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Semin intervent Radiol 2024; 41(03): 270-277
DOI: 10.1055/s-0044-1788338
Review Article

Imaging for Interventional Radiology Liver-Directed Therapies for Neuroendocrine Liver Metastases

Divya Kumari
1   Department of Radiology, University of Chicago Medicine, Chicago, Illinois
,
Elise de Bruyn
1   Department of Radiology, University of Chicago Medicine, Chicago, Illinois
,
Faisal Al-Qawasmi
2   University of Illinois College of Medicine Peoria, Peoria, Illinois
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Abstract

Neuroendocrine tumors are an indolent, heterogeneous group of tumors that primarily arise from the gastropancreatic tract and lungs. Most patients present with liver metastases at the time of diagnosis, which cause significant morbidity and mortality due to excess hormone secretion, bile duct obstruction, and liver damage. A small percentage of these patients are eligible for potential cure through surgical resection. However, interventional radiology provides liver-directed therapies, such as percutaneous ablation, transarterial embolization, chemoembolization, and radioembolization, for palliative care and potential bridging to debulking and surgical resection of neuroendocrine liver metastases. This article aims to provide a brief overview of these liver-directed therapies focusing on the pre-, intra-, and postprocedural imaging findings.

Keywords

neuroendocrine - liver metastases - ablation - radioembolization - chemoembolization - interventional radiology


Publication History

Article published online:
19 August 2024

© 2024. Thieme. All rights reserved.

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