Role of imaging for patients with colorectal hepatic metastases: what the radiologist needs to know

Verfasser / Beitragende:
[Michael Reiter, Nathan Hannemann, Ryan Schwope, Christopher Lisanti, Peter Learn]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/8(2015-10-01), 3029-3042
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0507-8  |2 doi 
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245 0 0 |a Role of imaging for patients with colorectal hepatic metastases: what the radiologist needs to know  |h [Elektronische Daten]  |c [Michael Reiter, Nathan Hannemann, Ryan Schwope, Christopher Lisanti, Peter Learn] 
520 3 |a Surgical resection of colorectal metastatic disease has increased as surgeons have adopted a more aggressive ideology. Current exclusion criteria are patients for whom a negative resection margin is not feasible or a future liver remnant (FLR) of greater than 20% is not achievable. The goal of preoperative imaging is to identify the number and distribution of liver metastases, in addition to establishing their relation to relevant intrahepatic structures. FLR can be calculated utilizing cross-sectional imaging to select out patients at risk for hepatic dysfunction after resection. MRI, specifically with gadoxetic acid contrast, is currently the preferred modality for assessment of hepatic involvement for patients with newly diagnosed colorectal cancer, to include those who have undergone neoadjuvant chemotherapy. Employment of liver-directed therapies has recently expanded and they may provide an alternative to hepatectomy in order to obtain locoregional control in poor surgical candidates or convert patients with initially unresectable disease into surgical candidates. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Colorectal cancer  |2 nationallicence 
690 7 |a Hepatic metastases  |2 nationallicence 
690 7 |a Portal vein embolization  |2 nationallicence 
690 7 |a CT  |2 nationallicence 
690 7 |a MRI  |2 nationallicence 
700 1 |a Reiter  |D Michael  |u Department of Radiology, Stony Brook University Medical Center, HSC Level 4, Room 120 East Loop Road, 11794, Stony Brook, NY, USA  |4 aut 
700 1 |a Hannemann  |D Nathan  |u Department of Radiology, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
700 1 |a Schwope  |D Ryan  |u Department of Radiology, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
700 1 |a Lisanti  |D Christopher  |u Department of Radiology, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
700 1 |a Learn  |D Peter  |u Department of Surgery, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Reiter  |D Michael  |u Department of Radiology, Stony Brook University Medical Center, HSC Level 4, Room 120 East Loop Road, 11794, Stony Brook, NY, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hannemann  |D Nathan  |u Department of Radiology, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Schwope  |D Ryan  |u Department of Radiology, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lisanti  |D Christopher  |u Department of Radiology, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Learn  |D Peter  |u Department of Surgery, Brooke Army Medical Center, San Antonio, TX, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/8(2015-10-01), 3029-3042  |x 0942-8925  |q 40:8<3029  |1 2015  |2 40  |o 261