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Preoperative Detection of Hepatic Metastases from the colorectal Cancers: Comparison of Dual-phase CT scan, Mn-DPDP enhanced MRI, and combination of CT and MRI
Journal of the Korean Society of Magnetic Resonance in Medicine ; : 109-116, 2005.
Article Dans Coréen | WPRIM | ID: wpr-91262
ABSTRACT

PURPOSE:

To determine the usefulness of additional Mn-DPDP MRI for preoperative evaluation of the patients with colorectal cancers by comparison of dual-phase CT scan, Mn-DPDP enhanced MRI and combination of CT and MRI. MATERIALS AND

METHODS:

Fifty-three colorectal cancer patients with 92 metastatic nodules underwent dualphase (arterial and portal) helical CT scan and Mn-DPDP MRI prior to surgery. The indication of MRI was presence or suspected of having metastatic lesions at CT scan and/or increased serum carcinoembryonic antigen (CEA) levels (10 ng/mL or more). The diagnosis was established by the combination of findings at surgery, intraoperative ultrasonography, and histopathologic examination. Two radiologists interpreted CT, MRI, and combination of CT-MRI at discrete sessions and evaluated each lesion for location, size, and intrinsic characteristics. The lesions were divided into three groups according to their diameter; 1cm 2 cm. Diagnostic accuracy was evaluated using the alternative-free response receiver operating characteristic method. Detection and false positive rate were also evaluated.

RESULTS:

In the lesions smaller than 1 cm, detection rate of combined CT-MRI was superior to CT or MRI alone (82%, p = 0.036). The mean accuracy (Az values) of combined CT and MRI was significantly higher than that of CT in the lesions smaller than 2 cm (1 cm <, p=0.034; 1-2 cm, p=0.045). However, there was no significant difference between MRI and combined CT-MRI. The false positive rate of CT was higher than those of combined CT-MR in the lesions smaller than 1 cm (28 %, p=0.023).

CONCLUSION:

Additional MRI using Mn-DPDP besides routine CT scan was helpful in differentiating the hepatic lesions (< 2 cm) and could improve detection of the small hepatic metastases (< 1 cm) from colorectal carcinoma.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Imagerie par résonance magnétique / Tumeurs colorectales / Antigène carcinoembryonnaire / Tomodensitométrie / Courbe ROC / Échographie / Tomodensitométrie hélicoïdale / Diagnostic / Métastase tumorale Type d'étude: Etude diagnostique / Étude pronostique Limites du sujet: Humains langue: Coréen Texte intégral: Journal of the Korean Society of Magnetic Resonance in Medicine Année: 2005 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Imagerie par résonance magnétique / Tumeurs colorectales / Antigène carcinoembryonnaire / Tomodensitométrie / Courbe ROC / Échographie / Tomodensitométrie hélicoïdale / Diagnostic / Métastase tumorale Type d'étude: Etude diagnostique / Étude pronostique Limites du sujet: Humains langue: Coréen Texte intégral: Journal of the Korean Society of Magnetic Resonance in Medicine Année: 2005 Type: Article