Chemoembolization of hepatic metastases from ocular melanoma: assessment of response with contrast-enhanced and diffusion-weighted MRI

AJR Am J Roentgenol. 2008 Jul;191(1):285-9. doi: 10.2214/AJR.07.2467.

Abstract

Objective: The purpose of this study was to assess the utility of assessment of tumor size and enhancement with diffusion-weighted and conventional MRI in the evaluation of response to transarterial chemoembolization therapy for metastatic ocular melanoma.

Conclusion: In patients with ocular melanoma and liver metastasis treated with transarterial chemoembolization, functional MRI showed significant changes in the lesions. These changes included a decrease in tumor enhancement and an increase in the apparent diffusion coefficient of the tumor, suggesting increasing tumor necrosis and cell death.

MeSH terms

  • Aged
  • Chemoembolization, Therapeutic*
  • Contrast Media
  • Diffusion Magnetic Resonance Imaging / methods*
  • Eye Neoplasms / diagnosis*
  • Eye Neoplasms / therapy
  • Female
  • Gadolinium DTPA*
  • Humans
  • Liver Neoplasms* / diagnosis
  • Liver Neoplasms* / secondary
  • Liver Neoplasms* / therapy
  • Male
  • Melanoma* / diagnosis
  • Melanoma* / secondary
  • Melanoma* / therapy
  • Outcome Assessment, Health Care / methods
  • Prognosis
  • Treatment Outcome

Substances

  • Contrast Media
  • gadodiamide
  • Gadolinium DTPA