Accuracy of multislice liver CT and MRI for preoperative assessment of colorectal liver metastases after neoadjuvant chemotherapy.

Abstract:

INTRODUCTION:To determine the best imaging modality for preoperative detection, characterization and measurement of colorectal liver metastases (CRLM) after neoadjuvant chemotherapy (NAC). METHODS:A total of 79 lesions in 15 patients with CRLM were included. Following NAC, all patients received multislice liver CT (MSCT) and magnetic resonance imaging (MRI) that were scored by two observers for lesion number, type, diameter (mm) and segmental location. Intraoperative findings, histopathology and follow-up imaging were used as reference standard for surgically treated patients; non-surgical candidates underwent follow-up imaging. RESULTS:Lesion detection rate was similar for MSCT and MRI (76 and 80%, respectively, p = 0.648). Lesion characterization was significantly superior (p = 0.021) at MRI (89%, κ 0.747, p = 0.001) compared to MSCT (77%, κ 0.235, p = 0.005). Interobserver variability for diameter measurement was not significant at MRI (p = 0.909 [95% CI -1.245 to 1.395]), but significant at MSCT (p = 0.028 [95% CI -3.349 to -2.007]). Differences in diameter measurement were independent of observer (p = 0.131), and no statistical effect from imaging modality on diameter measurement was observed (p = 0.095). CONCLUSION:MRI is superior to MSCT in preoperative characterization and measurement of CRLM after NAC. Lesion detection rates for both modalities are comparable.

journal_name

Dig Surg

journal_title

Digestive surgery

authors

van Kessel CS,van Leeuwen MS,van den Bosch MA,Borel Rinkes IH,Mali WP,Westers P,van Hillegersberg R

doi

10.1159/000322390

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

36-43

issue

1

eissn

0253-4886

issn

1421-9883

pii

000322390

journal_volume

28

pub_type

杂志文章
  • Clinical Outcomes of Proximal Gastrectomy versus Total Gastrectomy for Proximal Gastric Cancer: A Systematic Review and Meta-Analysis.

    abstract:INTRODUCTION:The extent of optimal gastric resection for proximal gastric cancer (PGC) continues to remain controversial, and a final consensus is yet to be met. The current study aimed to compare the perioperative outcomes, postoperative complications, and overall survival (OS) of proximal gastrectomy (PG) versus tota...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000506104

    authors: Zhao L,Ling R,Chen J,Shi A,Chai C,Ma F,Zhao D,Chen Y

    更新日期:2021-01-01 00:00:00

  • Treatment of colorectal anastomotic leakage: results of a questionnaire amongst members of the Dutch Society of Gastrointestinal Surgery.

    abstract::Anastomotic leakage after colorectal surgery is correlated with considerable morbidity and mortality. Although many studies focus on risk factors and detection, studies on the treatment strategy for colorectal anastomotic leakage are scarce. A national questionnaire amongst 350 members of the Dutch Society for Gastroi...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000346348

    authors: Daams F,Slieker JC,Tedja A,Karsten TM,Lange JF

    更新日期:2012-01-01 00:00:00

  • Effect of multidisciplinary treatment with high dose rate intraluminal brachytherapy on survival in patients with unresectable esophageal cancer.

    abstract:BACKGROUND:Since carcinoma of the esophagus is usually diagnosed at an advanced stage, many cases of esophageal cancer are beyond possible radical resection and only palliative treatment can be performed in such cases. Therefore, a great deal of discussion has taken place concerning indications for treatment modality, ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018619

    authors: Iwasa M,Ohmori Y,Iwasa Y,Yamamoto A,Inoue A,Maeda H,Kume M,Ogoshi S,Nishioka A,Ogawa Y,Yoshida S

    更新日期:1998-01-01 00:00:00

  • Function and dysfunction of the sphincter of Oddi.

    abstract::In this review, the function of the sphincter of Oddi (SO) is detailed in terms of normal motility, neural and hormonal control of SO function, coordination between gallbladder and SO motility, and correlation of motility of the SO and the duodenum. In addition, SO function tests, such as the morphine Prostigmin test ...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000286464

    authors: Tanaka M

    更新日期:2010-01-01 00:00:00

  • Cross-linked hyaluronic acid films to reduce intra-abdominal postsurgical adhesions in an experimental model.

    abstract:BACKGROUND/AIMS:Intra-abdominal adhesions typically occur after surgically damaged tissues are situated in apposition, leading to fibrotic connections. The goal of this study was to demonstrate the in vivo efficacy of a cross-linked and insoluble hyaluronic acid (HA) film to reduce postsurgical adhesion in a rat model....

