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Abstract #0125

Late gadolinium enhancement of colorectal liver metastases post-chemotherapy is associated with tumour fibrosis and overall survival post-hepatectomy

Helen Cheung1, Paul J Karanicolas2, Eugene Hsieh3, Natalie Coburn2, Tishan Maraj1, Jin J Kim1, Howaida Elhakim3, Masoom A Haider1, Calvin Law2, and Laurent Milot1

1Department of Medical Imaging, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada, 2Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada, 3Department of Pathology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada

Preoperative MRI is routinely used for diagnosis, staging, and operative planning of colorectal liver metastases (CRCLM), but still relatively unexplored for preoperative prognosis. Tumour fibrosis in post-hepatectomy CRCLM specimens is associated with long-term survival and late gadolinium enhancement is associated with tumour fibrosis in other disease processes (eg. cholangiocarcinoma). We performed a retrospective cohort study (n=121) in patients who received a clinical gadolinium-enhanced MRI prior to hepatectomy for CRCLM. We determined that strong enhancement on delayed phase MRI was associated with tumour fibrosis post-hepatectomy and overall survival.

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