Detection of liver micrometastases from colorectal origin by perfusion CT in a rat model

作者: Caroline Hatwell , Magaly Zappa , Mathilde Wagner , Nicolas Michoux , Valérie Paradis

DOI: 10.1016/S1499-3872(14)60043-6

关键词:

摘要: Background Some patients with colorectal carcinoma have liver metastases (LMs) which cannot be detected by conventional imaging. This study aimed to assess whether hepatic perfusion changes induced micrometastases can computed tomography (CT). Methods LMs were produced in rats injecting cells into the portal vein. Perfusion CT was performed at microscopic (day 10), interval 17), and macroscopic stage 34). parameters using a dualinput one-compartmental model. Results Micro macro presented mean diameter of 0.5 2.6 mm, respectively. Compared controls, (1.1 mm) significant changes: decrease 42% (P=0.004) 41% (P=0.029) transit time an increase 292% (P=0.073) 240% (P=0.001) delay, Conclusions between 1.1 mm changes, CT. Such detection may help select propose chemotherapy primary tumor resection.

参考文章(32)
Hui-Jie Jiang, Hong Guo, Zai-Ren Zhang, Bao-Zhong Shen, Sheng-Jie Shu, Yong Wan, Functional CT for assessment of early vascular physiology in liver tumors. Hepatobiliary & Pancreatic Diseases International. ,vol. 7, pp. 497- 502 ,(2008)
Warren, Gallagher, Hemingway, Angerson, Bessent, Wotherspoon, Mcardle, Cooke, Prospective assessment of the hepatic perfusion index in patients with colorectal cancer British Journal of Surgery. ,vol. 85, pp. 1708- 1712 ,(2003) , 10.1046/J.1365-2168.1998.00975.X
T S Ahearn, R T Staff, T W Redpath, S I K Semple, The use of the Levenberg-Marquardt curve-fitting algorithm in pharmacokinetic modelling of DCE-MRI data Physics in Medicine and Biology. ,vol. 50, ,(2005) , 10.1088/0031-9155/50/9/N02
Annalisa Macera, Chiara Lario, Massimo Petracchini, Teresa Gallo, Daniele Regge, Irene Floriani, Dario Ribero, Lorenzo Capussotti, Stefano Cirillo, Staging of colorectal liver metastases after preoperative chemotherapy. Diffusion-weighted imaging in combination with Gd-EOB-DTPA MRI sequences increases sensitivity and diagnostic accuracy. European Radiology. ,vol. 23, pp. 739- 747 ,(2013) , 10.1007/S00330-012-2658-0
I. G. Finlay, C. S. McArdle, Occult hepatic metastases in colorectal carcinoma British Journal of Surgery. ,vol. 73, pp. 732- 735 ,(2005) , 10.1002/BJS.1800730918
Naoyuki Yokoyama, Yoshio Shirai, Yoich Ajioka, Shigenori Nagakura, Takeyasu Suda, Katsuyoshi Hatakeyama, Immunohistochemically detected hepatic micrometastases predict a high risk of intrahepatic recurrence after resection of colorectal carcinoma liver metastases Cancer. ,vol. 94, pp. 1642- 1647 ,(2002) , 10.1002/CNCR.10422
Sylvain Manfredi, C??me Lepage, Cyril Hatem, Olivier Coatmeur, Jean Faivre, Anne-Marie Bouvier, Epidemiology and management of liver metastases from colorectal cancer. Annals of Surgery. ,vol. 244, pp. 254- 259 ,(2006) , 10.1097/01.SLA.0000217629.94941.CF
Lucy E. Kershaw, David L. Buckley, Precision in measurements of perfusion and microvascular permeability with T1-weighted dynamic contrast-enhanced MRI. Magnetic Resonance in Medicine. ,vol. 56, pp. 986- 992 ,(2006) , 10.1002/MRM.21040
Y. Panis, J. Ribeiro, Y. Chrétien, B. Nordlinger, Dormant liver metastases: an experimental study British Journal of Surgery. ,vol. 79, pp. 221- 223 ,(1992) , 10.1002/BJS.1800790309