A prospective study was performed to compare, with a lesion-by-lesion analysis, the sensitivities of high field strength MRI and CT during arterial portography (CTAP) in detecting hepatic metastases from colorectal cancer. Twenty-one patients with liver metastases from colorectal cancer were prospectively investigated by high field strength MRI (1.5 or 2 T) and CTAP. High field strength MRI was performed with pre and post gadopentetate dimeglumine enhanced T1-weighted SE sequences and T2-weighted SE sequences. All patients underwent partial hepatectomy and 37 metastases were surgically and pathologically proved. The metastasis detection rate (sensitivity) was 94% (35 of 37) for CTAP and 78% (29 of 37) for high field strength MRI. The 16% (95% confidence interval: 1-31%) difference in sensitivity between CTAP and high field strength MRI was statistically significant (p < 0.05, McNemar test). The use of gadopentetate dimeglumine did not improve the sensitivity of T1-weighted SE sequences. Since our study demonstrated significant difference in sensitivities between high field strength MRI and CTAP in our group of patients, we can conclude that high field strength MRI cannot replace CTAP in the preoperative evaluation of patients with liver metastases from colorectal cancer. Computed tomography during arterial portography must be considered as the preoperative gold standard.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/00004728-199301000-00012 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effective Field Theory of Conformal Boundaries.
Phys Rev Lett
December 2024
New York University, Center for Cosmology and Particle Physics, New York, New York 10003, USA.
We introduce an effective field theory (EFT) for conformal impurity by considering a pair of transversely displaced impurities and integrating out modes with mass inversely proportional to the separation distance. This EFT captures the universal signature of the impurity seen by a heavy local operator. We focus on the case of conformal boundaries and derive universal formulas from this EFT for the boundary structure constants at high energy.
View Article and Find Full Text PDFQuasi-Two-Dimensional Antiferromagnetic Spin Fluctuations in the Spin-Triplet Superconductor Candidate CeRh_{2}As_{2}.
Phys Rev Lett
December 2024
Johns Hopkins University, Institute for Quantum Matter and Department of Physics and Astronomy, Baltimore, Maryland 21218, USA.
The tetragonal heavy-fermion superconductor CeRh_{2}As_{2} (T_{c}=0.3 K) exhibits an exceptionally high critical field of 14 T for B∥c. It undergoes a field-driven first-order phase transition between superconducting states, potentially transitioning from spin-singlet to spin-triplet superconductivity.
View Article and Find Full Text PDFEvidence of Dirac Quantum Spin Liquid in YbZn_{2}GaO_{5}.
Phys Rev Lett
December 2024
Duke University, Department of Physics, Durham, North Carolina 27708, USA.
The emergence of a quantum spin liquid (QSL), a state of matter that can result when electron spins are highly correlated but do not become ordered, has been the subject of a considerable body of research in condensed matter physics [1,2]. Spin liquid states have been proposed as hosts for high-temperature superconductivity [3] and can host topological properties with potential applications in quantum information science [4]. The excitations of most quantum spin liquids are not conventional spin waves but rather quasiparticles known as spinons, whose existence is well established experimentally only in one-dimensional systems; the unambiguous experimental realization of QSL behavior in higher dimensions remains challenging.
View Article and Find Full Text PDFLaser Wakefield Acceleration of Ions with a Transverse Flying Focus.
Phys Rev Lett
December 2024
Stanford University, Department of Mechanical Engineering, Stanford, California 94305, USA.
The extreme electric fields created in high-intensity laser-plasma interactions could generate energetic ions far more compactly than traditional accelerators. Despite this promise, laser-plasma accelerator experiments have been limited to maximum ion energies of ∼100 MeV/nucleon. The central challenge is the low charge-to-mass ratio of ions, which has precluded one of the most successful approaches used for electrons: laser wakefield acceleration.
View Article and Find Full Text PDFUnambiguous Detection of High-Energy Vortex States via the Superkick Effect.
Phys Rev Lett
December 2024
Sun Yat-sen University, School of Physics and Astronomy, Zhuhai 519082, China.
Vortex states of photons, electrons, and other particles are freely propagating wave packets with helicoidal wave fronts winding around the axis of a phase vortex. A particle prepared in a vortex state carries a nonzero orbital angular momentum projection on the propagation direction, a quantum number that has never been exploited in experimental particle and nuclear physics. Low-energy vortex photons, electrons, neutrons, and helium atoms have been demonstrated in experiment and found numerous applications, and there exist proposals of boosting them to higher energies.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!