The role of imaging in surgical planning for liver resection: what the radiologist need to know

The role of imaging in surgical planning for liver resection: what the radiologist need to know

Authors

  • Andrea Agostini Department of Clinical, Special and Dental Sciences, University Politecnica delle Marche, Ancona, AN, Italy; Division of Special and Pediatric Radiology, Department of Radiology, University Hospital “Umberto I – Lancisi – Salesi”, Ancona, AN, Italy
  • Alessandra Borgheresi Division of Special and Pediatric Radiology, Department of Radiology, University Hospital “Umberto I – Lancisi – Salesi”, Ancona, AN, Italy
  • Chiara Floridi Department of Clinical, Special and Dental Sciences, University Politecnica delle Marche, Ancona, AN, Italy; Division of Special and Pediatric Radiology, Department of Radiology, University Hospital “Umberto I – Lancisi – Salesi”, Ancona, AN, Italy
  • Marina Carotti Division of Special and Pediatric Radiology, Department of Radiology, University Hospital “Umberto I – Lancisi – Salesi”, Ancona, AN, Italy
  • Giulia Grazzini Department of Radiology, Careggi University Hospital, Florence, Italy
  • Francesco Pagnini Department of Medicine and Surgery, Unit of Radiology, University of Parma, Parma, Italy
  • Susanna Guerrini Unit of Diagnostic Imaging, Department of Radiological Sciences, University of Siena, Azienda Ospedaliero-Universitaria Senese, Siena, Italy
  • Pierpaolo Palumbo Department of Biotechnology and Applied Clinical Sciences, University of L’Aquila, L’Aquila, Italy
  • Silvia Pradella Department of Radiology, Careggi University Hospital, Florence, Italy
  • Gianpaolo Carrafiello Radiology Department, Fondazione IRCSS Ca Granda, Ospedale Maggiore Policlinico and Department of Health Sciences, Università degli Studi di Milano, Milan, Italy
  • Marco Vivarelli University Politecnica delle Marche, School of Medicine and University Hospital “Umberto I – Lancisi – Salesi”, Division of Hepatobiliary and Transplant Surgery, Ancona, Italy
  • Andrea Giovagnoni Department of Clinical, Special and Dental Sciences, University Politecnica delle Marche, Ancona, AN, Italy; Division of Special and Pediatric Radiology, Department of Radiology, University Hospital “Umberto I – Lancisi – Salesi”, Ancona, AN, Italy

Keywords:

Imaging, liver malignancies, liver resection, surgical planning, MRI, CT, US

Abstract

The management of patients undergoing surgical resection for liver malignancies requires a multidisciplinary team, including a dedicated radiologist. In the preoperative workup, the radiologist has to provide precise, relevant information to the surgeon. This requires the radiologist to know the basics of surgical techniques as well as liver surgical anatomy in order to help to avoid unexpected surgical scenarios and complications. Moreover, virtual resections and volumetries on radiological images will be discussed, and basic concepts of postoperative liver failure, regeneration, and methods for hypertrophy induction will be provided.

References

Kokudo N, Takemura N, Ito K, Mihara F. The history of liver surgery: Achievements over the past 50 years. Ann Gastroenterol Surg 2020; 4: 109-17.

Calise F, Giuliani A, Sodano L, et al. Segmentectomy: is minimally invasive surgery going to change a liver dogma? Updates Surg 2015; 67: 111-5.

Marte G, Scuderi V, Rocca A, Surfaro G, Migliaccio C, Ceriello A. Laparoscopic splenectomy: a single center experience. Unusual cases and expanded inclusion criteria for laparoscopic approach. Updates Surg 2013; 65: 115-9.

Shin DS, Ingraham CR, Dighe MK, et al. Surgical resection of a malignant liver lesion: what the surgeon wants the radiologist to know. AJR Am J Roentgenol 2014; 203: W21-33.

Belfiore MP, Reginelli A, Maggialetti N, et al. Preliminary results in unresectable cholangiocarcinoma treated by CT percutaneous irreversible electroporation: feasibility, safety and efficacy. Med Oncol 2020; 37: 45.

Giannitto C, Campoleoni M, Maccagnoni S, et al. Unindicated multiphase CT scans in non-traumatic abdominal emergencies for women of reproductive age: a significant source of unnecessary exposure. Radiol Med 2018; 123: 185-90.

Petrillo M, Patella F, Pesapane F, et al. Hypoxia and tumor angiogenesis in the era of hepatocellular carcinoma transarterial loco-regional treatments. Future Oncol 2018; 14: 2957-67.

