HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Is Liver Metastases Detected In A CT Scan?

default
Posted on Fri, 26 Sep 2014
Question: Can a ct scan detect a liver meta clearly ?
doctor
Answered by Dr. Monish De (14 minutes later)
Brief Answer:
CT imaging of choice for liver metastasis

Detailed Answer:
Hi

Computed Tomography (CT) scan upper abdomen is the imaging of choice for detecting liver metastases.

The preference of CT scan for detecting liver metastasis is due to the fact that it can detect the effects of the dual blood supply on the enhancement characteristics of metastases.

CT scan permits better evaluation of the involvement of extrahepatic tissues, including the bones, bowel, lymph nodes, and mesentery.

Hope i have answered your query

Regards

DR De
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
default
Follow up: Dr. Monish De (2 hours later)
Thx for ur reply. My father had surgery re colon cancer in march . He was a dukes c1.

His cea then has been as follows -

May 3 XXXXXXX 4
July 6
August 8

He had a ct scan next week Which has revealed a 15 mm lesion on liver ( segment 8). The radiologist stated - appearances keeping with disease progression .

Following an mdt meeting , his onco said they are not sure what it is n now want to do a pet scan .
What are ur views ? If this is a met would they be able to say from the scan ?
doctor
Answered by Dr. Monish De (18 minutes later)
Brief Answer:
Confirmatory test

Detailed Answer:
Hi


Fluorodeoxyglucose (FDG) PET scan is more accurate in detecting liver metastases.
If the CT scan has detected 15 mm lesion on liver in segment 8 then PET scan should be done to confirm metastases.

Regards
DR De
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
default
Follow up: Dr. Monish De (1 hour later)
So this more likely
To be met than a benign lesion right. ?
doctor
Answered by Dr. Monish De (14 hours later)
Brief Answer:
Most likely metastasis

Detailed Answer:
Hi

As the size of the lesion is 15 mm in the CT scan and CEA is also rising the lesion in the liver is most likely to be metastasis and that is why PET scan is required to confirm the finding.

Regards
DR De
Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
default
Follow up: Dr. Monish De (11 hours later)
Thx . Can ct scan trll between a benign and malignant lesion ?

I was wondering y pet scan being done. Is it cuz they think it's a meta and wNt to just confirm by a pet scan .
doctor
Answered by Dr. Monish De (12 hours later)
Brief Answer:
increase uptake of glucose by cancer cells in PET

Detailed Answer:
Hi

CT scan can only detect a space occupying lesion and cannot determine the type of lesion whereas a PET scan can differentiate between benign and malignant lesion as certain cancer cells take increase uptake of glucose in PET scan and that is why it is more accurate in determining metastasis.

Regards
DR De
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2229 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Is Liver Metastases Detected In A CT Scan?

Brief Answer: CT imaging of choice for liver metastasis Detailed Answer: Hi Computed Tomography (CT) scan upper abdomen is the imaging of choice for detecting liver metastases. The preference of CT scan for detecting liver metastasis is due to the fact that it can detect the effects of the dual blood supply on the enhancement characteristics of metastases. CT scan permits better evaluation of the involvement of extrahepatic tissues, including the bones, bowel, lymph nodes, and mesentery. Hope i have answered your query Regards DR De