6533b873fe1ef96bd12d55a8

RESEARCH PRODUCT

Imaging-Based Preoperative Planning

Roman KlöcknerJens MittlerHauke Lang

subject

medicine.medical_specialtyChemotherapyLiver tumorMetastatic lesionsPreoperative planningmedicine.diagnostic_testbusiness.industrymedicine.medical_treatmentmedicine.diseaseResectionLesionmedicineRadiologymedicine.symptombusinessLiver function testsPreoperative imaging

description

Liver resection in the treatment of colorectal liver metastases, as for any other primary or secondary liver tumor, needs to be oncologically effective and surgically safe. Both goals need equal consideration, and imaging-based preoperative planning is paramount for achieving each of them. Preoperative imaging should ideally identify all metastatic lesions in the liver, as well as extrahepatic disease. Furthermore, it should provide an anatomical roadmap with the exact localization of each lesion within the segmental hepatic anatomy, and its proximity to adjacent vasculo-biliary structures, to allow for proper resection leaving the patient with a sufficiently functioning liver remnant. This chapter approaches the imaging-based assessment of oncological resectability taking into account a multimodal treatment setting (i.e., impact of chemotherapy), describes the volumetric assessment of the liver, the different imaging-based liver function tests, and computer-assisted virtual resection planning in 3D liver models.

yearjournalcountryeditionlanguage
2017-01-01
https://doi.org/10.1007/978-3-319-13896-1_4