Citation: | JIA H M, WEI H J, ZHAO J L, et al. Study on the Value of CT Enhanced Long Delayed Scan in PCI Scoring of Pseudomyxoma Peritonei[J]. CT Theory and Applications, 2025, 34(2): 311-318. DOI: 10.15953/j.ctta.2024.252. (in Chinese). |
Objective: To explore the value of computed tomography (CT) enhanced long delayed scan in the CT peritoneal cancer index (CT-PCI) score of patients with pseudomyxoma peritonei (PMP). Methods: The preoperative CT images of 102 patients with confirmed peritoneal pseudomyxoma through surgery and pathology in the Mucinous Tumor Department of Aerospace Center Hospital from October 2022 to December 2023 were retrospectively analyzed. The CT-PCI scores of the portal venous and long-delayed phases with intraoperative PCI scores were separately compared and a consistency analysis was performed. Results: The consistency between CT-PCI and intraoperative scores was evaluated using the Kappa coefficient. The Kappa values for the consistency between CT-PCI scores in 13 zones of PMP patients during CT-enhanced long-delayed scans and intraoperative PCI scores of the long-delayed phase were higher than or equal to those of the portal venous phase. The average Kappa values for the consistency between CT-PCI and intraoperative scores in 13 zones of the long-delayed and portal venous phases were (0.669±0.101) and (0.509±0.121), respectively. The consistency between CT-PCI and intraoperative PCI scores was significantly higher in the long-delayed phase than that in the portal phase. The consistencies between the CT-PCI and intraoperative PCI scores in the portal venous phase are as follows: zone 1: poor consistency; zones 2, 3, 4, 5, 7, 8, 9, 10, and 12: moderate consistency; zones 0, 6, and 11: good consistency. The consistencies between the CT-PCI and intraoperative PCI scores in the long-delayed phase are as follows: zones 5, 9, 10, and 12: moderate consistency; zones 0, 1, 2, 4, 7, 8, and 11: good consistency; zones 3 and 6: very good consistency. The consistencies between the CT-PCI and intraoperative PCI scores in the portal venous and delayed phases are as follows: zones 1 and 3: significant difference; zones 0, 2, 4, 5, 6, 7, and 8: moderate difference; zones 9, 10, 11, and 12: no significant difference. Conclusion: The CT-enhanced delayed scanning method can effectively improve the accuracy of preoperative CT-PCI scoring.
[1] |
MITTAL R, CHANDRAMOHAN A, MORAN B. Pseudomyxoma peritonei: Natural history and treatment[J]. International Journal of Hyperthermia, 2017, 33(5): 511-519. DOI: 10.1080/02656736.2017.1310938.
|
[2] |
RIZVI S A, SYED W, SHERGILL R. Approach to pseudomyxoma peritonei[J]. World Journal of Gastrointestinal Surgery, 2018, 10(5): 49-56. DOI: 10.4240/wjgs.v10.i5.49.
|
[3] |
WERTH R. Klinische und anatomische Untersuchungen zur Lehre von den Bauchgeschwülsten undder Lapara-tomie[J]. Archiv Für Gynä Kologie, 1884, 24: 100-118.
|
[4] |
WEAVER C H. Mucocele of appendix with pseudomucinousdegeneration[J]. The Ametican Journal of Surgery, 1937, 36: 523-526. DOI: 10.1016/S0002-9610(37)90763-3.
|
[5] |
PATRICK-BROWN T D J H, CARR N J, SWANSON D M, et al. Estimating the prevalence of pseudomyxoma peritonei in europe using a novel statistical method[J]. Annals of Surgical Oncology, 2021, 28(1): 252-257. DOI: 10.1245/s10434-020-08655-8.
|
[6] |
YAN F, SHI F, LI X, et al. Clinicopathological characteris tics of pseudomyxoma peritonei originated from ovaries[J]. Cancer Management and Research, 2020, 12: 7569-7578. DOI: 10.2147/CMAR.S264474.
