[Follow-up of patients with ovarial carcinomas from the point of view of the radiologist].

During a radiotherapy of ovarial carcinomas and other gynecologic tumors, special attention must be given to the reaction of the organs of urinary excretion as well as of the small and large intestine, especially if the irradiation is applied by the moving strip method or as an abdominal bain with an irradiation field comprising the whole abdominal and diaphragmatic region. The early and late radiogenic reactions of our great number of patients were routinely examined. A continuous control of the urinary excretion conditions before, during and after radiotherapy is absolutely necessary. These examinations are also of high relevance with regard to the early recognition of recurrences. An additional control of the rectum and sigmoid region is necessary with respect to late lesions. Regular ultrasonic or CT examinations are important in order to early recognize metastases in the preferred regions of formation of metastases which are hardly accessible by other methods (intraperitoneal dissemination with ascites, surface of the diaphragm, local extension, retroperitoneal lymph nodes, and transdiaphragmatic extension to the interpleural lymph nodes). Finally the authors present their first experiences with the NMR technique in radio-oncology and discuss the value of tumor markers in case of ovarial carcinomas.