CT Perfusion Imaging Can Predict Patients' Survival and Early Response to Transarterial Chemo-Lipiodol Infusion for Liver Metastases from Colorectal Cancers.

Abstract:

OBJECTIVE:To prospectively evaluate the performance of computed tomography perfusion imaging (CTPI) in predicting the early response to transarterial chemo-lipiodol infusion (TACLI) and survival of patients with colorectal cancer liver metastases (CRLM). MATERIALS AND METHODS:Computed tomography perfusion imaging was performed before and 1 month after TACLI in 61 consecutive patients. Therapeutic response was evaluated on CT scans 1 month and 4 months after TACLI; the patients were classified as responders and non-responders based on 4-month CT scans after TACLI. The percentage change of CTPI parameters of target lesions were compared between responders and non-responders at 1 month after TACLI. The optimal parameter and cutoff value were determined. The patients were divided into 2 subgroups according to the cutoff value. The log-rank test was used to compare the survival rates of the 2 subgroups. RESULTS:Four-month images were obtained from 58 patients, of which 39.7% were responders and 60.3% were non-responders. The percentage change in hepatic arterial perfusion (HAP) 1 month after TACLI was the optimal predicting parameter (p = 0.003). The best cut-off value was -21.5% and patients who exhibited a ≥ 21.5% decrease in HAP had a significantly higher overall survival rate than those who exhibited a < 21.5% decrease (p < 0.001). CONCLUSION:Computed tomography perfusion imaging can predict the early response to TACLI and survival of patients with CRLM. The percentage change in HAP after TACLI with a cutoff value of -21.5% is the optimal predictor.

journal_name

Korean J Radiol

authors

Lv WF,Han JK,Cheng DL,Zhou CZ,Ni M,Lu D

doi

10.3348/kjr.2015.16.4.810

subject

Has Abstract

pub_date

2015-07-01 00:00:00

pages

810-20

issue

4

eissn

1229-6929

issn

2005-8330

journal_volume

16

pub_type

杂志文章
  • Charcoal-induced granuloma that mimicked a nodal metastasis on ultrasonography and FDG-PET/CT after neck dissection.

    abstract::Charcoal can be used for preoperative localization of metastatic lymph nodes in the neck. Charcoal remains stable without causing foreign body reactions during as hort period. However, foreign body reactions may develop if charcoal is left in situ for more than 6 months. We reported a case of charcoal granuloma mimick...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.1.196

    authors: Choi JW,Moon WJ,Choi N,Roh HG,Kim MY,Kim NR,Moon SG,Chung HW,Lim SD,Yang JH

    更新日期:2015-01-01 00:00:00

  • Comparison of clinico-radiological features between congenital cystic neuroblastoma and neonatal adrenal hemorrhagic pseudocyst.

    abstract:OBJECTIVE:To evaluate the radiological and clinical findings of congenital cystic neuroblastomas as compared with those of the cystic presentation of neonatal adrenal hemorrhage. MATERIALS AND METHODS:We analyzed the US (n = 52), CT (n = 24), and MR (n = 4) images as well as the medical records of 28 patients harborin...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2011.12.1.52

    authors: Eo H,Kim JH,Jang KM,Yoo SY,Lim GY,Kim MJ,Kim OH

    更新日期:2011-01-01 00:00:00

  • Aortic dissection presenting with secondary pulmonary hypertension caused by compression of the pulmonary artery by dissecting hematoma: a case report.

    abstract::The rupture of an acute dissection of the ascending aorta into the space surrounding the pulmonary artery is an uncommon occurrence. No previous cases of transient pulmonary hypertension caused by a hematoma surrounding the pulmonary artery have been documented in the literature. Herein, we report a case of acute aort...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2004.5.2.139

    authors: Kim DH,Ryu SW,Choi YS,Ahn BH

    更新日期:2004-04-01 00:00:00

  • Disseminated BCG infection in a patient with severe combined immunodeficiency.

    abstract::Disseminated mycobacterial infection after bacillus Calmette-Guerin (BCG) vaccination is a very rare disorder, occurring mostly in patients with immunologic deficiency. We report a case of disseminated BCG infection in a 16-month-old girl with severe combined immunodeficiency. Plain radiographs showed multiple osteoly...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2000.1.2.114

    authors: Han TI,Kim IO,Kim WS,Yeon KM

    更新日期:2000-04-01 00:00:00

  • Isolated noncompaction of ventricular myocardium: a magnetic resonance imaging study of 11 patients.

    abstract:OBJECTIVE:To retrospectively summarize the cardiac magnetic resonance imaging (CMRI) findings of isolated noncompaction of ventricular myocardium (INVM). MATERIALS AND METHODS:Eleven patients (M:F = 9:2; mean age, 35 years) were evaluated. Steady-state free precession (SSFP), fast spin echo (SE) sequence, SSFP cine im...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2011.12.6.686

    authors: Yun H,Zeng MS,Jin H,Yang S

    更新日期:2011-11-01 00:00:00

  • Case study of hepatic radiofrequency ablation causing a systemic inflammatory response under total intravenous anesthesia.

    abstract:OBJECTIVE:To investigate the effects of hepatic radiofrequency ablation (RFA) in patients with malignant liver disease with respect to inflammation activation and stress response. MATERIALS AND METHODS:In an observational trial, we investigated the physiologic parameters of 17 patients (20 interventions) who underwent...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2010.11.6.640

    authors: Schälte G,Henzler D,Waning C,Tacke J,Rossaint R,Mahnken AH

    更新日期:2010-11-01 00:00:00

  • An unusual radiologic pattern of cryptogenic organizing pneumonia: diffuse pulmonary nodules in a leukemia patient.

    abstract::The radiological appearance of diffuse discrete pulmonary nodules associated with cryptogenic organizing pneumonia (COP) has been rarely described. We describe a case of COP in 49-year-old woman with acute myeloid leukemia who developed diffuse pulmonary nodules during the second course of induction chemotherapy. The ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2009.10.1.93

    authors: Ko KH,Hsu HH,Kao WY,Chang CF,Cheng MF,Huang GS

    更新日期:2009-01-01 00:00:00

  • Ultrasound-Guided Core Needle Biopsy Techniques for Intermediate or Low Suspicion Thyroid Nodules: Which Method is Effective for Diagnosis?

    abstract:OBJECTIVE:To retrospectively compare the diagnostic performances of two different ultrasound (US)-guided core needle biopsy (CNB) techniques for intermediate or low suspicion thyroid nodules. MATERIALS AND METHODS:Between August 2015 and December 2016, two different biopsy techniques were alternatively applied for 248...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2018.0841

    authors: Hahn SY,Shin JH,Oh YL,Park KW

    更新日期:2019-10-01 00:00:00

  • Is There a Correlation between the Presence of a Spiculated Mass on Mammogram and Luminal A Subtype Breast Cancer?

    abstract:OBJECTIVE:To determine whether the appearance of a spiculated mass on a mammogram is associated with luminal A subtype breast cancer and the factors that may influence the presence or absence of the spiculated mass. MATERIALS AND METHODS:Three hundred seventeen (317) patients who underwent image-guided or surgical bio...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2016.17.6.846

    authors: Liu S,Wu XD,Xu WJ,Lin Q,Liu XJ,Li Y

    更新日期:2016-11-01 00:00:00

  • In-vivo proton magnetic resonance spectroscopy in adnexal lesions.

    abstract:OBJECTIVE:To explore the in-vivo 1H- MR spectral features of adnexal lesions and to characterize the spectral patterns of various pathologic entities. MATERIALS AND METHODS:Thirty-one patients with surgically and histopathologically confirmed adnexal lesions underwent short echo-time STEAM (stimulated echo acquisition...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2002.3.2.105

    authors: Cho SW,Cho SG,Lee JH,Kim HJ,Lim MK,Kim JH,Suh CH

    更新日期:2002-04-01 00:00:00

  • Pulmonary metastases of alveolar soft-part sarcoma: CT findings in three patients.

