4.5 Article

PET-CT after radiofrequency ablation of colorectal liver metastases: Suggestions for timing and image interpretation

Journal

EUROPEAN JOURNAL OF RADIOLOGY
Volume 82, Issue 12, Pages 2169-2175

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.ejrad.2013.08.024

Keywords

Radiofrequency ablation; Liver neoplasms/secondary; Neoplasm recurrence; Local Liver Neoplasms/surgery; FDG-PET

Ask authors/readers for more resources

Introduction. The main area of concern regarding radiofrequency ablation (RFA) of colorectal liver metastases is the risk of developing a local site recurrence (LSR). Reported accuracy of PET-CT in detecting LSR is high compared to morphological imaging alone, but no internationally accepted criteria for image interpretation have been defined. Our aim was to assess criteria for FDG PET-CT image interpretation following RFA, and to define a timetable for follow-up detection of LSR. Methods. Patients who underwent RFA for colorectal liver metastases between 2005 and 2011, with FDG-PET follow-up within one year after treatment were included. Results of repeat FDG-PET scans were evaluated until a LSR was diagnosed. Results. One hundred-seventy scans were obtained for 79 patients (179 lesions), 57 scans (72%) were obtained within 6 months of treatment. Thirty patients developed local recurrence; 29 (97%) within 1 year. Only 2% of lesions of <1 cm and 4% of <2 cm showed a LSR. Conclusion. The majority of local site recurrences are diagnosed within one year after RFA. Regular follow-up using FDG PET-CT within this period is advised, so repeated treatment can be initiated. Rimshaped uptake may be present until 4-6 months, complicating evaluation. The benefit in the follow-up of lesions <2 cm may be limited. (C) 2013 Elsevier Ireland Ltd. All rights reserved.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.5
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Review Oncology

The Role of Neoadjuvant Chemotherapy in Repeat Local Treatment of Recurrent Colorectal Liver Metastases: A Systematic Review and Meta-Analysis

Madelon Dijkstra, Sanne Nieuwenhuizen, Robbert S. Puijk, Bart Geboers, Florentine E. F. Timmer, Evelien A. C. Schouten, Hester J. Scheffer, Jan J. J. de Vries, Johannes C. F. Ket, Kathelijn S. Versteeg, Martijn R. Meijerink, M. Petrousjka van den Tol

Summary: The potential additive value of neoadjuvant chemotherapy prior to repeat local treatment for recurrent colorectal liver metastases remains unclear, with conflicting results from limited studies. Recommendations for routine use of neoadjuvant chemotherapy are not supported by the inconclusive findings of this meta-analysis, highlighting the need for further investigation in future randomized controlled trials.

CANCERS (2021)

Letter Cardiac & Cardiovascular Systems

Fatal Venous Thrombosis-Associated Liver Failure due to Microwave Ablation for Recurrent Liver Metastases After Prior Liver Surgery and Radiation

M. Vermeulen, J. W. H. Kruimer, W. R. R. Farid, M. W. Dercksen, J. Buijsen, M. R. Meijerink, W. K. G. Leclercq

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY (2021)

Article Oncology

Thermal Ablation Compared to Partial Hepatectomy for Recurrent Colorectal Liver Metastases: An Amsterdam Colorectal Liver Met Registry (AmCORE) Based Study

Madelon Dijkstra, Sanne Nieuwenhuizen, Robbert S. Puijk, Florentine E. F. Timmer, Bart Geboers, Evelien A. C. Schouten, Jip Opperman, Hester J. Scheffer, Jan J. J. de Vries, Rutger-Jan Swijnenburg, Kathelijn S. Versteeg, Birgit I. Lissenberg-Witte, M. Petrousjka van den Tol, Martijn R. Meijerink

Summary: The study compared the safety, efficacy, and survival outcomes of repeat thermal ablation versus repeat partial hepatectomy in patients with recurrent colorectal liver metastases. Results showed that there were no significant differences in terms of overall survival, recurrence rates, and complications between the two treatment modalities, but patients who underwent repeat thermal ablation had a shorter length of hospital stay.

CANCERS (2021)

Review Oncology

Pancreatic Cancer and Immunotherapy: A Clinical Overview

Florentine E. F. Timmer, Bart Geboers, Sanne Nieuwenhuizen, Madelon Dijkstra, Evelien A. C. Schouten, Robbert S. Puijk, Jan J. J. de Vries, M. Petrousjka van den Tol, Anna M. E. Bruynzeel, Mirte M. Streppel, Johanna W. Wilmink, Hans J. van Der Vliet, Martijn R. Meijerink, Hester J. Scheffer, Tanja D. de Gruijl

Summary: Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer with a poor prognosis. While immunotherapy has revolutionized the treatment of other advanced cancers, its effectiveness in PDAC is limited due to the immunosuppressive and hard-to-reach tumor microenvironment. However, various immunotherapies have shown potential in initiating immune responses, suggesting an immune potentiating effect. Successful PDAC treatment may rely on the synergistic effects of combination immunotherapies.

