The Role of Contrast-Enhanced Imaging for Colorectal Cancer Management

被引:1
作者
Badia, Stefano [1 ]
Picchia, Simona [1 ]
Bellini, Davide [1 ]
Ferrari, Riccardo [2 ]
Caruso, Damiano [3 ]
Paolantonio, Pasquale [4 ]
Carbone, Iacopo [1 ]
Laghi, Andrea [3 ]
Rengo, Marco [1 ]
机构
[1] Sapienza Univ Rome, ICOT Hosp, Dept Medicosurg Sci & Biotechnol, Diagnost Imaging Unit, Via Franco Faggiana 1668, I-04100 Latina, Italy
[2] Az Osp San Camillo Forlanini, Dept Emergency Radiol, Rome, Italy
[3] Sapienza Univ Rome, Radiol Unit, Dept Surg & Med Sci & Translat Med, St Andrea Univ Hosp, Rome, Italy
[4] Az Osped San Giovanni Hosp, Dept Radiol, Rome, Italy
关键词
Contrast-enhanced computed tomography; Perfusion magnetic resonance imaging; Colorectal cancer; Cancer staging; Biomarkers; Multimodal imaging; CLINICAL-PRACTICE GUIDELINES; RECTAL-CANCER; COMPUTED-TOMOGRAPHY; COLON-CANCER; PERFUSION CT; NEOADJUVANT CHEMORADIATION; BLOOD-FLOW; DCE-MRI; PREOPERATIVE CHEMORADIOTHERAPY; CLINICOPATHOLOGICAL FEATURES;
D O I
10.1007/s11888-019-00443-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose of Review Imaging is fundamental in the management of colorectal cancer (CRC). Contrast-enhanced computed tomography (CECT) and contrast-enhanced magnetic resonance (CEMR) are the imaging modalities recommended to stage and restage CRC. The aim of this review is to summarize the most relevant studies published on the role of contrast-enhanced imaging for the management of CRC. Recent Findings There are published data demonstrating the accuracy of CECT and CEMR for local staging of both colon and rectal cancer, as well as for the evaluation of distant metastases. Moreover, different aspects of these methods, in particular perfusion techniques, are emerging as prognostic biomarkers. The optimization of contrast media injection protocols is essential to ensure reproducibility and high image quality. Contrast-enhanced imaging is mandatory in the management of CRC both for the evaluation of the primary tumor and of distant metastases.
引用
收藏
页码:181 / 189
页数:9
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