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Imaging strategies in hepatic metastases from colorectal carcinoma
Author(s) -
Doerr Ralph J.,
Kulaylat Mahmoud N.,
AbdelNabi Hani
Publication year - 1995
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02348737
Subject(s) - medicine , colorectal cancer , radiology , computed tomographic , lung , resection , portography , positron emission tomography , hepatectomy , carcinoma , nuclear medicine , cancer , computed tomography , pathology , surgery , cirrhosis , portal hypertension
Approximately two‐thirds of metastatic lesions that develop following curative resection of colorectal cancer occur in the liver and lung. In select groups of patients, resection of these lesions is associated with increased 5‐year survival. In the liver, precise preoperative documentation of the presence, location, number, and relationship of these lesions to vascular structure is crucial in the selection of candidates for curative resection. Computed tomography with arterial portography (CTAP), intraoperative ultrasonography (IOUS), positron emission tomographic (PET) scan, and radionuclide scanning, including radiolabeled monoclonal antibody imaging, are emerging as the procedures of choice in the preoperative and intraoperative evaluation of metastatic colorectal cancer to the liver.