Abdominal immune-related adverse events: detection on ultrasonography, CT, MRI and 18F-Fluorodeoxyglucose positron emission tomography

Br J Radiol. 2021 Feb 1;94(1118):20200663. doi: 10.1259/bjr.20200663. Epub 2020 Oct 28.

Abstract

Immune checkpoint inhibitor and chimeric antigen receptor T-cell therapies are associated with a unique spectrum of complications termed immune-related adverse events (irAEs). The abdomen is the most frequent site of severe irAEs that require hospitalization with life-threatening consequences. Most abdominal irAEs such as enterocolitis, hepatitis, cholangiopathy, cholecystitis, pancreatitis, adrenalitis, and sarcoid-like reaction are initially detected on imaging such as ultrasonography (US), CT, MRI and fusion 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET)-CT during routine surveillance of cancer therapy. Early recognition and diagnosis of irAEs and immediate management with cessation of immune modulator cancer therapy and institution of immunosuppressive therapy are necessary to avert morbidity and mortality. Diagnosis of irAEs is confirmed by tissue sampling or by follow-up imaging demonstrating resolution. Abdominal radiologists reviewing imaging on patients being treated with anti-cancer immunomodulators should be familiar with the imaging manifestations of irAEs.

Publication types

  • Review

MeSH terms

  • Digestive System Diseases / chemically induced*
  • Fluorodeoxyglucose F18
  • Humans
  • Immunotherapy / adverse effects*
  • Magnetic Resonance Imaging / methods*
  • Neoplasms / drug therapy*
  • Positron Emission Tomography Computed Tomography / methods*
  • Radiopharmaceuticals
  • Tomography, X-Ray Computed / methods*
  • Ultrasonography / methods*

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18