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A radiologist's point of view in the presurgical and intraoperative setting of colorectal liver metastases

    Vincenza Granata

    Radiology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    ,
    Roberta Fusco

    *Author for correspondence: Tel.: +39081590714; Fax: 390815903825;

    E-mail Address: r.fusco@istitutotumori.na.it

    Radiology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    ,
    Antonio Avallone

    Abdominal Oncology Division, Istitutonazionale Tumori – IRCSS – Fondazione G Pascale, Napoli, Italia

    ,
    Orlando Catalano

    Radiology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    ,
    Mauro Piccirillo

    Hepatobiliary Surgical Oncology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    ,
    Raffaele Palaia

    Hepatobiliary Surgical Oncology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    ,
    Guglielmo Nasti

    Abdominal Oncology Division, Istitutonazionale Tumori – IRCSS – Fondazione G Pascale, Napoli, Italia

    ,
    Antonella Petrillo

    Radiology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    &
    Francesco Izzo

    Hepatobiliary Surgical Oncology Division, Istitutonazionale Tumori – IRCCS – Fondazione G Pascale, Napoli, Italia

    Published Online:https://doi.org/10.2217/fon-2018-0080

    Multidisciplinary management of patients with metastatic colorectal cancer requires in each phase an adequate choice of the most appropriate imaging modality. The first challenging step is liver lesions detection and characterization, using several imaging modality ultrasound, computed tomography, magnetic resonance and positron emission tomography. The criteria to establish the metastases resectability have been modified. Not only the lesions number and site but also the functional volume remnant after surgery and the quality of the nontumoral liver must be taken into account. Radiologists should identify the liver functional volume remnant and during liver surgical procedures should collaborate with the surgeon to identify all lesions, including those that disappeared after the therapy, using intraoperative ultrasound with or without contrast medium.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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