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000253872

    authors: Falabella CA,Chen W

    更新日期:2009-02-01 00:00:00

  • Total gastrectomy is not always necessary for advanced gastric cancer of the cardia.

    abstract:BACKGROUND:It is unclear whether total gastrectomy (TG) is always necessary for gastric cancer of the cardia. We therefore investigated whether cardiac cancers treated by TG would have been cured by proximal gastrectomy (PG). METHODS:Photocopies of the resected stomachs of 55 patients who had received TG for cardiac c...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000052000

    authors: Kobayashi T,Sugimura H,Kimura T

    更新日期:2002-01-01 00:00:00

  • Hyperintense basal ganglia on T1-weighted magnetic resonance images following postoperative parenteral nutrition in a pancreatoduodenectomized patient.

    abstract::The authors reported the magnetic resonance imaging (MRI) detection of manganese (Mn) deposition in the basal ganglia of a pancreatoduodenectomized patient following 30-day parenteral nutrition. A multi-trace element supplement solution including 20 micromol Mn/day was parenterally administered for 30 days postoperati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018830

    authors: Iwase K,Kondoh H,Higaki J,Tanaka Y,Yoshikawa M,Hori S,Osuga K,Kamiike W

    更新日期:2000-01-01 00:00:00

  • Robotics in colorectal surgery.

    abstract::Minimally invasive surgery has been shown to offer many advantages to general surgical patients but has not been widely adopted for colorectal disease. Initial fears surrounding the oncological safety of laparoscopic colectomies have largely subsided but the technical challenges still remain. Surgical robots or telema...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000081350

    authors: Hance J,Rockall T,Darzi A

    更新日期:2004-01-01 00:00:00

  • Safety of Proctocolectomy for Ulcerative Colitis Under Elective and Non-Elective Circumstances: Preoperative Corticosteroid Treatment Worsens Outcome.

    abstract:BACKGROUND/AIMS:Approximately 20% of patients undergoing surgery for ulcerative colitis will retain their rectum. A single-stage proctocolectomy could be an appropriate procedure in patients who are definitely not candidates for a later restorative procedure, but it is generally not advised in acutely ill patients. The...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000381033

    authors: Balachandran R,Tøttrup A

    更新日期:2015-01-01 00:00:00

  • Evaluation of surgical outcome scores according to ISGPS definitions in patients undergoing pancreatic resection.

    abstract:AIMS:To evaluate the role of the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), the Portsmouth variant (p-POSSUM) and the Glasgow Prognostic Score (GPS) in predicting outcome after pancreatic surgery with reference to the International Study Group of Pancreatic Surge...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000313693

    authors: Knight BC,Kausar A,Manu M,Ammori BA,Sherlock DJ,O'Reilly DA

    更新日期:2010-01-01 00:00:00

  • A systematic review of the efficacy of gum chewing for the amelioration of postoperative ileus.

    abstract:BACKGROUND:Recent trials have shown promising results for the efficacy of gum chewing for the amelioration of postoperative ileus. This finding could have a major clinical impact since gum chewing is relatively harmless and cheap while postoperative ileus has a significant impact on healthcare. METHODS:Systematic revi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000117822

    authors: de Castro SM,van den Esschert JW,van Heek NT,Dalhuisen S,Koelemay MJ,Busch OR,Gouma DJ

    更新日期:2008-01-01 00:00:00

  • Malignant peripheral nerve sheath tumor of the esophagus.

    abstract:BACKGROUND:Sarcomas of the esophagus are rare representing 0.1-1.5% of all esophageal tumors. We report a case of malignant peripheral nerve sheath tumor (MPNST) of the esophagus in a 60-year-old woman. METHODS:The diagnosis was made preoperatively on endoscopic biopsy and confirmed after tumor resection by immunohist...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000051973

    authors: Manger T,Pross M,Haeckel C,Lippert H

    更新日期:2000-01-01 00:00:00

  • Laparoscopic cholecystectomy to treat patients with asymptomatic gallstones.

    abstract:BACKGROUND/AIMS:The management of patients with silent or asymptomatic gallstones remains controversial. The objective of this study is to determine the complications of laparoscopic cholecystectomy performed to treat patients under 50 years of age with asymptomatic gallstones. METHOD:207 patients, 13-49 years of age ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018876

    authors: Coelho JC,Vizzoto AO,Salvalaggio PR,Tolazzi AR

    更新日期:2000-01-01 00:00:00

  • Short-term outcomes of laparoscopic intersphincteric resection for lower rectal cancer and comparison with open approach.

    abstract:BACKGROUND/AIMS:To evaluate the short-term surgical outcomes of laparoscopic intersphincteric resection (ISR) for lower rectal cancer, and to compare them with a case-control series of open ISR. METHODS:Between July 2002 and March 2011, 29 patients with lower rectal cancer underwent laparoscopic ISR, and 22 of 29 pati...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000332007

    authors: Yamamoto S,Fujita S,Akasu T,Inada R,Takawa M,Moriya Y

    更新日期:2011-01-01 00:00:00

  • Re-Operative Pancreaticoduodenectomy: Challenges and Outcomes.

