3 doctors weighed in:

How is colorectal metastasis detected?

3 doctors weighed in
Dr. Joseph Woods
Pathology
1 doctor agrees

In brief: CT/surgery.

These are often detected on ct scan, but the most definitive way to detect this is by surgery, often done during resection of primary tumor. This is one reason why the dukes classification is used, as the invasiveness is determined at surgery.
Stage a - to submucosa, b - to muscularis, c - to lymph nodes, d - distant metastasis. Organs of metastasis also show signs - liver, bone lung.

In brief: CT/surgery.

These are often detected on ct scan, but the most definitive way to detect this is by surgery, often done during resection of primary tumor. This is one reason why the dukes classification is used, as the invasiveness is determined at surgery.
Stage a - to submucosa, b - to muscularis, c - to lymph nodes, d - distant metastasis. Organs of metastasis also show signs - liver, bone lung.
Dr. Joseph Woods
Dr. Joseph Woods
Thank
Dr. Michael Ginsburg
Radiology - Interventional

In brief: Imaging

There is growing evidence that CT, MRI and PET/CT are complementary rather than exclusive techniques in detection of colorectal metastasis.
CT is the most widely used staging modality,but PET/CT is a more sensitive & specific modality improving detection of both liver & extra hepatic mets. MRI is rarely used as a primary tool in liver mets diagnosis, but its regarded as a problem solving technique

In brief: Imaging

There is growing evidence that CT, MRI and PET/CT are complementary rather than exclusive techniques in detection of colorectal metastasis.
CT is the most widely used staging modality,but PET/CT is a more sensitive & specific modality improving detection of both liver & extra hepatic mets. MRI is rarely used as a primary tool in liver mets diagnosis, but its regarded as a problem solving technique
Dr. Michael Ginsburg
Dr. Michael Ginsburg
Thank
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