Evaluation of the relationship between portal vein diameter and colorectal liver metastases on computed tomography

Karatay, Emrah; Laçin, Şahin; Eren, Abdulkadir

Evaluation of the relationship between portal vein diameter and colorectal liver metastases on computed tomography

dc.authorid	0000-0003-0958-6581
dc.contributor.author	Karatay, Emrah
dc.contributor.author	Laçin, Şahin
dc.contributor.author	Eren, Abdulkadir
dc.date.accessioned	2024-11-07T12:54:24Z
dc.date.available	2024-11-07T12:54:24Z
dc.date.issued	2024
dc.department	İstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstract	Background/Aim: The most common and often first metastatic site of colorectal cancer (CRC) is the liver, and radiological modalities have a critical role in the diagnosis of colorectal liver metastasis (CRLM). In this study, the possible relationship between portal vein diameter, number of metastases, and metastasis diameter was evaluated in CRLM patients who underwent computed tomography (CT) examination with intravenous contrast (IV). Patients and Methods: Cases diagnosed with CRLM who underwent abdominal CT examination with IV contrast between December 2020 and January 2024 were retrospectively scanned. People over the age of 18 were included, and cases were divided into three subgroups according to the number of metastases: a (single), b (two), and c (three and/or more). Results: There were 101 male and 74 female cases; the youngest case was 39 (male) and the oldest case was 87 (male) years old. According to the number of CRLMs, group a had 47 cases, group b had 23, and group c had 105 cases. The minimum diameter of metastasis was 0.74 cm, the maximum was 11.86 cm, and the mean diameter was 4.45±2.67 cm. There was a significant correlation between the presence of metastasis in the left lobe and the diameter of the metastases (p<0.05). Conclusion: The relationship between portal vein diameter and CRLM using contrast-enhanced CT scans was explored. While no significant correlation was found between portal vein diameters and metastasis size, a notable association was observed between metastasis size and their presence in the left liver lobe. These findings suggest that CRLMs in the left lobe may respond better to preoperative chemotherapy and surgical interventions. This novel insight could help develop targeted treatment strategies for CRLM, though further research with larger cohorts is needed.
dc.identifier.citation	Karatay, E., Laçin, Ş. ve Eren, A. (2024). Evaluation of the relationship between portal vein diameter and colorectal liver metastases on computed tomography. In Vivo, 38(5), 2471-2477. http://dx.doi.org/10.21873/invivo.13717
dc.identifier.doi	10.21873/invivo.13717
dc.identifier.endpage	2477
dc.identifier.issn	0258-851X
dc.identifier.issn	1791-7549
dc.identifier.issue	5
dc.identifier.pmid	39187350
dc.identifier.scopus	2-s2.0-85202576829
dc.identifier.scopusquality	Q2
dc.identifier.startpage	2471
dc.identifier.uri	http://dx.doi.org/10.21873/invivo.13717
dc.identifier.uri	https://hdl.handle.net/20.500.12511/12876
dc.identifier.volume	38
dc.identifier.wos	001300248100047	en_US
dc.identifier.wosquality	Q3
dc.indekslendigikaynak	Web of Science
dc.indekslendigikaynak	Scopus
dc.indekslendigikaynak	PubMed
dc.institutionauthor	Eren, Abdulkadir
dc.language.iso	en
dc.relation.ispartof	In Vivo	en_US
dc.relation.publicationcategory	Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rights	Attribution-NonCommercial-NoDerivatives 4.0 International	*
dc.rights	info:eu-repo/semantics/openAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0	*
dc.subject	Colorectal Cancer
dc.subject	Computed Tomography
dc.subject	Liver Metastasis
dc.subject	Metastasis Diameter
dc.subject	Portal Vein
dc.title	Evaluation of the relationship between portal vein diameter and colorectal liver metastases on computed tomography
dc.type	Article