Peritoneal cancer index is an integral parameter for preoperative assessment of peritoneal disease. Current imaging modalities including 18F-FDG PET/CT, though superior to CT, underestimate the disease extent, mainly due to its high physiological background activity. Novel “cancer integrin” targeting imaging with 68Ga-trivehexin demonstrates limited physiological activity in the abdomen with superior target-to-background ratio than 18F-FDG PET/CT. Thus, we describe the first case demonstrating potential utility of novel “cancer integrin” αvβ6 imaging agent 68Ga-trivehexin for assessment of disease burden in advanced epithelial ovarian cancer.