    abstract:BACKGROUND:Tata Memorial Centre (TMC) is a high-volume centre for pancreatic tumour resections. We found a continually increasing referral of pancreatic tumours for re-evaluation for surgery, after an initial unsuccessful attempt at resection. AIM:To evaluate reasons of initial in-operability, the feasibility of re-op...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000489275

    authors: Bhandare MS,Mehta N,Chaudhari V,Kumar NA,Pai E,Goel M,Shrikhande SV

    更新日期:2019-01-01 00:00:00

  • Early perioperative results and surgical recurrence after strictureplasty and miniresection for complicated Crohn's disease.

    abstract:BACKGROUND/AIMS:Strictureplasty (SP) or miniresective 'bowel-sparing' techniques (MR) can prevent the risk of intestinal stomia and short bowel syndrome in patients affected by Crohn's disease (CD). The aim of this study was to analyze the perioperative morbidity and mortality in 104 of 138 consecutive patients treated...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018845

    authors: Sampietro GM,Cristaldi M,Porretta T,Montecamozzo G,Danelli P,Taschieri AM

    更新日期:2000-01-01 00:00:00

  • Clinical characteristics of gastric cancer with metastasis to the lymph node along the superior mesenteric vein (14v).

    abstract:AIM:We investigated the clinical significance of metastasis to the lymph node (LN) along the superior mesenteric vein (14v) in gastric cancer. METHODS:A retrospective study of 2,513 gastrectomy patients with a 14v dissection was done using the Ganken Igan Database. RESULTS:The incidence of 14v metastasis correlated w...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000165382

    authors: Masuda TA,Sakaguchi Y,Toh Y,Aoki Y,Harimoto N,Taomoto J,Ikeda O,Ohga T,Adachi E,Okamura T

    更新日期:2008-01-01 00:00:00

  • The validity of predicting prognosis by the lymph node ratio in node-positive colon cancer.

    abstract:BACKGROUND/AIMS:Because the TNM system disregards the number of lymph nodes dissected and inter-individual differences exist in the number of regional lymph nodes, the lymph node ratio (LNR), which is estimated by dividing the number of metastatic lymph nodes by the number of dissected lymph nodes, has been proposed as...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000355444

    authors: Sugimoto K,Sakamoto K,Tomiki Y,Goto M,Kojima Y,Komiyama H

    更新日期:2013-01-01 00:00:00

  • Trans- and retroperitoneal endoscopic adrenalectomy: experience in 26 consecutive adrenalectomies.

    abstract:OBJECTIVE:To assess our current concept and results of transperitoneal laparoscopic adrenalectomy (TPLA) and retroperitoneal endoscopic adrenalectomy (ERA) for a variety of benign disorders of the adrenal glands. BACKGROUND DATA:According to the literature, minimal invasive adrenalectomy has shown to be a safe and eff...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000075823

    authors: Giger U,Vonlanthen R,Michel JM,Krähenbühl L

    更新日期:2004-01-01 00:00:00

  • A simple novel model to predict hospital mortality, surgical site infection, and pneumonia in elderly patients undergoing operation.

    abstract:BACKGROUND/AIMS:Predicting models of operative morbidity and mortality in the geriatric population are important in the prevention of adverse surgical outcomes. METHODS:A retrospective review of medical records was performed for patients over 80 years of age who underwent gastrointestinal surgery from 1998 to 2008. R...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000274485

    authors: Huang TS,Hu FC,Fan CW,Lee CH,Jwo SC,Chen HY

    更新日期:2010-08-01 00:00:00

  • Long-term survival after radical resection for pancreatic head and ampullary cancer: a potential role for the EGF-R.

    abstract:BACKGROUND/AIM:Pancreatic cancer has a dismal prognosis. Ampullary cancer (defined as cancer of the ampulla of Vater or the distal common bile duct) has a better prognosis and is thought to be a biologically different tumor. The aim of this study was to find factors that could predict survival after radical (R-0) resec...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000100917

    authors: Smeenk HG,Erdmann J,van Dekken H,van Marion R,Hop WC,Jeekel J,van Eijck CH

    更新日期:2007-01-01 00:00:00

  • Splenic abscess after lithotripsy of pancreatic duct stones.

    abstract::We describe a case of splenic abscess following lithotripsy of pancreatic stones, for which emergency splenectomy eventually had to be performed. It is important to be aware of this complication, because splenic abscess is still a life-threatening entity. ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000050140

    authors: Plaisier PW,den Hoed PT

    更新日期:2001-01-01 00:00:00

  • Influence of the route of reconstruction on morbidity, mortality and local recurrence after esophagectomy for cancer.