Cornelis FH, Borgheresi A, Petre EN, Santos E, Solomon SB, Brown K. Hepatic Arterial Embolization Using Cone Beam CT with Tumor Feeding Vessel Detection Software: Impact on Hepatocellular Carcinoma Response. Cardiovasc Intervent Radiol 2018; 41: 104-11.

Borgheresi A, Gonzalez-Aguirre A, Brown KT, et al. Does Enhancement or Perfusion on Preprocedure CT Predict Outcomes After Embolization of Hepatocellular Carcinoma? Acad Radiol 2018; 25: 1588-94.

Belfiore G, Belfiore MP, Reginelli A, et al. Concurrent chemotherapy alone versus irreversible electroporation followed by chemotherapy on survival in patients with locally advanced pancreatic cancer. Med Oncol 2017; 34: 38.

Carrafiello G, Fontana F, Cotta E, et al. Ultrasound-guided thermal radiofrequency ablation (RFA) as an adjunct to systemic chemotherapy for breast cancer liver metastases. Radiol Med 2011; 116: 1059-66.

Couinaud C. Liver anatomy: portal (and suprahepatic) or biliary segmentation. Dig Surg 1999; 16: 459-67.

Bismuth H. Revisiting liver anatomy and terminology of hepatectomies. Ann Surg 2013; 257: 383-6.

Strasberg SM, Belghiti J, Clavien PA, et al. The Brisbane 2000 Terminology of Liver Anatomy and Resections. Hpb 2000; 2: 333-39.

Lopez-Andujar R, Moya A, Montalva E, et al. Lessons learned from anatomic variants of the hepatic artery in 1,081 transplanted livers. Liver Transpl 2007; 13: 1401-4.

Catalano OA, Singh AH, Uppot RN, Hahn PF, Ferrone CR, Sahani DV. Vascular and biliary variants in the liver: implications for liver surgery. Radiographics 2008; 28: 359- 78.

Covey AM, Brody LA, Getrajdman GI, Sofocleous CT, Brown KT. Incidence, patterns, and clinical relevance of variant portal vein anatomy. AJR Am J Roentgenol 2004; 183: 1055-64.

Barbaro B, Soglia G, Alvaro G, et al. Hepatic veins in presurgical planning of hepatic resection: what a radiologist should know. Abdom Imaging 2013; 38: 442-60.

Reichert PR, Renz JF, D’Albuquerque LA, et al. Surgical anatomy of the left lateral segment as applied to living-donor and split-liver transplantation: a clinicopathologic study. Ann Surg 2000; 232: 658-64.

Masselot R, Leborgne J. Anatomical study of hepatic veins. Anat Clin 1978; 1: 109–25.

Macdonald DB, Haider MA, Khalili K, et al. Relationship between vascular and biliary anatomy in living liver donors. AJR Am J Roentgenol 2005; 185: 247-52.

Rodgers SK, Fetzer DT, Gabriel H, et al. Role of US LIRADS in the LI-RADS Algorithm. Radiographics 2019; 39: 690-708.

Kennedy P, Wagner M, Castera L, et al. Quantitative Elastography Methods in Liver Disease: Current Evidence and Future Directions. Radiology 2018; 286: 738-63.

Burrowes DP, Medellin A, Harris AC, Milot L, Wilson SR. Contrast-enhanced US Approach to the Diagnosis of Focal Liver Masses. Radiographics 2017; 37: 1388-400.

Torzilli G, Makuuchi M. Ultrasound-guided finger compression in liver subsegmentectomy for hepatocellular carcinoma. Surg Endosc 2004; 18: 136-9.

Ichikawa T, Erturk SM, Araki T. Multiphasic contrastenhanced multidetector-row CT of liver: contrast-enhancement theory and practical scan protocol with a combination of fixed injection duration and patients’ body-weighttailored dose of contrast material. Eur J Radiol 2006; 58: 165-76.

Agostini A, Borgheresi A, Mari A, et al. Dual-energy CT: theoretical principles and clinical applications. Radiol Med 2019; 124: 1281-95.

Agostini A, Mari A, Lanza C, et al. Trends in radiation dose and image quality for pediatric patients with a multidetector CT and a third-generation dual-source dual-energy CT. Radiol Med 2019; 124: 745-52.

Guglielmi A, Ruzzenente A, Conci S, Valdegamberi A, Iacono C. How much remnant is enough in liver resection? Dig Surg 2012; 29: 6-17.

