Imaging strategies before beginning treatment of colorectal liver metastases

Diagn Interv Imaging. 2014 May;95(5):505-12. doi: 10.1016/j.diii.2014.03.007. Epub 2014 Apr 30.

Abstract

The management of colorectal intrahepatic metastases before resection is multidisciplinary and radiologists and nuclear medicine specialists play a major role. In accordance with the French National Guide for appropriate use of diagnostic imaging, the approach should be multimodal: a chest-abdomen and pelvic (CAP) CT scan and hepatic MRI are mandatory while PET-CT provides important additional information, in particular on intra-abdominal extrahepatic metastases. This multimodal approach emphasizes the importance of early and appropriate use of imaging in these patients, as well as the central role of multidisciplinary meetings in oncology.

Keywords: CT scan; Colorectal cancer; MRI; Metastatic lesions; PET-CT.

Publication types

  • Review

MeSH terms

  • Colorectal Neoplasms / diagnosis*
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / therapy*
  • Combined Modality Therapy
  • Cooperative Behavior
  • Diagnostic Imaging / methods*
  • Disease Progression
  • Humans
  • Interdisciplinary Communication
  • Liver Neoplasms / diagnosis*
  • Liver Neoplasms / pathology
  • Liver Neoplasms / secondary*
  • Liver Neoplasms / therapy*
  • Magnetic Resonance Imaging / methods
  • Multimodal Imaging / methods
  • Positron-Emission Tomography / methods
  • Prognosis
  • Tomography, X-Ray Computed / methods