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 journalArticle

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 languageEnglish (US)
Pages (from-to)560-563
Number of pages4
JournalJournal of Computer Assisted Tomography
Volume40
Issue number4
DOIs
StatePublished - Jul 1 2016
Externally publishedYes

Fingerprint

Esophageal Neoplasms
Magnetic Resonance Imaging
Radiation
Liver
Wounds and Injuries
Positron-Emission Tomography
Radiotherapy
Neoplasm Metastasis
Positron Emission Tomography Computed Tomography
Neoplasms

Keywords

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

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

Cite this

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; Kernstine, Kemp H.; Wang, David; Khatri, Gaurav.

In: Journal of Computer Assisted Tomography, Vol. 40, No. 4, 01.07.2016, p. 560-563.

Research output: Contribution to journalArticle

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