    abstract:BACKGROUND:A choice of retrosternal or orthotopic route for reconstruction exists after three-phase esophagectomy with cervical anastomosis. Whether the route of reconstruction affects postoperative morbidity, mortality and recurrence patterns remains controversial. STUDY DESIGN:Patients with cancer of the thoracic es...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000070387

    authors: Wong AC,Law S,Wong J

    更新日期:2003-01-01 00:00:00

  • Prognostic Factors after Curative Resection for Single-Lesion Hepatocellular Carcinoma in Patients with Normal Liver Function: A Historical Cohort Study.

    abstract:BACKGROUND:Hepatic resection for hepatocellular carcinoma (HCC) is now established as the treatment most likely to yield the best outcome. We aimed to clarify the risk factors for HCC recurrence after curative resection of single HCC in patients with normal liver function (NLF). METHODS:The clinical records of 105 pat...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000451066

    authors: Shimoda M,Tago K,Kato M,Aoki T,Kubota K

    更新日期:2017-01-01 00:00:00

  • Feasibility of Endoscopic Submucosal Dissection for Early Esophageal Squamous Cell Carcinoma with Relative Indications.

    abstract:BACKGROUNDS:Endoscopic submucosal dissection (ESD) has been widely performed in the treatment of early esophageal squamous cell carcinoma (ESCC). Few studies have compared the long-term outcomes of esophageal ESD based on absolute indications and relative indications. The aim of the current study was to investigate the...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000507437

    authors: Liu Y,Qian D,Tang B,Fan C,Yu J,Lin H,Bai J,Zhao X

    更新日期:2021-01-01 00:00:00

  • Preoperative Endoscopy and Its Impact on Perioperative Management in Bariatric Surgery.

    abstract:BACKGROUND:The role of preoperative upper-gastrointestinal endoscopy for bariatric surgery is still understood only with controversy. The aim of this study was to evaluate the prevalence of endoscopic findings and its impact on perioperative management. METHODS:Patients who underwent bariatric surgery at our center be...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000381811

    authors: Wiltberger G,Bucher JN,Schmelzle M,Hoffmeister A,Dietrich A

    更新日期:2015-01-01 00:00:00

  • Perforated peptic ulcer disease: a review of history and treatment.

    abstract:BACKGROUND:In the last one hundred years much has been written on peptic ulcer disease and the treatment options for one of its most common complications: perforation. The reason for reviewing the literature was evaluating most common ideas on how to treat perforated peptic ulcers (PPU) in general, opinions on conserva...

    journal_title:Digestive surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1159/000264653

    authors: Bertleff MJ,Lange JF

    更新日期:2010-08-01 00:00:00

  • Effects of perioperative treatment with TNP-470 on the resistance of colonic anastomoses in rats.

    abstract:AIMS:The present study was designed to evaluate the effects of perioperative treatment with TNP-470 on the resistance of colonic anastomoses. TNP-470 is a drug that was developed as an inhibitor of angiogenesis. METHODS:A colonic anastomosis was constructed in Sprague-Dawley rats. From 4 days before surgery to 4 days ...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000018820

    authors: García-Olmo DC,Payá J,García-Olmo D

    更新日期:2000-01-01 00:00:00

  • Role of perfusion CT in assessing tumor blood flow and malignancy level of gastric cancer.

    abstract:BACKGROUND/AIMS:Intratumoral hemodynamics or tumor perfusion is useful in understanding the pathological background of the cancer. A parameter for a non-invasive, preoperative assessment of tumor perfusion has yet to be developed. METHODS:The study included 50 patients who underwent surgery for gastric cancer. Perfusi...

    journal_title:Digestive surgery

    pub_type: 杂志文章,评审

    doi:10.1159/000288703

    authors: Satoh A,Shuto K,Okazumi S,Ohira G,Natsume T,Hayano K,Narushima K,Saito H,Ohta T,Nabeya Y,Yanagawa N,Matsubara H

    更新日期:2010-01-01 00:00:00

  • The abdominal cocoon: a case report.

    abstract::The abdominal cocoon is a rare disease that is characterized by a total or partial encasement of the small bowel by a thick and fibrotic membrane. Thirty-five cases were reported since it was first described. It occurs primarily in females. Preoperative diagnosis is a matter of challenge and usually made at laparotomy...

    journal_title:Digestive surgery

    pub_type: 杂志文章

    doi:10.1159/000065827

    authors: Hamaloglu E,Altun H,Ozdemir A,Ozenc A

    更新日期:2002-01-01 00:00:00