CANCERS (2021)

Article Oncology

Irreversible Electroporation and Nivolumab Combined with Intratumoral Administration of a Toll-Like Receptor Ligand, as a Means of In Vivo Vaccination for Metastatic Pancreatic Ductal Adenocarcinoma (PANFIRE-III). A Phase-I Study Protocol

Bart Geboers, Florentine E. F. Timmer, Alette H. Ruarus, Johanna E. E. Pouw, Evelien A. C. Schouten, Joyce Bakker, Robbert S. Puijk, Sanne Nieuwenhuizen, Madelon Dijkstra, M. Petrousjka van den Tol, Jan J. J. de Vries, Daniela E. Oprea-Lager, C. Menke-van der Houven van Oordt, Hans J. van der Vliet, Johanna W. Wilmink, Hester J. Scheffer, Tanja D. de Gruijl, Martijn R. Meijerink

Summary: IRE is a novel technique that induces cell death through high-voltage electrical pulses applied around the tumor, which may reduce immune suppression and promote expansion of tumor-specific T cells. Combining IRE with immunotherapeutic drugs has the potential to generate a durable antitumor response.

CANCERS (2021)

Article Biochemistry & Molecular Biology

Primary Tumor Sidedness, RAS and BRAF Mutations and MSI Status as Prognostic Factors in Patients with Colorectal Liver Metastases Treated with Surgery and Thermal Ablation: Results from the Amsterdam Colorectal Liver Met Registry (AmCORE)

Madelon Dijkstra, Sanne Nieuwenhuizen, Robbert S. Puijk, Florentine E. F. Timmer, Bart Geboers, Evelien A. C. Schouten, Jip Opperman, Hester J. Scheffer, Jan J. J. de Vries, Kathelijn S. Versteeg, Birgit Lissenberg-Witte, M. Petrousjka van den Tol, Martijn R. Meijerink

Summary: This study evaluated the impact of primary tumor sidedness of CRC, RAS and BRAF mutations, and MSI status on complications, survival outcomes, and local tumor progression following surgery and thermal ablation in patients with CRLM. The findings suggest the importance of wider margins for reducing LTP rates in patients with RAS mutated CRLM, particularly for thermal ablation, and highlight the potential contribution of upfront knowledge of molecular biomarkers to improve oncological outcomes.

BIOMEDICINES (2021)

Article Oncology

Repeat Local Treatment of Recurrent Colorectal Liver Metastases, the Role of Neoadjuvant Chemotherapy: An Amsterdam Colorectal Liver Met Registry (AmCORE) Based Study

Madelon Dijkstra, Sanne Nieuwenhuizen, Robbert S. Puijk, Florentine E. F. Timmer, Bart Geboers, Evelien A. C. Schouten, Jip Opperman, Hester J. Scheffer, Jan J. J. de Vries, Kathelijn S. Versteeg, Birgit Lissenberg-Witte, Martijn R. Meijerink, Monique Petrousjka van den Tol

Summary: This study found that adding neoadjuvant chemotherapy before repeat local treatment for colorectal liver metastases did not improve survival rates, recurrence rates, or impact complications and hospital stay duration. The results do not support routine use of neoadjuvant chemotherapy before repeat local treatment.

CANCERS (2021)

Review Oncology

Emerging Indications for Interventional Oncology: Expert Discussion on New Locoregional Treatments

Roberto Iezzi, Afshin Gangi, Alessandro Posa, Uei Pua, Ping Liang, Ernesto Santos, Anil N. Kurup, Alessandro Tanzilli, Lorenzo Tenore, Davide De Leoni, Dimitrios Filippiadis, Felice Giuliante, Vincenzo Valentini, Antonio Gasbarrini, Shraga N. Goldberg, Martijn Meijerink, Riccardo Manfredi, Alexis Kelekis, Cesare Colosimo, David C. Madoff

Summary: Interventional oncology (IO) employs minimally invasive procedures to provide lower-risk alternatives to traditional medical and surgical therapies for cancer patients. This article aims to review new indications for locoregional IO treatments and summarize the expert discussion and report from the MIOLive Meets SIO session during the last Mediterranean Interventional Oncology Live congress held in Rome, Italy.

