Assessing splenic enlargement on CT by unidimensional measurement changes in patients with colorectal liver metastases

Verfasser / Beitragende:
[Breanna Joiner, Amber Simpson, Julie Leal, Michael D'Angelica, Richard Do]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/7(2015-10-01), 2338-2344
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0451-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0451-7 
245 0 0 |a Assessing splenic enlargement on CT by unidimensional measurement changes in patients with colorectal liver metastases  |h [Elektronische Daten]  |c [Breanna Joiner, Amber Simpson, Julie Leal, Michael D'Angelica, Richard Do] 
520 3 |a Purpose: The aim of this study was to assess splenic volume and to correlate unidimensional measurements with reference volumetric changes in chemotherapy-treated patients with colorectal cancer (CRC) liver metastases. Methods: Forty consecutive patients were selected from the cohort of a previously reported study of chemotherapy-related morbidity following major hepatectomy for CRC liver metastases. Patients were treated for 6months prior to resection, with imaging performed at baseline and after 6months of chemotherapy. Three unidimensional spleen measurements were recorded—width, thickness, and height (W, T, and H). Reference splenic volume was measured at baseline and after chemotherapy. The best unidimensional splenic measurement was determined by regression analysis. The 95% CI for the predicted values and R 2 values was calculated for each regression. The percentage of volume increase at 6months was calculated. Results: W and H showed the highest correlation with splenic volume prior to and following chemotherapy (R 2=0.65-0.74, p<0.001), while T showed a low correlation (R 2=0.11 and 0.18, p<0.05). The mean reference splenic volume increased after 6months of chemotherapy compared to baseline (326 vs. 278mL). Splenic volume changes showed the highest correlation with changes in W (R 2=0.56, p<0.001), then H (R 2=0.40, p<0.001), but were not significantly correlated with changes in T (R 2=0.01, p=0.055). Conclusions: Our results show the potential utility of measuring changes in splenic width to predict clinically significant changes in splenic volume in chemotherapy-treated patients with CRC liver metastases. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Splenic volume  |2 nationallicence 
690 7 |a Splenomegaly  |2 nationallicence 
690 7 |a Colorectal cancer liver metastases  |2 nationallicence 
690 7 |a Hepatectomy  |2 nationallicence 
690 7 |a CT imaging  |2 nationallicence 
690 7 |a Chemotherapy  |2 nationallicence 
700 1 |a Joiner  |D Breanna  |u Sophie Davis School of Biomedical Education, The City College of New York, 160 Convent Ave, 10031, New York, NY, USA  |4 aut 
700 1 |a Simpson  |D Amber  |u Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
700 1 |a Leal  |D Julie  |u Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
700 1 |a D'Angelica  |D Michael  |u Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
700 1 |a Do  |D Richard  |u Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2338-2344  |x 0942-8925  |q 40:7<2338  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0451-7  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00261-015-0451-7  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Joiner  |D Breanna  |u Sophie Davis School of Biomedical Education, The City College of New York, 160 Convent Ave, 10031, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Simpson  |D Amber  |u Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Leal  |D Julie  |u Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a D'Angelica  |D Michael  |u Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Do  |D Richard  |u Department of Radiology, Memorial Sloan Kettering Cancer Center, 1275 York Ave, 10065, New York, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2338-2344  |x 0942-8925  |q 40:7<2338  |1 2015  |2 40  |o 261