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Gruber-Rouh T, Marko C, Thalhammer A, et al. Current strategies in interventional oncology of colorectal liver metastases. Br J Radiol. 2016;89(1064):20151060doi: 10.1259/bjr.20151060.
Gruber-Rouh, T., Marko, C., Thalhammer, A., Nour-Eldin, N. E., Langenbach, M., Beeres, M., Naguib, N. N., Zangos, S., & Vogl, T. J. (2016). Current strategies in interventional oncology of colorectal liver metastases. The British journal of radiology, 89(1064), 20151060. https://doi.org/10.1259/bjr.20151060
Gruber-Rouh, Tatjana, et al. "Current strategies in interventional oncology of colorectal liver metastases." The British journal of radiology vol. 89,1064 (2016): 20151060. doi: https://doi.org/10.1259/bjr.20151060
Gruber-Rouh T, Marko C, Thalhammer A, Nour-Eldin NE, Langenbach M, Beeres M, Naguib NN, Zangos S, Vogl TJ. Current strategies in interventional oncology of colorectal liver metastases. Br J Radiol. 2016 Aug;89(1064):20151060. doi: 10.1259/bjr.20151060. Epub 2016 May 26. PMID: 27164030; PMCID: PMC5124876.
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Br J Radiol. 2016 Aug;89(1064):20151060. doi: 10.1259/bjr.20151060. Epub 2016 May 26.

Current strategies in interventional oncology of colorectal liver metastases.

The British journal of radiology

Tatjana Gruber-Rouh, Christian Marko, Axel Thalhammer, Nour-Eldin Nour-Eldin, Marcel Langenbach, Martin Beeres, Nagy N Naguib, Stephan Zangos, Thomas J Vogl

Affiliations

  1. 1 Institute for Diagnostic and Interventional Radiology, Johann Wolfgang Goethe-University Frankfurt, Frankfurt, Germany.
  2. 2 Department of Radiology, Faculty of Medicine (Kasr Al-Ainy), Cairo University, Alexandria, Egypt.
  3. 3 Department of Radiology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

PMID: 27164030 PMCID: PMC5124876 DOI: 10.1259/bjr.20151060

Abstract

The adequate treatment of non-resectable liver metastases from colorectal cancer which are resistant to systemic chemotherapy currently provides a great challenge. The aim is to identify and review key strategies in the treatment of colorectal liver metastases. A search for current literature on the topic of interventional strategies for colorectal metastases was performed in Medline in order to achieve this goal. Studies before 2005 and with <20 patients treated for colorectal metastases were excluded. Transarterial chemoembolization (TACE), transarterial embolization and selective internal radiation therapy (SIRT) were identified as examples of regional strategies for colorectal liver metastases, utilizing the unique blood supply of the liver. Radiofrequency ablation (RFA), microwave ablation (MWA) and cryoablation were selected as examples for currently available ablative techniques. Median survival in the key studies reviewed ranged from 7.7 to 28.6 for TACE, 8.3-12.6 for SIRT, 8.2-53.2 for RFA and 29-43 months for MWA. After review of the literature, it can be concluded that interventional oncologic therapies are a safe and effective method for treating colorectal liver metastases. The use of new chemotherapeutic agents for local therapy and new ablation technologies and techniques may increase patient survival and allows a neoadjuvant therapy setting. In addition, a combination of local therapies may be used to increase effectiveness in the future, which is subject to further research.

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