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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