Agostini A, Borgheresi A, Mari A, et al. Dual-energy CT: theoretical principles and clinical applications. Radiol Med 2019

Mungai F, Pasquinelli F, Mazzoni LN, et al. Diffusionweighted magnetic resonance imaging in the prediction and assessment of chemotherapy outcome in liver metastases. Radiol Med 2014; 119: 625-33.

Carrafiello G, Ierardi AM, Piacentino F, Cardim LN. Percutaneous transhepatic embolization of biliary leakage with Nbutyl cyanoacrylate. Indian J Radiol Imaging 2012; 22: 19-22.

Carrafiello G, D’Ambrosio A, Mangini M, et al. Percutaneous cholecystostomy as the sole treatment in critically ill and elderly patients. Radiol Med 2012; 117: 772-9.

Calistri L, Castellani A, Matteuzzi B, Mazzoni E, Pradella S, Colagrande S. Focal Liver Lesions Classification and Characterization: What Value Do DWI and ADC Have? J Comput Assist Tomogr 2016; 40: 701-8.

Agostini A, Kircher MF, Do RK, et al. Magnetic Resonanance Imaging of the Liver (Including Biliary Contrast Agents)-Part 2: Protocols for Liver Magnetic Resonanance Imaging and Characterization of Common Focal Liver Lesions. Semin Roentgenol 2016; 51: 317-33.

Agostini A, Kircher MF, Do R, et al. Magnetic Resonance Imaging of the Liver (Including Biliary Contrast Agents) Part 1: Technical Considerations and Contrast Materials. Semin Roentgenol 2016; 51: 308-16.

Liver EAftSot. EASL Clinical Practice Guidelines: Management of hepatocellular carcinoma. Journal of hepatology 2018; 69: 182-236.

Zech CJ, Grazioli L, Jonas E, et al. Health-economic evaluation of three imaging strategies in patients with suspected colorectal liver metastases: Gd-EOB-DTPA-enhanced MRI vs. extracellular contrast media-enhanced MRI and 3-phase MDCT in Germany, Italy and Sweden. Eur Radiol 2009; 19 Suppl 3: S753-63.

Rahbari NN, Garden OJ, Padbury R, et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery 2011; 149: 713-24.

van Mierlo KM, Schaap FG, Dejong CH, Olde Damink SW. Liver resection for cancer: New developments in prediction, prevention and management of postresectional liver failure. J Hepatol 2016; 65: 1217-31.

Schindl MJ, Redhead DN, Fearon KC, et al. The value of residual liver volume as a predictor of hepatic dysfunction and infection after major liver resection. Gut 2005; 54: 289-96.

Reiner CS, Karlo C, Petrowsky H, Marincek B, Weishaupt D, Frauenfelder T. Preoperative liver volumetry: how does the slice thickness influence the multidetector computed tomography- and magnetic resonance-liver volume measurements? J Comput Assist Tomogr 2009; 33: 390-7.

Chlebus G, Schenk A, Moltz JH, van Ginneken B, Hahn HK, Meine H. Automatic liver tumor segmentation in CT with fully convolutional neural networks and object-based postprocessing. Sci Rep 2018; 8: 15497.

Pandanaboyana S, Bell R, Hidalgo E, et al. A systematic review and meta-analysis of portal vein ligation versus portal vein embolization for elective liver resection. Surgery 2015; 157: 690-8.

van Lienden KP, van den Esschert JW, de Graaf W, et al. Portal vein embolization before liver resection: a systematic review. Cardiovasc Intervent Radiol 2013; 36: 25-34.

Popescu I, Alexandrescu ST. Surgical options for initially unresectable colorectal liver metastases. HPB Surg 2012; 2012: 454026.

Schnitzbauer AA, Lang SA, Goessmann H, et al. Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings. Ann Surg 2012; 255: 405-14.

Vivarelli M, Vincenzi P, Montalti R, et al. ALPPS Procedure for Extended Liver Resections: A Single Centre Experience and a Systematic Review. PLoS ONE 2015; 10: e0144019.

Olthof PB, Coelen RJS, Wiggers JK, et al. High mortality after ALPPS for perihilar cholangiocarcinoma: case-control analysis including the first series from the international ALPPS registry. HPB (Oxford) 2017; 19: 381-87.

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Published

13-07-2020

How to Cite

1.
The role of imaging in surgical planning for liver resection: what the radiologist need to know. Acta Biomed [Internet]. 2020 Jul. 13 [cited 2024 Mar. 29];91(8-S):18-26. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/9938