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Michel Huguier, MD; Sanjai Maheswari, MD; Paul Toussaint, MD; Sydney Houry, MD; Serge Mauban, MD; Bernard Mensch, MD

Arch Surg. 1993;128(9):1057-1059.

Abstract
Objective
To assess the value of hepatic flow scintigraphy for occult metastases.

Design
Prospective study, 2 years of follow-up.

Setting and Study Participants
One hundred twenty-nine patients undergoing surgery for gastrointestinal cancer.

Intervention
Preoperative hepatic flow scintigraphy (3mCi of technetium-99m).

Main Outcome Measure
Development of hepatic metastases.

Results
Hepatic flow scintigraphy had a sensitivity of 92% and a specificity of 34%. The positive and negative predictive values were 15% and 97%, respectively.

Conclusions
Hepatic flow scintigraphy could therefore be useful in identifying patients who are at low risk of developing metachronous liver metastases and thus avoid unnecessary adjuvant chemotherapy following resection of the primary tumor.

(Arch Surg. 1993;128:1057-1059)

Author Affiliations
From the Departments of Surgery (Drs Huguier, Maheswari, and Houry) and Biophysical Examinations (Drs Toussaint, Mauban, and Mensch), Hôpital Tenon, Paris VI University, France. Deceases.

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