Life (Sep 2021)

Radiologist Checklist for Selecting Patients to Undergo PIPAC (Pressurized IntraPeritoneal Aerosol Chemotherapy)

  • Elena Rodolfino,
  • Margo’ Di Marco,
  • Alessia Ilot,
  • Roberto Iezzi,
  • Benedetta Gui,
  • Giacomo Avesani,
  • Camilla Panico,
  • Antonia Strippoli,
  • Andrea Di Giorgio,
  • Fabio Pacelli,
  • Riccardo Manfredi

DOI
https://doi.org/10.3390/life11090941
Journal volume & issue
Vol. 11, no. 9
p. 941

Abstract

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Peritoneal carcinomatosis frequently occurs in advanced gastrointestinal and gynecological cancers. As factors such as poor drug uptake and distribution cause chemotherapy to be less effective, alternative therapies have been explored. Introduced in 2013, PIPAC (pressurized intraperitoneal aerosol chemotherapy) uses aerosolized chemotherapeutics sprayed into the patient’s peritoneal cavity using a laparoscopic approach. Despite the literature showing encouraging data regarding the tolerability and efficacy of PIPAC, there is a lack of articles on the role that imaging plays in selecting patients suitable for PIPAC. The aim of this study is to combine literature-based evidence and clinical experience to provide information able to support training radiologists, as well as experienced radiologists interested in innovative therapies.

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