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 19 October 2017

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News

Current use of MRI in patients with liver metastatic colorectal cancer

Liver MRI was underused in patients with colorectal liver-only synchronous metastasis undergoing curative resection for metastases and in elderly patients, reports the most recent issue of the European Journal of Gastroenterology & Hepatology.

News image

Liver MRI is recommended as the preoperative imaging strategy in liver metastatic colorectal cancers.

Dr Lauriannea Pech and colleagues assessed for the first time the use of liver MRI in a French population-based cancer registry.

All liver-only metastatic colorectal cancers resected for their primary tumor diagnosed between 2009 and 2013 were included.

Nonconditional logistic regression was used to search for associations between the MRI order, and the characteristics of patients and tumors.

The research team found that the primary tumor and liver metastases were resected for cure in 30% of cases, and in 72% of these liver MRI was performed before resection of the liver metastases.

22% had undergone a liver MRI
European Journal of Gastroenterology & Hepatology

The team noted that preoperative MRI ordering was not significantly higher in patients younger than 70 years when compared with that in older patients.

Among patients who did not undergo resection of their liver metastasis, 22% had undergone a liver MRI.

After adjustment for comorbidities, the probability of having undergone an MRI was higher for patients managed in the university hospital, and lower in those managed in nonuniversity hospitals compared with the mean of odds for all facilities.

The researchers observed that patients more than or equal to 70 years were almost 2 times less likely than younger patients to undergo an MRI.

Dr Pech's team comments, "Liver MRI was underused in patients with colorectal liver-only synchronous metastasis undergoing curative resection for metastases and in elderly patients."

Eur J Gastroenterol Hepatol 2017: 29(10): 1126–1130
22 September 2017

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