Evidence map›Paper›PMID 41153064›Full record

ArticleCancer imaging : the official publication of the International Cancer Imaging Society2025

Effect of disappearing liver metastases during pre-ablation chemotherapy on the prognosis of percutaneous microwave ablation in synchronous colorectal liver metastases patients.

Limei Chen, Jingwen Zhou, Rui Cui, Si Qin, Yao Chen, Yimin Wang, Guangjian Liu

Abstract read
In one paragraph

Article in Cancer imaging : the official publication of the International Cancer Imaging Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Limei ChenDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Jingwen ZhouDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Rui CuiDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Si QinDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yao ChenDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Yimin WangDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China.
Guangjian LiuDepartment of Ultrasonography, The Sixth Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China. liugj@mail.sysu.edu.cn.

Funding

Guangdong Province Basic and Applied Basic Research Foundation Enterprise Joint Fund (Public Health and Pharmaceutical Health Field) - Key Projects 2023B151523003National Natural Science Foundation of China 82371996
6 · The paper itself

Abstract

introductionDisappearing colorectal liver metastases (DLM) frequently occur during chemotherapy. However, DLM is not equivalent to pathologically complete response. This study aimed to investigate the effect of radiographic DLM on microwave ablation (MWA) in patients with synchronous colorectal liver metastases (CRLM).

methodsA retrospective review was performed for patients who accepted MWA following pre-ablation chemotherapy from January 2014 to December 2021. DLM was defined as undetectable tumors on pre-ablation contrast-enhanced imagings compared to the initial ones. Overall survival (OS) and intrahepatic progression-free survival (ihPFS) were analyzed and compared between patients with and without DLM. Univariate and multivariate cox regression were used to identify risk factors for OS and ihPFS. A propensity score matching (PSM) analysis was used to balance the patient demographics.

resultsSixty-eight patients with DLM and 97 without DLM were included. The 1-year, 3-year, and 5-year ihPFS rates were significantly lower for patients with DLM compared to those without DLM before and after PSM (55.7%, 36.8%, and 30.6% vs. 70.8%, 59.3%, and 52.0% before PSM, respectively, p = 0.012; 44.9%, 31.8%, and 21.2% vs. 72.3%, 58.8%, and 47.5% after PSM, respectively, p = 0.039). Twenty-three (33.8%) patients with DLM had DLM-site recurrences during follow-up. The OS was not statistically different between the two groups both before and after PSM (p-value = 0.11 and 0.49). Multivariable cox regression revealed DLM (HR = 2.2; 95% CI = 1.1-4.1; p-value = 0.009) was a risk factor for poor ihPFS.

conclusionPatients with DLM presented worse ihPFS, suggesting that to eradicate visible tumors before disappearance may be advantageous when synchronous CRLM is ablatable.

Indexed as

Colorectal NeoplasmsLiver NeoplasmsMicrowavesAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesChemotherapyColorectal liver metastasesMicrowave ablationSurvivalUltrasound

Identifiers

PMID41153064
PMCPMC12570492

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.