CT findings of response and recurrence, independent of change in tumor size, in colorectal liver metastasis treated with bevacizumab

AJR Am J Roentgenol. 2011 Dec;197(6):W1060-6. doi: 10.2214/AJR.11.6459.

Abstract

Objective: The purpose of this article is to provide a practical review of newly established morphologic tumor response criteria for hepatic colorectal metastasis treated with bevacizumab-containing chemotherapy and a description of the patterns of early recurrence. We also discuss the respective value of these criteria and the Response Evaluation Criteria in Solid Tumors (RECIST).

Conclusion: RECIST alone are not sufficient to assess response after bevacizumab-containing chemotherapy for hepatic colorectal metastasis. The combined use of RECIST and morphologic criteria is mandatory for optimal evaluation in this population.

Publication types

  • Review

MeSH terms

  • Antibodies, Monoclonal / therapeutic use*
  • Antibodies, Monoclonal, Humanized / therapeutic use*
  • Bevacizumab
  • Colorectal Neoplasms / pathology*
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / drug therapy*
  • Liver Neoplasms / secondary*
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Tomography, X-Ray Computed / methods*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Monoclonal, Humanized
  • Bevacizumab