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In liver surgery peroperative assessment och the future liver remnant (FLR) is pivotal in order to avoid posthepatectomy liver failure. To date this is mainly performed by measuring the volume of the FLR. Of course FLR volume acts as a surrogate measure of FLR function and the correlation between volume and function is not always accurate. Several techniques to assess FLR function has been proposed. Hepatobiliary scintigraphy (HBS) and Dynamic MRI are the two such methods. In this study we compare HBS and MRI, in addition to contrast-enhanced CT and ICG, repeatedly performed before and after right hepatectomy in patients with colorectal liver metastases treated with neoadjuvant chemotherapy.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multimodal liver function assessment | Diagnostic Test | HBS, MRI, CE-CT and ICG |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between HBS and MRI in assessment of FLR function preop | HBS, MRI, CT and ICG performed the day before surgery | Preop |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation between HBS and MRI in assessment of FLR function POD 7 | HBS, MRI, CT and ICG performed 7 days after surgery | POD 7 |
| Correlation between HBS and MRI in assessment of FLR function POD 28 |
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Inclusion Criteria:
Exclusion Criteria:
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CRLM treated with neoadjuvant chemotherapy subjected to right hepatectomy
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| Name | Affiliation | Role |
|---|---|---|
| Magnus Nilsson, MD PhD | Karolinska Institutet | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital | Stockholm | Sweden |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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HBS, MRI, CT and ICG performed 28 days after surgery
| POD 28 |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |