Age

18–any

Sex

FEMALE

Healthy volunteers

Not accepted

Written (signed and dated) informed consent
Age 18 years or over
Suspected or confirmed advanced epithelial ovarian cancer (FIGO stage 3B or more)
Being considered for active anticancer treatment i.e. primary cytoreductive surgery followed by chemotherapy or neoadjuvant chemotherapy followed by interval cytoreductive surgery
Evaluable baseline portal venous phase CT scan prior to surgical or medical treatment for ovarian cancer
Disease visible on pre-treatment portal venous phase baseline CT scan (≥2cm)

Known contra-indication to CT with IV contrast (e.g. contrast allergy, renal failure, inability to lie flat);
Unable to give informed consent;
Known pregnancy;
No visible disease \<2cm on portal venous phase baseline CT scan;
Previous surgery for resection of an adnexal mass;
Significant artefact on CT image for example from metal prostheses that precluded meaningful segmentation of visible disease
Only fit for palliative care at initial presentation

Ovarian Cancer Radiomics Approach in CT Led Evaluation