|
[7] |
KATAOKA A, ITO K, TAKEMURA N, et al. Immunohistochemical staining as supportive diagnostic tool for pseudomyxo ma peritonei arising from intraductal papillary mucinous neoplasm: A report of two cases and literature review[J]. Pancreatology, 2020, 20(6): 1226-1233. DOI: 10.1016/j.pan.2020.06.008.
|
[8] |
GOHDA Y, NOGUCHI R, HORIE T, et al. Pseudomyxoma peritonei of a mature ovarian teratoma caused by mismatch repair deficiency in a patient with Lynch syndrome: A case report[J]. BMC Medical Genetics, 2016, 17(1): 94. DOI: 10.1186/s12881-016-0356-5.
|
[9] |
LIANG L, ZHOU N, XU H, et al. Urachal mucinous adeno carcinoma with pseudomyxoma peritonei: A case report[J]. Medicine (Baltimore), 2017, 96(35): e7548. DOI: 10.1097/MD.0000000000007548.
|
[10] |
GONG Y, WANG X, ZHU Z. Pseudomyxoma peritonei originating from transverse colon mucinous adenocarcinoma: A case report and literature review[J]. Gastroenterology Research and Practice, 2020, 2020: 5826214.
|
[11] |
WAMBURA C, JUSABANI A, SHERMAN O, et al. Pseudomyxoma pleurii and peritonei secondary to sigmoid colon adeno carcinoma: A rare clinico-pathologico-radiological presen tation[J]. Oxford Medical Case Reports, 2018, 2018(10): omy057.
|
[12] |
CHUA T C, MORAN B J, SUGARBAKER P H, et al. Early- and long-term outcome data of patients with pseudomyxoma peritonei from appendiceal origin treated by a strategy of cytoreductive surgery and hyperthermic intraperitoneal chemotherapy[J]. Journal of Clinical Oncology, 2012, 30(20): 2449-2456. DOI: 10.1200/JCO.2011.39.7166.
|
[13] |
ANSARI N, CHANDRAKUMARAN K, DAYAL S, et al. Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy in 1000 patients with perforated appendiceal epithelial tumours[J]. European Journal of Surgical Oncology, 2016, 42(7): 1035-1041. DOI: 10.1016/j.ejso.2016.03.017.
|
[14] |
夏奥, 马瑞卿, 翟喜超, 等. 细胞减灭术+腹腔热灌注化疗治疗腹膜假黏液瘤—单中心854例经验总结[J]. 中国肿瘤临床, 2020, 47(3): 145-151. DOI: 10.3969/j.issn.1000-8179.2020.03.609.
XIA A, MA R Q, ZHAI X C, et al. Cytoreductive surgery combined with hyperthermic intraperitoneal chemotherapy for pseudomyxoma peritonei: A single-center experience with 854 patients[J]. Chinese Journal Clinical Oncology, 2020, 47(3): 145-151. DOI: 10.3969/j.issn.1000-8179.2020.03.609. (in Chinese).
|
[15] |
贾红敏, 王志群, 卫宏江, 等. CT 腹膜癌指数对腹膜假黏液瘤可切除性价值研究[J]. CT 理论与应用研究, 2021, 30(3): 323-330. DOI: 10.15953/j.1004-4140.2021.30.03.05.
JIA H M, WANG Z Q, WEI H J, et al. Value study of CT peritoneal carcinoma index in resectability of pseudomyxoma peritonei[J]. CT Theory and Applications, 2021, 30(3): 323-330. DOI: 10.15953/j.1004-4140.2021.30.03.05. (in Chinese).
|
[16] |
HAN X, ZHANG Q, ZHOU N, et al. Combined ultrasonography and CT for prognosis and predicting clinical outcomes of patients with pseudomyxoma peritonei[J]. European Radiology, 2023, 33: 2800-2808.
|
[17] |
LIANG L, WANG W, ZHOU N, et al. Value of preoperative ultrasound in evaluating the peritoneal cancer index of pseudomyxoma peritonei[J]. World Journal of Surgical Oncology, 2019, 17(1): 192. DOI: 10.1186/s12957-019-1730-5.
