Abstract

It’s essential in treating rectal cancer to have adequate preoperative imaging. Meticulous preoperative assessment remains key because contemporary therapy is dependent upon presurgical diagnostic imaging modalities, which influence the indication for neoadjuvant therapy and the decision process concerning the appropriate surgical approach. If the distant extension remains of the whole body computed tomography, the MRI and the endorectal ultrasound are currently powerful and complementary for the local staging of rectal cancer. Conventional TN staging now appears less crucial compared to assessing tumor distance from the potential plane of surgical resection (particularly the circumferential margin bounded by the mesorectal fascia), and this is reliant on high-quality imaging. The evaluation of nodal metastases remains a challenge with routine MRI.

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