Cited 18 times in
Use of liver magnetic resonance imaging after standard staging abdominopelvic computed tomography to evaluate newly diagnosed colorectal cancer patients
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 한기창 | - |
dc.date.accessioned | 2018-03-26T17:13:06Z | - |
dc.date.available | 2018-03-26T17:13:06Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0003-4932 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/157361 | - |
dc.description.abstract | OBJECTIVE: To investigate the impact of liver magnetic resonance imaging (MRI) in staging evaluation of newly diagnosed colorectal cancer patients. BACKGROUND: No clear guidelines regarding how to use liver MRI in evaluating newly diagnosed colorectal cancer. METHODS: We included 863 adults who had newly diagnosed colorectal cancer without concomitant malignancies and received portal-phase contrast-enhanced abdominopelvic computed tomography (CT). Patients who had diminutive indeterminate hypoattenuating ["too-small-to-characterize" (TSTC)] hepatic lesions without other suspicious/indeterminate findings (TSTC-liver-on-CT), metastasis-negative hepatic findings (negative-liver-on-CT), and hepatic lesions suspicious or indeterminate for metastasis excluding TSTC lesions as seen on CT were identified. Per-patient rate of hepatic metastasis unsuspected by CT and the diagnostic yield of liver MRI for such lesions were assessed. RESULTS: There were 261 TSTC-liver-on-CT patients, 464 negative-liver-on-CT patients, and 138 patients with suspicious hepatic findings on CT. Among TSTC-liver-on-CT patients, the rate of hepatic metastasis was 2.2% (5/230, excluding patients without follow-up) and the yield of liver MRI was 3% (3/96). Negative-liver-on-CT patients gave the MRI yield of 0% (0/94). Among negative-liver-on-CT patients, the rate of hepatic metastasis discovered within 6 months of curative surgery was 1.1% (4/350, excluding patients without follow-up) when the liver was cleared by negative CT alone and 2% (2/88, excluding patients without follow-up) when cleared also by negative MRI (P = 0.347). Among the patients who had suspicious hepatic findings on CT, the MRI yield was 25% (19/77). CONCLUSIONS: The diagnostic yield of liver MRI for hepatic metastasis was very low in newly diagnosed colorectal cancer patients who showed TSTC hepatic lesions or metastasis-negative hepatic findings on CT. Staging liver MRI is likely unnecessary for them. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Lippincott Williams & Wilkins | - |
dc.relation.isPartOf | ANNALS OF SURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Colorectal Neoplasms/diagnostic imaging | - |
dc.subject.MESH | Colorectal Neoplasms/pathology* | - |
dc.subject.MESH | Contrast Media | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Liver Neoplasms/diagnostic imaging | - |
dc.subject.MESH | Liver Neoplasms/secondary* | - |
dc.subject.MESH | Magnetic Resonance Imaging/methods* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Tomography, X-Ray Computed/methods* | - |
dc.title | Use of liver magnetic resonance imaging after standard staging abdominopelvic computed tomography to evaluate newly diagnosed colorectal cancer patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Radiology | - |
dc.contributor.googleauthor | Kichang Han | - |
dc.contributor.googleauthor | Seong Ho Park | - |
dc.contributor.googleauthor | Kyung Won Kim | - |
dc.contributor.googleauthor | Hyoung Jung Kim | - |
dc.contributor.googleauthor | Seung Soo Lee | - |
dc.contributor.googleauthor | Jin Cheon Kim | - |
dc.contributor.googleauthor | Chang Sik Yu | - |
dc.contributor.googleauthor | Seok-Byung Lim | - |
dc.contributor.googleauthor | Yo-Sub Joo | - |
dc.contributor.googleauthor | Ah Young Kim | - |
dc.contributor.googleauthor | Hyun Kwon Ha | - |
dc.identifier.doi | 10.1097/SLA.0000000000000708 | - |
dc.contributor.localId | A05062 | - |
dc.relation.journalcode | J00178 | - |
dc.identifier.eissn | 1528-1140 ( | - |
dc.identifier.pmid | 24866542 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000658-201503000-00012&LSLINK=80&D=ovft | - |
dc.subject.keyword | colon cancer | - |
dc.subject.keyword | liver | - |
dc.subject.keyword | magnetic resonance | - |
dc.subject.keyword | metastasis | - |
dc.subject.keyword | MRI | - |
dc.subject.keyword | rectal cancer | - |
dc.subject.keyword | staging | - |
dc.contributor.alternativeName | Han, Ki Chang | - |
dc.contributor.affiliatedAuthor | Han, Ki Chang | - |
dc.citation.volume | 261 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 480 | - |
dc.citation.endPage | 486 | - |
dc.identifier.bibliographicCitation | ANNALS OF SURGERY, Vol.261(3) : 480-486, 2015 | - |
dc.identifier.rimsid | 42393 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.