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Review
. 2024 Jun 18;97(1159):1214-1221.
doi: 10.1093/bjr/tqae061.

Imaging in the era of risk-adapted treatment in colon cancer

Max J Lahaye  1   2 , Doenja M J Lambregts  1   2 , Arend G J Aalbers  3 , Petur Snaebjornsson  4   5 , Regina G H Beets-Tan  1   2   6 , Niels F M Kok  3
Affiliations
Review

Imaging in the era of risk-adapted treatment in colon cancer

Max J Lahaye et al. Br J Radiol. .

Abstract

The treatment landscape for patients with colon cancer is continuously evolving. Risk-adapted treatment strategies, including neoadjuvant chemotherapy and immunotherapy, are slowly finding their way into clinical practice and guidelines. Radiologists are pivotal in guiding clinicians toward the most optimal treatment for each colon cancer patient. This review provides an overview of recent and upcoming advances in the diagnostic management of colon cancer and the radiologist's role in the multidisciplinary approach to treating colon cancer.

Keywords: CT; MRI; colon cancer; imaging; metastases; neoplasms; staging.

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Conflict of interest statement

None declared

Figures

Figure 1.
Figure 1.
(A) CT image of the liver without any visible liver lesions. (B) Corresponding MRI image in the same patient with a lesion with a high signal on the corresponding DWI image (C). This lesion proved to be a liver metastasis missed on CT images. Abbreviation: CT=computed tomography.
Figure 2.
Figure 2.
(A) CT image of the pelvis without any visible peritoneal lesions. (B) Corresponding MRI image in the same patient with an evident lesion next to the small bowel and a high signal on the corresponding DWI image (C). This lesion proved to be a peritoneal metastasis missed on CT images at surgery. This figure illustrates how even large peritoneal lesions can easily be missed on CT images. Abbreviation: CT=computed tomography.
See this image and copyright information in PMC

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