Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review

Tiffany M. Rabe; Takeshi Yokoo; Jeffrey Meyer; Kemp H. Kernstine; David Wang; Gaurav Khatri

doi:10.1097/RCT.0000000000000406

Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review

Tiffany M. Rabe, Takeshi Yokoo, Jeffrey Meyer, Kemp H. Kernstine, David Wang, Gaurav Khatri

Research output: Contribution to journal › Article › peer-review

5 Scopus citations

Abstract

Post-radiation therapy evaluation of distal esophageal cancers with positron emission tomography/computed tomography can be problematic. Differentiation of recurrent neoplasm from postradiation changes is difficult in areas of fluorodeoxyglucose avidity in adjacent, incidentally irradiated organs. Few studies have described the magnetic resonance imaging appearance of radiation-induced hepatic injury. We report a case of focal radiation-induced liver injury with a new focus of fluorodeoxyglucose uptake on posttreatment positron emission tomography as well as masslike enhancement and signal abnormality on magnetic resonance imaging, thus mimicking new liver metastasis. Correlation with radiation planning images suggested the correct diagnosis, which was confirmed on follow-up imaging.

Original language	English (US)
Pages (from-to)	560-563
Number of pages	4
Journal	Journal of computer assisted tomography
Volume	40
Issue number	4
DOIs	https://doi.org/10.1097/RCT.0000000000000406
State	Published - Jul 1 2016
Externally published	Yes

Keywords

liver MRI
radiation injury
radiation therapy
radiation-induced liver disease
radiation-induced liver injury

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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Rabe, T. M., Yokoo, T., Meyer, J., Kernstine, K. H., Wang, D., & Khatri, G. (2016). Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review. Journal of computer assisted tomography, 40(4), 560-563. https://doi.org/10.1097/RCT.0000000000000406

Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review. / Rabe, Tiffany M.; Yokoo, Takeshi; Meyer, Jeffrey et al.
In: Journal of computer assisted tomography, Vol. 40, No. 4, 01.07.2016, p. 560-563.

Research output: Contribution to journal › Article › peer-review

Rabe, TM, Yokoo, T, Meyer, J, Kernstine, KH, Wang, D & Khatri, G 2016, 'Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review', Journal of computer assisted tomography, vol. 40, no. 4, pp. 560-563. https://doi.org/10.1097/RCT.0000000000000406

Rabe TM, Yokoo T, Meyer J, Kernstine KH, Wang D, Khatri G. Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review. Journal of computer assisted tomography. 2016 Jul 1;40(4):560-563. doi: 10.1097/RCT.0000000000000406

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abstract = "Post-radiation therapy evaluation of distal esophageal cancers with positron emission tomography/computed tomography can be problematic. Differentiation of recurrent neoplasm from postradiation changes is difficult in areas of fluorodeoxyglucose avidity in adjacent, incidentally irradiated organs. Few studies have described the magnetic resonance imaging appearance of radiation-induced hepatic injury. We report a case of focal radiation-induced liver injury with a new focus of fluorodeoxyglucose uptake on posttreatment positron emission tomography as well as masslike enhancement and signal abnormality on magnetic resonance imaging, thus mimicking new liver metastasis. Correlation with radiation planning images suggested the correct diagnosis, which was confirmed on follow-up imaging.",

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Radiation-induced liver injury mimicking metastatic disease in a patient with esophageal cancer: Correlation of positron emission tomography/computed tomography with magnetic resonance imaging and literature review

Abstract

Keywords

ASJC Scopus subject areas

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