    abstract::Alveolar soft-part sarcoma is a rare soft tissue sarcoma of young adults with unknown histogenesis, and the organ most frequently involved in metastasis is the lung. We report the CT findings of three patients of pulmonary metastases of alveolar soft-part sarcoma, which manifested as clearly enhanced pulmonary nodules...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2000.1.1.56

    authors: Choi JI,Goo JM,Seo JB,Kim HY,Park CK,Im JG

    更新日期:2000-01-01 00:00:00

  • Middle East Respiratory Syndrome-Coronavirus Infection: A Case Report of Serial Computed Tomographic Findings in a Young Male Patient.

    abstract::Radiologic findings of Middle East respiratory syndrome (MERS), a novel coronavirus infection, have been rarely reported. We report a 30-year-old male presented with fever, abdominal pain, and diarrhea, who was diagnosed with MERS. A chest computed tomographic scan revealed rapidly developed multifocal nodular consoli...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2016.17.1.166

    authors: Choi WJ,Lee KN,Kang EJ,Lee H

    更新日期:2016-01-01 00:00:00

  • An engineering view on megatrends in radiology: digitization to quantitative tools of medicine.

    abstract::Within six months of the discovery of X-ray in 1895, the technology was used to scan the interior of the human body, paving the way for many innovations in the field of medicine, including an ultrasound device in 1950, a CT scanner in 1972, and MRI in 1980. More recent decades have witnessed developments such as digit...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章,评审

    doi:10.3348/kjr.2013.14.2.139

    authors: Kim N,Choi J,Yi J,Choi S,Park S,Chang Y,Seo JB

    更新日期:2013-03-01 00:00:00

  • MRI findings of rectal submucosal tumors.

    abstract::Rectal submucosal lesions encompass a wide variety of benign and malignant tumors involving the rectum. With optical colonoscopy, any mass-like protrusion covered by normal mucosa, whether the underlying process is intramural or extramural in origin, may be reported as a submucosal lesion. Whereas the assessment of su...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章,评审

    doi:10.3348/kjr.2011.12.4.487

    authors: Kim H,Kim JH,Lim JS,Choi JY,Chung YE,Park MS,Kim MJ,Kim KW,Kim SK

    更新日期:2011-07-01 00:00:00

  • Diagnostic Value of Computed Tomography in Crohn's Disease Patients Presenting with Acute Severe Lower Gastrointestinal Bleeding.

    abstract:Objective:To investigate the diagnostic yield of contrast-enhanced computed tomography (CT) in Crohn's disease (CD) patients presenting with acute severe lower gastrointestinal bleeding (LGIB), and the role of CT in predicting the risk of rebleeding. Materials and Methods:A consecutive series of 110 CD patients presen...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2018.19.6.1089

    authors: Lee S,Ye BD,Park SH,Lee KJ,Kim AY,Lee JS,Kim HJ,Yang SK

    更新日期:2018-11-01 00:00:00

  • Radiofrequency ablation combined with transcatheter arterial chemoembolization for the treatment of single hepatocellular carcinoma of 2 to 5 cm in diameter: comparison with surgical resection.

    abstract:OBJECTIVE:To compare the effectiveness of radiofrequency ablation (RFA) combined with transcatheter arterial chemoembolization (TACE) with surgical resection in patients with a single hepatocellular carcinoma (HCC) ranging from 2 to 5 cm. MATERIALS AND METHODS:The study participants were enrolled over a period of 29 m...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2013.14.4.626

    authors: Kim JW,Shin SS,Kim JK,Choi SK,Heo SH,Lim HS,Hur YH,Cho CK,Jeong YY,Kang HK

    更新日期:2013-07-01 00:00:00

  • Accuracy of Diffusion Tensor Imaging for Diagnosing Cervical Spondylotic Myelopathy in Patients Showing Spinal Cord Compression.

    abstract:OBJECTIVE:To assess the performance of diffusion tensor imaging (DTI) for the diagnosis of cervical spondylotic myelopathy (CSM) in patients with deformed spinal cord but otherwise unremarkable conventional magnetic resonance imaging (MRI) findings. MATERIALS AND METHODS:A total of 33 patients who underwent MRI of the...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.6.1303

    authors: Lee S,Lee YH,Chung TS,Jeong EK,Kim S,Yoo YH,Kim IS,Yoon CS,Suh JS,Park JH

