburg, Österreich. m.meissnitzer@salk.at
authors.forename: M
authors.initials: M
authors.lastname: Meissnitzer
authors.forename: R
authors.initials: R
authors.lastname: Forstner
mesh_terms: D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D010051:Ovarian Neoplasms / Q000175:diagnosis*