دورية أكاديمية
Incidental Ring-hyperenhancing Liver Micronodules at CT Hepatic Arteriography-guided Percutaneous Thermal Ablation of Colorectal Liver Metastases.
| العنوان: | Incidental Ring-hyperenhancing Liver Micronodules at CT Hepatic Arteriography-guided Percutaneous Thermal Ablation of Colorectal Liver Metastases. |
|---|---|
| المؤلفون: | Albuquerque J; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., Lin YM; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., Paolucci I; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., O'Connor CS; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., Tzeng CW; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., Vauthey JN; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., Brock KK; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030., Odisio BC; From the Department of Interventional Radiology (J.A., Y.M.L., I.P., B.C.O.), Department of Imaging Physics (C.S.O., K.K.B.), and Department of Surgical Oncology (C.W.T., J.N.V.), The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Unit 1484, Houston, TX 77030. |
| المصدر: | Radiology. Imaging cancer [Radiol Imaging Cancer] 2024 Mar; Vol. 6 (2), pp. e230099. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Radiological Society of North America, Inc Country of Publication: United States NLM ID: 101765309 Publication Model: Print Cited Medium: Internet ISSN: 2638-616X (Electronic) Linking ISSN: 2638616X NLM ISO Abbreviation: Radiol Imaging Cancer Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oak Brook, IL : Radiological Society of North America, Inc., [2019]- |
| مواضيع طبية MeSH: | Liver Neoplasms*/diagnostic imaging , Liver Neoplasms*/surgery , Colorectal Neoplasms*/diagnostic imaging, Humans ; Male ; Female ; Middle Aged ; Retrospective Studies ; Angiography/methods ; Tomography, X-Ray Computed/methods |
| مستخلص: | CT during hepatic arteriography (CTHA) is a highly sensitive imaging method for detecting colorectal liver metastases (CLMs), which supports its use during percutaneous thermal liver ablation. In contrast to its high sensitivity, its specificity for incidental small CLMs not detected at preablation cross-sectional imaging is believed to be low given the absence of specific imaging signatures and the common presence of pseudolesions. In this retrospective study of 22 patients (mean age, 55 years ± 10.6 [SD]; 63.6% male, 36.4% female) with CLMs undergoing CTHA-guided microwave percutaneous thermal ablation between November 2017 and October 2022, the authors provided a definition of incidental ring-hyperenhancing liver micronodules (RHLMs) and investigated whether there is a correlation of RHLMs with histologic analysis or intrahepatic tumor progression at imaging follow-up after applying a biomechanical deformable image registration method. The analysis revealed 25 incidental RHLMs in 41.7% (10 of 24) of the CTHA images from the respective guided ablation sessions. Of those, four RHLMs were ablated. Among the remaining 21 RHLMs, 71.4% (15 of 21) were confirmed to be CLM with either histology ( n = 3) or imaging follow-up ( n = 12). The remaining 28.6% (six of 21) of RHLMs were not observed at follow-up imaging. This suggests that RHLMs at CTHA may be an early indicator of incidental small CLMs. Keywords: Colorectal Neoplasms, Liver, Angiography, CT, Incidental Findings, Ablation Supplemental material is available for this article. © RSNA, 2024. |
| References: | Can Assoc Radiol J. 2018 Feb;69(1):51-62. (PMID: 29458955) Biochem Med (Zagreb). 2012;22(3):276-82. (PMID: 23092060) Eur Radiol. 2022 Feb;32(2):1205-1215. (PMID: 34347159) Cancers (Basel). 2021 Aug 04;13(16):. (PMID: 34439081) Radiographics. 2002 Sep-Oct;22(5):1041-51. (PMID: 12235334) J Vasc Interv Radiol. 2015 Apr;26(4):583-7.e1. (PMID: 25805540) Med Phys. 2017 Jul;44(7):3407-3417. (PMID: 28453911) Ann Oncol. 2023 Jan;34(1):10-32. (PMID: 36307056) J Clin Oncol. 2023 Jan 20;41(3):678-700. (PMID: 36252154) Cardiovasc Intervent Radiol. 2023 Mar;46(3):327-336. (PMID: 36609863) Radiology. 1979 Mar;130(3):697-701. (PMID: 218242) Surgery. 1996 May;119(5):511-6. (PMID: 8619205) J Vasc Interv Radiol. 2014 Jul;25(7):1101-1111.e4. (PMID: 24755086) Radiology. 2023 Apr;307(2):e221373. (PMID: 36719291) Radiol Imaging Cancer. 2021 Sep;3(5):e210039. (PMID: 34559007) Radiology. 1992 Oct;185(1):157-61. (PMID: 1523300) Eur Radiol. 2017 Nov;27(11):4837-4845. (PMID: 28484824) World J Gastroenterol. 2004 Nov 1;10(21):3118-21. (PMID: 15457555) |
| معلومات مُعتمدة: | P30 CA016672 United States CA NCI NIH HHS; R01 CA235564 United States CA NCI NIH HHS |
| فهرسة مساهمة: | Keywords: Ablation; Angiography; CT; Colorectal Neoplasms; Incidental Findings; Liver |
| تواريخ الأحداث: | Date Created: 20240216 Date Completed: 20240219 Latest Revision: 20240822 |
| رمز التحديث: | 20240822 |
| مُعرف محوري في PubMed: | PMC10988328 |
| DOI: | 10.1148/rycan.230099 |
| PMID: | 38363196 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2638-616X |
|---|---|
| DOI: | 10.1148/rycan.230099 |