Radiation injury to the liver after intensity-modulated radiation therapy in patients with mesothelioma: an unusual CT appearance.

Munden, Reginald F; Erasmus, Jeremy J; Smythe, William R; Madewell, John E; Forster, Kenneth M; Stevens, Craig W · AJR Am J Roentgenol · 2005

case_series · Level IV

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Abstract

We sought to report the unusual distribution of radiation-induced injury to the liver in patients with mesothelioma after extrapleural pneumonectomy and intensity-modulated radiation therapy (IMRT). Abnormal hepatic enhancement after extrapleural pneumonectomy and IMRT is common in patients with mesothelioma. Knowledge of the early occurrence and typical location and appearance of IMRT-induced injury can be useful in preventing misinterpretation as metastatic disease or recurrent tumor.

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