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Liver Metastases: Correlation between Imaging Features and Pathomolecular Environments.

Kumi Ozaki1, Shohei Higuchi1, Hirohiko Kimura1

  • 1From the Departments of Radiology (K.O., H.K.) and Pathology (S.H.), Faculty of Medical Sciences, University of Fukui, 23-3 Matsuoka-Shimoaizuki, Eiheiji, Fukui 910-1193, Japan; and Department of Radiology, Graduate School of Medical Sciences, Kanazawa University, Kanazawa, Japan (T.G.).

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|September 23, 2022
PubMed
Summary

Imaging features of liver metastases vary based on primary cancer type and tumor characteristics. Recognizing these patterns aids in diagnosing unknown primaries and understanding organ-specific spread.

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Area of Science:

  • Radiology
  • Oncology
  • Medical Imaging

Background:

  • Liver metastases exhibit diverse imaging appearances due to primary cancer type, differentiation, and behavior.
  • Organ-specific metastasis patterns to the liver are influenced by primary tumor factors.

Purpose of the Study:

  • To review characteristic imaging findings of liver metastases from various primary cancers.
  • To focus on the underlying mechanisms of organ-specific liver metastases.

Main Methods:

  • Review of characteristic imaging features of liver metastases.
  • Analysis of primary tumor-specific factors influencing imaging manifestations.
  • Discussion of specific imaging signs like target sign and rim washout.

Main Results:

  • Imaging characteristics of liver metastases depend on primary tumor histopathology and behavior.
  • Specific features like target sign, rim washout, and peritumor hyperintensity aid diagnosis.
  • Desmoplastic reactions and arterioportal shunts can alter metastasis appearance.

Conclusions:

  • Characteristic imaging findings can help diagnose liver metastases, especially for unknown primary tumors or complex cases.
  • Understanding organ-specific metastasis mechanisms is crucial for accurate interpretation.
  • Imaging plays a key role in characterizing liver metastases and guiding clinical management.