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Published online before print August 23, 2006, 10.1148/radiol.2411050987
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(Radiology 2006;241:243-250.)
© RSNA, 2006


Technical Developments

Liver Metastases: 3D Shape–based Analysis of CT Scans for Detection of Local Recurrence after Radiofrequency Ablation1

Ivan Bricault, MD, PhD, Ron Kikinis, MD, Paul R. Morrison, MS, Eric vanSonnenberg, MD, Kemal Tuncali, MD and Stuart G. Silverman, MD

1 From the Department of Radiology, University Hospital Michallon, BP 217, 38043 Grenoble, France (I.B.); TIMC-IMAG-CNRS Laboratory, Grenoble, France (I.B.); and Department of Radiology, Brigham and Women's Hospital, Boston, Mass (R.K., P.R.M., E.v.S., K.T., S.G.S.). Received June 13, 2005; revision requested August 3; revision received November 1; accepted November 23; final version accepted December 22. Supported in part by a study grant from the French Radiological Society. Address correspondence to I.B. (e-mail: Ivan.Bricault{at}imag.fr).

This HIPAA-compliant pilot study had internal review board approval; informed consent was waived. The purpose was to determine retrospectively the diagnostic performance of a computer-aided three-dimensional (3D) analytic tool for assessing local recurrences of liver metastases by quantifying shape changes in ablated tumors on computed tomographic (CT) scans for follow-up of radiofrequency (RF) ablation. Positron emission tomographic and long-term CT follow-up images were reference standards. Fifty-six follow-up CT scans of 12 liver metastases (mean size, 4.0 cm) in nine patients treated with RF ablation were retrospectively analyzed. After the 1st month following RF ablation, the 3D analytic tool helped quantify ablated tumor shape variations and revealed recurrences even in the absence of abnormal enhancement (sensitivity, seven of seven; specificity, three of five). The 3D tool would have revealed a recurrence before it was reported clinically in two patients. Although results are preliminary, a 3D analytic tool based on shape may be useful in assessing RF ablation results.

Supplemental material: http://radiology.rsnajnls.org/cgi/content/full/2411050987/DC1

© RSNA, 2006







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