Radiation Injury to the Liver After Intensity-Modulated Radiation Therapy in Patients with Mesothelioma: An Unusual CT Appearance
American Journal of Roentgenology 184, no. 4 (2005): 1091-1095. http://www.ajronline.org/cgi/content/abstract/184/4/1091
Reginald F. Munden1, Jeremy J. Erasmus1, William R. Smythe2, John E. Madewell1, Kenneth M. Forster3 and Craig W. Stevens3
- Division of Diagnostic Imaging, Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, Box 57, 1515 Holcombe Blvd., Houston, TX 77030.
- Department of Surgery, The Texas A ∓ M University System, Health Science Center, Temple, TX 76508.
- Division of Radiation Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030
Abstract
Objective: We sought to report the unusual distribution of radiation-induced injury to the liver in patients with mesothelioma after extrapleural pneumonectomy and intensity-modulated radiation therapy (IMRT).
Conclusion: Abnormal hepatic enhancement after extrapleural pneumonectomy and IMRT is common in patients with mesothelioma. Knowledge of the early occurrence and typical location and appearance of IMRT-induced injury can be useful in preventing misinterpretation as metastatic disease or recurrent tumor.