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Prognostic value of ADC measurements in predicting overall survival in patients undergoing 90Y radioembolization for colorectal cancer liver metastases

Clinical Imaging Jun 05, 2019

Alis D, et al. - Through this study, researchers sought to predict the overall survival of the patients who underwent Yttrium 90 radioembolization (90Y-RE) for colorectal liver metastases (CLM) via diffusion-weighted imaging (DWI) with other well-established clinical and imaging parameters, along with, to compare the apparent diffusion coefficient (ADC) values of the lesions pre- and post-treatment. Response Evaluation Criteria in Solid Tumors (RECIST), hepatic tumor burden, Eastern Cooperative Oncology Group performance status (ECOG–PS) and the presence of extrahepatic metastases in predicting overall survival (OS) was assessed. Longer OS in CLM patients was associated with an increase in relative ADCp or ADCe values post 90Y-RE treatment whereas to predict OS in CLM patients during the early post-interventional period after 90Y-RE, DWI appeared as a valuable imaging biomarker.
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