    更新日期:2015-11-01 00:00:00

  • Assessment of Blood-Brain Barrier Permeability by Dynamic Contrast-Enhanced MRI in Transient Middle Cerebral Artery Occlusion Model after Localized Brain Cooling in Rats.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effects of localized brain cooling on blood-brain barrier (BBB) permeability following transient middle cerebral artery occlusion (tMCAO) in rats, by using dynamic contrast-enhanced (DCE)-MRI. MATERIALS AND METHODS:Thirty rats were divided into 3 groups of 10 rat...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2016.17.5.715

    authors: Kim ES,Lee SK,Kwon MJ,Lee PH,Ju YS,Yoon DY,Kim HJ,Lee KS

    更新日期:2016-09-01 00:00:00

  • Effect of ultrasound-guided radiofrequency ablation in incompletely treated hepatocellular carcinoma after transcatheter arterial chemoembolization.

    abstract:OBJECTIVE:To evaluate the effectiveness of ultrasound-guided radiofrequency (RF) ablation in patients with incompletely treated hepatocellular carcinoma (HCC) after transcatheter arterial chemoembolization (TACE) and to evaluate possible prognostic factors for this therapy. SUBJECTS AND METHODS:Thirty nine patients wi...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2012.13.S1.S104

    authors: Chang NK,Shin SS,Kim JW,Kim HJ,Jeong YY,Heo SH,Kim JK,Kang HK

    更新日期:2012-01-01 00:00:00

  • Percutaneous ultrasound-guided vacuum-assisted removal versus surgery for breast lesions showing imaging-histology discordance after ultrasound-guided core-needle biopsy.

    abstract:OBJECTIVE:To evaluate the upgrade rate and delayed false-negative results of percutaneous vacuum-assisted removal (VAR) and surgical excision in women with imaging-histologic discordance during ultrasound (US)-guided automated core needle biopsy (CNB) of the breast and to validate the role of VAR as a rebiopsy method f...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2014.15.6.697

    authors: Sohn YM,Yoon JH,Kim EK,Moon HJ,Kim MJ

    更新日期:2014-11-01 00:00:00

  • MRI Inter-Reader and Intra-Reader Reliabilities for Assessing Injury Morphology and Posterior Ligamentous Complex Integrity of the Spine According to the Thoracolumbar Injury Classification System and Severity Score.

    abstract:OBJECTIVE:To evaluate spine magnetic resonance imaging (MRI) inter-reader and intra-reader reliabilities using the thoracolumbar injury classification system and severity score (TLICS) and to analyze the effects of reader experience on reliability and the possible reasons for discordant interpretations. MATERIALS AND ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.4.889

    authors: Lee GY,Lee JW,Choi SW,Lim HJ,Sun HY,Kang Y,Chai JW,Kim S,Kang HS

    更新日期:2015-07-01 00:00:00

  • Radiological findings in a case of multiple focal nodular hyperplasia associated with portal vein atresia and portopulmonary hypertension.

    abstract::We present here the radiological findings of a rare case of multiple focal nodular hyperplasia that was associated with portal vein atresia and portopulmonary hypertension in a young woman. This case illustrates and supports the pathophysiological hypotheses that were previously proposed for the coexistence of these t...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2008.9.4.386

    authors: Lee IJ,Jeong SH,Choi JW,Park HS,Lee KH,Kim H

    更新日期:2008-07-01 00:00:00

  • Efficacy of barium-based fecal tagging for CT colonography: a comparison between the use of high and low density barium suspensions in a Korean population - a preliminary study.

    abstract:OBJECTIVE:This preliminarily study was designed to determine and to compare the efficacy of two commercially available barium-based fecal tagging agents for CT colonography (CTC) (high-density [40% w/v] and low-density [4.6% w/v] barium suspensions) in a population in Korea. MATERIALS AND METHODS:In a population with ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2009.10.1.25

    authors: Kim MJ,Park SH,Lee SS,Byeon JS,Choi EK,Kim JH,Kim YN,Kim AY,Ha HK

    更新日期:2009-01-01 00:00:00

  • The value of ultrasound-guided tattooing localization of nonpalpable breast lesions.

