Computed tomography perfusion imaging as a potential imaging biomarker of colorectal cancer

World J Gastroenterol. 2014 Dec 14;20(46):17345-51. doi: 10.3748/wjg.v20.i46.17345.

Abstract

Neovascularization was reported to arise early in the adenoma-carcinoma sequence in colorectal cancer (CRC), and the importance of angiogenesis in cancer progression has been established. Computed tomography (CT) perfusion (CTP) based on high temporal resolution CT images enables evaluation of hemodynamics of tissue in vivo by modeling tracer kinetics. CTP has been reported to characterize tumor angiogenesis, and to be a sensitive marker for predicting recurrence or survival in CRC. In this review, we will discuss the biomarker value of CTP in the management of CRC patients.

Keywords: Angiogenesis; Antiangiogenic therapy; Chemoradiation therapy; Colorectal cancer; Computed tomography perfusion.

Publication types

  • Review

MeSH terms

  • Angiogenesis Inhibitors / therapeutic use
  • Animals
  • Colonography, Computed Tomographic*
  • Colonoscopy
  • Colorectal Neoplasms / blood supply*
  • Colorectal Neoplasms / diagnostic imaging*
  • Colorectal Neoplasms / mortality
  • Colorectal Neoplasms / therapy
  • Contrast Media
  • Hemodynamics
  • Humans
  • Neoplasm Metastasis
  • Neovascularization, Pathologic
  • Patient Selection
  • Perfusion Imaging / methods*
  • Predictive Value of Tests
  • Regional Blood Flow
  • Treatment Outcome

Substances

  • Angiogenesis Inhibitors
  • Contrast Media