Detection of Metastatic Liver Disease: Use of Liver Scans and Biochemical Liver Tests

Margaret A. Tempero, Richard J. Petersen, Rowen K. Zetterman, Henry M. Lemon, Jud Gurney

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


The records of 94 patients with a known diagnosis of extrahepatic cancer having liver scan, biochemical liver tests (alkaline phosphatase, SGOT, lactic dehydrogenase, and bilirubin levels, and subsequent liver biopsy within a six-week period were reviewed. The sensitivity, specificity, and accuracy of the scan and biochemical tests in the detection of metastatic liver disease were calculated. The most sensitive single examination was the group of biochemical liver tests. Liver scans performed in the presence of normal biochemical test results were insensitive when compared with the liver scan alone or the liver scan in the presence of abnormal biochemical test results. The specificity and accuracy of all tests and test combinations were statistically equivalent. Screening for hepatic metastases in patients with cancer is best accomplished with the more sensitive and less expensive group of biochemical liver tests, reserving the liver scan for those patients with abnormal biochemical test results.

Original languageEnglish (US)
Pages (from-to)1329-1332
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Issue number11
StatePublished - Sep 17 1982
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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