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Pictorial Essays on Peritoneal Metastases Imaging - CT, MRI and PET-CT (Paperback)
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Pictorial Essays on Peritoneal Metastases Imaging - CT, MRI and PET-CT (Paperback)
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Peritoneal metastases continue to be a potentially lethal
manifestation of gastrointestinal and gynecologic malignancy. In
the past little if any treatments except systemic chemotherapy were
available. Outcomes of treatment were poor and were routinely
regarded as palliative. This dismal outlook has gradually changed
as a result of two technical innovations: 1) Cytoreductive surgery
with peritonectomy procedures and visceral resections and 2)
Perioperative intraperitoneal and systemic chemotherapy. At this
time approximately 2000 peritoneal oncology centers are active
around the globe. With prevention and treatment of peritoneal
metastases a reality the traditional role of the radiologist to
characterize the malignancy is mandatory for knowledgeable
management. We have discovered that the radiologic description of
peritoneal metastases is challenging, to say the least. Progress
has occurred. In our Pictorial Essays on Peritoneal Metastases
Imaging: CT, MRI and PET-CT our radiologists have gathered together
an abundance of information. Our book has established a role of the
radiologist as an essential part of multidisciplinary management of
a common and complex clinical problem. No longer is the
radiologist's role only to determine if peritoneal metastases are
absent versus present. The best technology or combinations of
technology as CT, MRI or PET-CT must be selected. Not only a
diagnosis of peritoneal metastases but extent and distribution of
disease is required. The oncologist and surgeon need to know the
likelihood of success with treatment. For primary cancer
identification of patients at high risk for local-regional
recurrence allows special treatments to be utilized before
treatment failure occurs. If recurrent disease is suspect, the
radiologist may interpret its causation and describe the
interventions required to treat or suggest only palliation. The
associated features of peritoneal metastases such as ascites or
lymphadenopathy must be interpreted. The report must be complete
with all information required by the clinician. Finally, the
knowledgeable quantitation of concerning radiologic features can
have profound prognostic implications. There is a large amount of
information in this book that is not available anywhere else. Our
book fills a large GAP in the management of gastrointestinal and
gynecologic cancer. Our book not only verbally describes the images
of peritoneal metastases, it shows them in carefully selected
radiographs. The figures, figure legends and text allow the
findings to be interpreted so they are clinically relevant. The
images become a visible guide to construct a management plan. The
radiologist's accurate description of peritoneal metastases is
difficult at best, sometimes impossible, but comprehensively
presented in this book. If one is interested in peritoneal
metastases, the Pictorial Essays on Peritoneal Metastases Imaging:
CT, MRI and PET-CT is a required addition to the personal library.
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