    abstract:OBJECTIVE:To investigate the value of ultrasound-guided tattooing localization (US-tattoo) using a charcoal suspension for breast lesions. MATERIALS AND METHODS:One hundred sixty-four nonpalpable breast lesions in 134 patients (mean age 47 years; range 30-74 years) were marked with a charcoal suspension under US guida...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2007.8.4.295

    authors: Ko K,Han BK,Jang KM,Choe YH,Shin JH,Yang JH,Nam SJ

    更新日期:2007-07-01 00:00:00

  • A suspicious breast lesion detected by dynamic contrast-enhanced MRI and pathologically confirmed as capillary hemangioma: a case report and literature review.

    abstract::Breast capillary hemangioma is a type of benign vascular tumor which is rarely seen. Little is known about its presentation on dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI). Here, we describe a case of suspicious breast lesion detected by DCE-MRI and pathologically confirmed as capillary hemangioma. O...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2013.14.6.869

    authors: Yang LH,Ma S,Li QC,Xu HT,Wang X,Wang EH

    更新日期:2013-11-01 00:00:00

  • Biliary ascariasis: MR cholangiography findings in two cases.

    abstract::We describe the imaging features of two cases of biliary ascariasis. Ultrasonography and CT showed no specific abnormal findings, but MR cholangiography clearly demonstrated an intraductal linear filling defect that led to the correct diagnosis. MR cholangiography is thus a useful technique for the diagnosis of biliar...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2001.2.3.175

    authors: Hwang CM,Kim TK,Ha HK,Kim PN,Lee MG

    更新日期:2001-07-01 00:00:00

  • Nodule detection in a lung region that's segmented with using genetic cellular neural networks and 3D template matching with fuzzy rule based thresholding.

    abstract:OBJECTIVE:The purpose of this study was to develop a new method for automated lung nodule detection in serial section CT images with using the characteristics of the 3D appearance of the nodules that distinguish themselves from the vessels. MATERIALS AND METHODS:Lung nodules were detected in four steps. First, to redu...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2008.9.1.1

    authors: Ozekes S,Osman O,Ucan ON

    更新日期:2008-01-01 00:00:00

  • A new technique for superselective catheterization of arteries: preshaping of a micro-guide wire into a shepherd's hook form.

    abstract:OBJECTIVE:We wanted to introduce a new technique for superselective catheterization of arteries with preshaping of a micro-guide wire into a shepherd's hook form, and this is useful for superselection of small arteries branching at an acute angle from a large parent artery for the treatment of tumors and hemorrhages. ...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2007.8.3.225

    authors: Baek JH,Chung JW,Jae HJ,Lee W,Park JH

    更新日期:2007-05-01 00:00:00

  • Needle tract implantation after percutaneous interventional procedures in hepatocellular carcinomas: lessons learned from a 10-year experience.

    abstract::Percutaneous interventional procedures under image guidance, such as biopsy, ethanol injection therapy, and radiofrequency ablation play important roles in the management of hepatocellular carcinomas. Although uncommon, the procedures may result in tumor implantation along the needle tract, which is a major delayed co...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2008.9.3.268

    authors: Chang S,Kim SH,Lim HK,Kim SH,Lee WJ,Choi D,Kim YS,Rhim H

    更新日期:2008-05-01 00:00:00

  • Cervical interlaminar epidural steroid injection for unilateral cervical radiculopathy: comparison of midline and paramedian approaches for efficacy.

    abstract:OBJECTIVE:The objective of this study was to compare the clinical outcomes of the cervical interlaminar epidural steroid injection (CIESI) for unilateral radiculopathy by the midline or paramedian approaches and to determine the prognostic factors of CIESI. MATERIALS AND METHODS:We retrospectively analyzed 182 patient...

    journal_title:Korean journal of radiology

    pub_type: 杂志文章

    doi:10.3348/kjr.2015.16.3.604

    authors: Yoon JY,Kwon JW,Yoon YC,Lee J

    更新日期:2015-05-01 00:00:00