The role of ultrasonic diagnostics of liver metastates in designing surgical treatment strategy
Tat’yana Yu. Danzanova , G. T Sinyukova , E. A Gudilina , V. N Sholohov , P. I Lepedatu , L. A Kostyakova , G. F Allahverdieva , S. N Berdnikov
Russian Journal of Oncology ›› 2015, Vol. 20 ›› Issue (3) : 23 -27.
The role of ultrasonic diagnostics of liver metastates in designing surgical treatment strategy
Aim. Determining the role of ultrasound examination in the diagnostics of liver metastases at the preoperative stage. Methods. 518 patients with secondary tumors in the liver underwent ultrasonic study (US). The results were compared with the data of other methods, biopsy, surgical palpation and histopathalogical study of the resected samples. Results. US strategy of metastasis diagnostics evaluates the number, size, and localization of lesions; the data remain valid for about a month. These data are used in surgery planning considering individual course of diseases and chemotherapy results. US metastasis diagnostics sensitivity, specificity and accuracy were 95.2%, 26.8%, 89.8%, respectively. We developed a methodology for accurate determination of lesion sites in the liver. The study showed that chemotherapy could worsen US results. The authors give practical recommendations for optimization ofpreoperative diagnostics. Conclusion. Ultrasound diagnostics demonstrated high effectiveness in determination of number, size, and precise localization of metastatic liver lesions that allows recommending this method for wide use in surgery planning.
liver metastasis / ultrasound / diagnostics / X-Ray computer tomography / magnetic resonance imaging
| [1] |
Yang S., Hongjinda S., Hanna S.S. et al. Utility of preoperative imaging in evaluating colorectal liver metastases declines over time. HPB (Oxford). 2010; 12(9): 605-9. |
| [2] |
Зогот С.Р., Акберов Р.Ф. Частота, лучевая семиотика метастазов в печень опухолей различной локализации по результатам комплексного лучевого. Практическая медицина. 2013; 67(2): 119-22. |
| [3] |
Palmucci S. Focal liver lesions detection and characterization. World J. Hepatol. 2014; 6(7): 477-85. |
| [4] |
Ward J., Robinson P.J., Guthrie J.A. et al. Liver metastases in candidates for hepatic resection: comparison of helical CT and gadolinium- and SPIO-enhanced MR imaging. Radiology. 2005; 237(1): 170-80. |
| [5] |
Schima W., Kulinna C., Langenberger H., Ba-Ssalamah A. Liver metastases of colorectal cancer: US, CT or MR? Cancer Imag. 2005; 5: 149-56. |
| [6] |
Xu L.H., Cai S.J., Cai G.X., Peng W.J. Imaging diagnosis of colorectal liver metastases. World J. Gastroenterol. 2011; 17(42): 4654-9. |
| [7] |
Вишленкова Е.А. Современные технологии в комплексной диагностике и оценке эффективности лечения метастазов колоректального рака в печени. Ультразвуковая и функциональная диагностика. 2014; 1: 98-110. |
| [8] |
Бондаревский И.Я., Бордуновский В.Н., Кинзерский А.Ю. Возможности ультразвуковой диагностики в выявлении очаговых образований печени. Медицинская визуализация. 2011; 8: 19-24. |
| [9] |
Гуц О.В. Методологические аспекты инвазивного и неинвазивного ультразвукового исследования печени у больных с метастазами колоректального рака при планировании хирургического лечения: Дисс.. канд. мед. наук. М., 2012. |
| [10] |
Van Kessel C.S., Buckens C.F., Van Den Bosch M.A. et al. Preoperative imaging of colorectal liver metastases after neoadjuvant chemotherapy: a meta-analysis. Ann. Surg. Oncol. 2012; 19(9): 2805-13. |
| [11] |
Van Kessel C.S., Van Leeuwen M.S., Witteveen P.O. et al. Semiautomatic software increases CT measurement accuracy but not response classification of colorectal liver metastases after chemotherapy. Eur. J. Radiol. 2012; 81(10): 2543-9. |
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