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. Author manuscript; available in PMC: 2019 Oct 4.
Published in final edited form as: Curr Probl Surg. 2018 Oct 4;55(9):330–379. doi: 10.1067/j.cpsurg.2018.08.004

Table 5:

Required elements of assessments for resection.

Component required Information acquisition
Assessment of disease extent

  • Liver-protocoled CT or MRI

  • PET if there is lack of clarity re: extrahepatic disease
Assessment of need for chemotherapy or response to previous chemotherapy

  • Disease-free interval

  • Image appearance of mets over time

  • CEA levels
Optimizing surgical decisions - assessment of resectability

  • Assess potential for R0 resection:

  • Preservation of 2 contiguous segments

  • Volumetrics to ensure appropriate FLR (if needed adequacy of FLR growth after PVE)

  • Adequate vascular inflow & outflow

  • Adequate biliary drainage

Notes: CEA, carcinoembryonic antigen; CT, computed tomography; FLR, functional liver remnant; MRI, magnetic resonance imaging; PVE, portal vein embolization