CANCERS (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

Transcatheter CT arteriography-guided irreversible electroporation of locally advanced pancreatic adenocarcinoma: A pictorial essay

Bart Geboers, Susan Van der Lei, Louiza T. E. Kloppenborg, Rianne M. Boon, Florentine E. F. Timmer, Robbert S. Puijk, Jan J. J. de Vries, Hester J. Scheffer, Martijn R. Meijerink

Summary: Visibility is crucial for optimal treatment planning and control during ablative procedures. Transcatheter CT arteriography has proven to be of additional value for thermal liver ablation, with potential application in other indications and ablation techniques. This essay presents cases illustrating the use of transcatheter CT arteriography for guidance during the treatment of pancreatic cancer, highlighting its ability to improve visibility of vascular structures and monitor intraprocedural complications in real-time.

JOURNAL OF MEDICAL IMAGING AND RADIATION ONCOLOGY (2023)

Editorial Material Cardiac & Cardiovascular Systems

Locally Treatable to Replace Resectable: Highlights from the European Multi-societal Consensus on Synchronous Colorectal Cancer with Liver Metastases

Martijn R. Meijerink, Reto Bale, Ajith K. Siriwardena

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY (2023)

Article Oncology

Efficacy of Thermal Ablation for Small-Size (0-3 cm) versus Intermediate-Size (3-5 cm) Colorectal Liver Metastases: Results from the Amsterdam Colorectal Liver Met Registry (AmCORE)

Madelon Dijkstra, Susan van der Lei, Robbert S. Puijk, Hannah H. Schulz, Danielle J. W. Vos, Florentine E. F. Timmer, Hester J. Scheffer, Tineke E. Buffart, M. Petrousjka van den Tol, Birgit I. Lissenberg-Witte, Rutger-Jan Swijnenburg, Kathelijn S. Versteeg, Martijn R. Meijerink

Summary: Thermal ablation is safe and effective for the treatment of small-size unresectable colorectal liver metastases (CRLM). This comparative study analyzed the outcomes of intermediate-size versus small-size CRLM and found no significant difference in overall survival between the two groups. However, the small-size group had better local control. The study also showed that thermal ablation improved the long-term local control of intermediate-size CRLM over time.

CANCERS (2023)

Article Radiology, Nuclear Medicine & Medical Imaging

11C-Sorafenib and 15O-H2O PET for Early Evaluation of Sorafenib Therapy

Lemonitsa H. Mammatas, Maqsood Yaqub, N. Harry Hendrikse, Otto S. Hoekstra, Richard J. Honeywell, Robert C. Schuit, Martijn Meijerink, Lothar A. Schwarte, Godefridus J. Peters, Henk M. W. Verheul, Adriaan A. Lammertsma, C. Willemien Menke-van der Houven van Oordt

Summary: Sorafenib has shown clinical benefit in some patients, but its potential toxicity affects all patients. This study aimed to evaluate the predictive value of C-11-sorafenib and O-15-H2O PET in treatment efficacy. However, while C-11-sorafenib PET did not predict intratumoral sorafenib concentrations, a decrease in tumor perfusion after therapy showed an association with clinical benefit, suggesting further investigation is needed.

JOURNAL OF NUCLEAR MEDICINE (2021)

Article Oncology

Thermal Ablation versus Stereotactic Ablative Body Radiotherapy to Treat Unresectable Colorectal Liver Metastases: A Comparative Analysis from the Prospective Amsterdam CORE Registry

Sanne Nieuwenhuizen, Madelon Dijkstra, Robbert S. Puijk, Florentine E. F. Timmer, Irene M. Nota, Jip Opperman, Bente van den Bemd, Bart Geboers, Alette H. Ruarus, Evelien A. C. Schouten, Jan J. J. de Vries, Hester J. Scheffer, Anne M. van Geel, Jan Hein T. M. van Waesberghe, Rutger-Jan Swijnenburg, Kathelijn S. Versteeg, Birgit Lissenberg-Witte, M. Petrousjka van den Tol, Cornelis J. A. Haasbeek, Martijn R. Meijerink

Summary: Vaginal epithelial shedding is a common gynecological issue that may result from the loss of vaginal epithelial cells. Treatment can involve medication or surgery, depending on the severity of the condition.

CANCERS (2021)

Article Radiology, Nuclear Medicine & Medical Imaging

Thyroid nodule characterization using Spectral Detector Computed Tomography (SDCT) in comparison to ultrasound

Hila Tal Tamir, Dana Stav, Yitzhac Hadad, Rivka Kessner

Summary: This study aimed to characterize thyroid nodules seen on Spectral Detector computed tomography (SDCT) and compare them with their Thyroid Imaging Reporting and Data System (TI-RADS) category on Ultrasound (US). The results showed that the spectral results of SDCT can assist in differentiating thyroid nodules of different risk levels.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Myocardial strain parameters in pulmonary hypertension are determined by changes in volumetric function rather than by hemodynamic alterations

