OBJECTIVE. Our objective was to describe a new method for the evaluati
on of peritoneal surfaces in patients with intraperitoneal carcinomato
sis and sarcomatosis. CONCLUSION. Fast spin-echo T2-weighted imaging i
n conjuction with intraperitoneally instilled saline permits detailed
evaluation of peritoneal surfaces, omentum, and mesenteries. The detec
tion of tumor implants is facilitated by their visualization against t
he saline background. Additionally, normal and abnormal saline distrib
ution patterns can be identified. This technique may also be useful in
predicting response to intraperitoneally instilled chemotherapy.