Diffusion-weighted imaging and loco-regional N staging of patients with colorectal liver metastases.


Journal

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
ISSN: 1532-2157
Titre abrégé: Eur J Surg Oncol
Pays: England
ID NLM: 8504356

Informations de publication

Date de publication:
03 2019
Historique:
received: 26 05 2018
revised: 19 11 2018
accepted: 23 11 2018
pubmed: 12 12 2018
medline: 8 3 2019
entrez: 12 12 2018
Statut: ppublish

Résumé

Diffusion-weighted MRI (DWI) contributes to N staging of rectal cancers and diagnosis of colorectal liver metastases (CLM). About 15% of CLM patients have loco-regional lymph node (LN) metastases that impact prognosis and treatment strategy. This retrospective study is the first one to evaluate quantitative ADC measurement as a tool to identify metastatic LNs in patients with liver metastases from colorectal cancer. All consecutive patients undergoing surgery for CLM between 2008 and 2015 were considered. Inclusion criteria were: intraoperative retrieval of at least one LN; LN ≥ 5 mm; DWI performed ≤2 months before surgery. The ADC and ADC Among 555 patients operated for CLM, 32 met the inclusion criteria. Fifty-six LNs were analyzed and 28 were metastatic. ADC and ADC In patients with CLM, ADC values < 1.48 x 10

Identifiants

pubmed: 30528892
pii: S0748-7983(18)32016-X
doi: 10.1016/j.ejso.2018.11.018
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

347-352

Informations de copyright

Copyright © 2018. Published by Elsevier Ltd.

Auteurs

Cristiana Bonifacio (C)

Dept. of Radiology, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Luca Viganò (L)

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Paolo Felisaz (P)

Dept. of Radiology, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Egesta Lopci (E)

Dept. of Nuclear Medicine, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Matteo Cimino (M)

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Dario Poretti (D)

Dept. of Radiology, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Matteo Donadon (M)

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Vittorio Pedicini (V)

Dept. of Radiology, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Fabio Procopio (F)

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Arturo Chiti (A)

Dept. of Nuclear Medicine, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Luca Balzarini (L)

Dept. of Radiology, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy.

Guido Torzilli (G)

Division of Hepatobiliary and General Surgery, Department of Surgery, Humanitas Clinical and Research Center, Humanitas University, Rozzano, Milan, Italy. Electronic address: guido.torzilli@hunimed.eu.

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Classifications MeSH