Volha Nizhnikava, Ursula Reiter, Gabor Kovacs, Clemens Reiter, Corina Kraeuter, Horst Olschewski, Michael Fuchsjaeger, Gert Reiter

Summary: The purpose of this study was to investigate the associations between cardiac magnetic resonance feature-tracking-derived myocardial strain parameters and volumetric function and hemodynamic parameters in patients with pulmonary hypertension. The results showed that impairment of myocardial strains was more strongly associated with alterations in ventricular function parameters than elevated pulmonary arterial pressure, limiting the diagnostic information of myocardial strain parameters in pulmonary hypertension.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Imaging characteristics and prognostic factors of Behcet's disease with arterial involvement: A long-term follow-up study

Yu-ling Qian, Rui-lin Quan, Xiao-xi Chen, Yang-yi Lin, Xiao-li Jing, Qing Gu, Chang-ming Xiong, Jian-guo He, Ai-hua Zhi

Summary: The purpose of this study was to investigate the imaging characteristics and prognostic factors for the long-term survival of Behcet's disease (BD) with arterial involvement. The results showed that arterial lesions associated with BD usually involve multiple arteries and manifest differently in different types of arteries. Cardiac involvement and pulmonary artery aneurysm/dilation were independent prognostic factors for the survival of BD patients with arterial involvement.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Metabolic tumor volume and sites of organ involvement predict outcome in NSCLC immune-checkpoint inhibitor therapy

Daria Kifjak, Maximilian Hochmair, Daniel Sobotka, Alexander R. Haug, Raphael Ambros, Florian Prayer, Benedikt H. Heidinger, Sebastian Roehrich, Ruxandra-Iulia Milos, Wolfgang Wadsak, Thorsten Fuereder, Dagmar Krenbek, Andreas Fazekas, Michael Meilinger, Marius E. Mayerhoefer, Georg Langs, Christian Herold, Helmut Prosch, Lucian Beer

Summary: The ability of pretreatment PET parameters and peripheral blood biomarkers to predict PFS and OS in NSCLC patients treated with ICIT was assessed. The study found that MTV and the number of SOI were independent risk factors for progression and overall survival, and the combination of these factors improved risk stratification.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Ultra-high resolution photon-counting CT with tin prefiltration for bone-metal interface visualization

Theresa Sophie Patzer, Jan-Peter Grunz, Henner Huflage, Jan-Lucca Hennes, Pauline Pannenbecker, Philipp Gruschwitz, Saif Afat, Judith Herrmann, Thorsten Alexander Bley, Andreas Steven Kunz

Summary: This study investigated the potential of tin prefiltration and virtual monoenergetic imaging (VMI) in suppressing metal artifacts in high-resolution CT images of the lower extremities. The results showed that VMI reconstructions had better artifact reduction compared to T3D. VMI110keV had the least image noise. In terms of image quality, interpretability of bone-metal interface, and overall image quality, VMI110keV performed the best.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Whole tumor based texture analysis of magnetic resonance diffusion imaging for colorectal liver metastases: A prospective study for diffusion model comparison and early response biomarker

Yue Li, Huan Zhang, Lei Yue, Caixia Fu, Robert Grimm, Wenhua Li, Weijian Guo, Tong Tong

Summary: This study evaluated and compared the diagnostic value of diffusion-related texture analysis parameters from different magnetic resonance diffusion models in predicting the clinical response to chemotherapy in patients with colorectal liver metastases. Among the models, DKI-derived parameters showed the best performance for early prediction, followed by IVIM-derived parameters and DWI baseline features.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Sex differences in abdominal visceral fat composition and metabolism as predictors of DLBCL prognosis: A retrospective cohort study

Lu Wang, ShiXiong Zhang, Jun Xin

Summary: This study aimed to determine if sex differences in abdominal visceral fat composition and metabolism can help predict the prognosis of DLBCL patients. The results showed that females with certain fat composition and metabolism characteristics had worse progression-free survival, while no significant differences were found in males with DLBCL.

EUROPEAN JOURNAL OF RADIOLOGY (2024)

Article Radiology, Nuclear Medicine & Medical Imaging

Preoperative CT radiomics of esophageal squamous cell carcinoma and lymph node to predict nodal disease with a high diagnostic capability

Yu-ping Wu, Lan Wu, Jing Ou, Jin-ming Cao, Mao-yong Fu, Tian-wu Chen, Erika Ouchi, Jiani Hu

Summary: This study aimed to develop CT radiomics models to preoperatively identify lymph node (LN) status in resectable esophageal squamous cell carcinoma (ESCC) patients. The results showed that the combined model, integrating ESCC and LN radiomics features with clinical features, had the highest predictive ability among the three models. The combined model's predictive ability was validated in both the test and external validation cohorts.

EUROPEAN JOURNAL OF RADIOLOGY (2024)