Comparaison du scanner et du porto-scanner, tous deux en mode hélicoïdal, pour l'étude des métastases hépatiques. Etude prospective chez 12 malades [Comparison of scanners and porto-scanners, both in helical mode, for the study of hepatic metastases. Prospective study in 12 patients]
Details
Serval ID
serval:BIB_D3AD53E60AE7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Comparaison du scanner et du porto-scanner, tous deux en mode hélicoïdal, pour l'étude des métastases hépatiques. Etude prospective chez 12 malades [Comparison of scanners and porto-scanners, both in helical mode, for the study of hepatic metastases. Prospective study in 12 patients]
Journal
Gastroentérologie Clinique et Biologique
ISSN
0399-8320[print], 0399-8320[linking]
Publication state
Published
Issued date
1997
Volume
21
Number
4
Pages
254-258
Language
french
Notes
Publication types: Comparative Study ; English Abstract ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
PURPOSE: The aim of this study was to compare helical CTAP and helical CT-scan in the preoperative assessment of liver metastases. METHODS: A prospective unicentric study in 12 patients was performed with helical CTAP and helical CT-scan. All patients underwent partial hepatectomy with intraoperative palpation and sonography within 19 days (mean: 9 days). RESULTS: Examination of resected liver specimens found 38 metastases, from colorectal cancer in 36 cases. The sensitivity was 92.1% for helical CTAP and 79% for helical CT-scan. This sensitivity was 85% for helical CTAP and 60% for helical CT-scan for nodules 1 cm or less in diameter (P = 0.08). CONCLUSION: In the preoperative screening of liver metastases, helical CT-scan should be performed as the first choice examination. When hepatic lesions seem to be curable by resection based on helical dynamic CT-scan results, helical CTAP should be performed to increase the sensitivity of detection of lesions 1 cm or less in diameter.
Keywords
Adult, Aged, Aged, 80 and over, Colorectal Neoplasms/pathology, Esophageal Neoplasms/pathology, Evaluation Studies as Topic, Female, Humans, Liver Neoplasms/radiography, Liver Neoplasms/secondary, Male, Middle Aged, Portography/methods, Prospective Studies, Sensitivity and Specificity, Tomography Scanners, X-Ray Computed, Tomography, X-Ray Computed/methods, Uterine Cervical Neoplasms/pathology
Pubmed
Web of science
Create date
17/03/2010 11:01
Last modification date
20/08/2019 16:53
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