|
[18] |
HARMON R L, SUGARBAKER P H. Prognostic indicators in peritoneal carcinomatosis from gastrointestinal cancer[J]. International Seminars in Surgical Oncology, 2005, 2(1): 3. DOI: 10.1186/1477-7800-2-3.
|
[19] |
TAKAHASHI M, TAKEKAWA S, SUZUKI K, et al. CT findings of pseudomyxoma peritonei[J]. Rinsho Hoshasen. Clinical Radiography, 1989, 34(12): 1453-1457.
|
[20] |
姚丹, 刘玉良, 祝安惠, 等. 腹膜假性黏液瘤的CT分型初探[J]. 中国临床医学影像杂志, 2012, 23(2): 122-124. DOI: 10.3969/j.issn.1008-1062.2012.02.016.
YAO D, LIU Y L, ZHU A H, et al. Preliminary research on CT types of peritonei pseudomyxoma[J]. Journal of China Clinic Medical Imaging, 2012, 23(2): 122-124. DOI: 10.3969/j.issn.1008-1062.2012.02.016. (in Chinese).
|
[21] |
贾红敏, 翟喜超, 王志群, 等. 小肠袢聚集对预测腹膜假黏液瘤患者小肠系膜挛缩的CT价值研究[J]. CT理论与应用研究, 2021, 30(2): 183-191. DOI: 10.15953/j.1004-4140.2021.30.02.05.
JIA H M, ZHAI X C, WANG Z Q, et al. CT value study of small intestinal loop aggregation in predicting mesenteric contracture in patients with pseudomyxoma peritonei[J]. CT Theory and Applications, 2021, 30(2): 183-191. DOI: 10.15953/j.1004-4140.2021.30.02.05. (in Chinese).
|
[22] |
HOMEAG M, ENACHESCU V, PAVEL L E, et al. Pseudomyxoma peritonei[J]. Current Health Sciences Journal, 2009, 35(3): 193-196.
|
[23] |
NARASIMHAN V, WILSON K, BRITTO M, et al. Outcomes following cytoreduction and HIPEC for pseudomyxoma peritonei: 10-year experience[J]. Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract, 2020, 24(4): 899-906.
|
[24] |
ESQUIVEL J, SUGARBAKER P H. Clinical presentation of the pseudomyxoma peritonei syndrome[J]. The British Journal of Surgery, 2000, 87(10): 1414-1418. DOI: 10.1046/j.1365-2168.2000.01553.x.
|
[25] |
LIU Y, ISHIBASHI H, HIRANO M, et al. Cytoreductive surgery plus hyperthermic intraperitoneal chemotherapy for pseu domyxoma peritonei arising from urachus[J]. Annals of Surgical Oncology, 2015, 22(8): 2799-2805. DOI: 10.1245/s10434-014-4336-8.
|
[26] |
陈小勇, 徐敬慈, 李芹芹, 等. CT 征象对胰腺神经内分泌肿瘤侵袭性行为的预测价值[J]. CT 理论与应用研究, 2022, 31(3): 399-407. DOI: 10.15953/j.ctta.2021.082.
CHEN X Y, XU J C, LI Q Q, et al. The predictive value of CT findings in invasive behavior of pancreatic neuroendocrine tumors[J]. CT Theory and Applications, 2022, 31(3): 399-407. DOI: 10.15953/j.ctta.2021.082. (in Chinese).
|
[27] |
任阿红, 刘军, 杨大为, 等. 肝囊型包虫病与粘液性囊性肿瘤的影像学鉴别诊断[J]. 放射学实践, 2022, 37(9): 1080-1084.
REN A H, LIU J, YANG D W, et al. Imaging differential diagnosis of hepatic cystic echinococcosis and mucinous cystic neoplasm[J]. Radiologic Practice, 2022, 37(9): 1080-1084. (in Chinese).
|