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


CONCLUSIONS
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.
Munden
Reginald F
RF
Division of Diagnostic Imaging, Department of Diagnostic Radiology, The University of Texas M.D. Anderson Cancer Center, Box 57, 1515 Holcombe Blvd., Houston, TX 77030, USA.
Erasmus
Jeremy J
JJ
Smythe
William R
WR
Madewell
John E
JE
Forster
Kenneth M
KM
Stevens
Craig W
CW
D000368:Aged; D003287:Contrast Media; D005260:Female; D006801:Humans; D007472:Iohexol; D008099:Liver / Q000000981:diagnostic imaging* / Q000528:radiation effects*; D008111:Liver Function Tests; D008297:Male; D008654:Mesothelioma / Q000532:radiotherapy* / Q000601:surgery; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D011013:Pneumonectomy; D011832:Radiation Injuries / Q000000981:diagnostic imaging*; D011879:Radiotherapy Dosage; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D007472:Iohexol