Ultrasonographic evaluation of chemotherapeutic response in hepatic metastases

Three hundred and thirty-four hepatic ultrasonograms were obtained in 93 patients to evaluate the chemotherapeutic response of their metastatic lesions. Four patterns of response were noted. The ultrasonographic results were correlated with those of other diagnostic modalities and found to be extremely accurate when lesions were judged to have improved, worsened, or remained unchanged. However, a fourth type of response, a change in the initial ultrasonographic pattern, was difficult to evaluate, and its significance is discussed.