Magnetic Resonance Imaging of Liver Metastases

  • G. F. Pistolesi
  • R. Caudana
  • G. Morana
Part of the Medical Radiology book series (MEDRAD)

Abstract

The presence of liver metastases has a remarkable impact on the survival rate. Such an event is relatively frequent: for instance, hepatic secondaries are found in approximately 40% of patients with colorectal cancer (Ferrucci 1994). In the diagnostic approach to liver metastases, the imaging plays a fundamental role in selecting those patients who can benefit from surgical resection. This treatment, performed with the correct indication, drastically improves the survival rate: 5-year survival rate of 20%–40% for metastases from colorectal carcinoma (Butler et al. 1986; Hughes et el. 1988; Ferrucci and Stark 1990; Fegiz et al. 1991; Scheeleet al. 1991; Nakamura et al. 1992) with a risk of morbidity and mortality of 2%–7% (Holm et al. 1989; Scheele et al. 1991; Vetto et al. 1990). Conversely, in untreated colorectal hepatic metastases, the mean survival rate is drastically reduced (Wagner et al. 1984): 21 months for solitary lesions with a 5-year survival of 16% (Greenway 1988), 15 months for multiple metastases confined within a single liver lobe and 10 months for diffuse involvement of the liver.

Keywords

Lactate Adenocarcinoma Serotonin Bilirubin Eter 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • G. F. Pistolesi
    • 1
  • R. Caudana
    • 1
  • G. Morana
    • 1
  1. 1.Department of RadiologyUniversity of Verona, Borgo Roma HospitalVeronaItaly

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