Abstract
BackgroundMagnetic resonance imaging (MRI) is used for preoperative local staging in patients with rectal cancer. Our aim was to retrospectively study the effects of the imaging protocol on the staging accuracy.Patients and methodsMR-examinations of 37 patients with locally advanced disease were divided into two groups; compliant and noncompliant, based on the imaging protocol, without knowledge of the histopathological results. A compliant rectal cancer imaging protocol was defined as including T2-weighted imaging in the sagittal and axial planes with supplementary coronal in low rectal tumors, alongside a high-resolution plane perpendicular to the rectum at the level of the primary tumor. Protocols not complying with these criteria were defined as noncompliant. Histopathological results were used as gold standard.ResultsCompliant rectal imaging protocols showed significantly better correlation with histopathological results regarding assessment of anterior organ involvement (sensitivity and specificity rates in compliant group were 86% and 94%, respectively vs. 50% and 33% in the noncompliant group). Compliant imaging protocols also used statistically significantly smaller voxel sizes and fewer number of MR sequences than the noncompliant protocolsConclusionAppropriate MR imaging protocols enable more accurate local staging of locally advanced rectal tumors with less number of sequences and without intravenous gadolinium contrast agents.
Highlights
Magnetic resonance imaging (MRI) is used for preoperative local staging in patients with rectal cancer
The local prognostic factors assessed at preoperative magnetic resonance imaging (MRI) of rectal cancer include the extent of extramural tumor spread, involvement of the lateral resection margin, involvement of neighboring organs in the pelvis, presence of local lymph node metastases, extramural lymphovascular infiltration and peritoneal involvement [15,17]
Tumor staging according to MRI Nineteen patients were evaluated as T4 rectal tumors based on MRI
Summary
Magnetic resonance imaging (MRI) is used for preoperative local staging in patients with rectal cancer. When performing TME, knowledge of the relationship of the tumor to the circumferential resection margin (CRM) is of importance. The local prognostic factors assessed at preoperative magnetic resonance imaging (MRI) of rectal cancer include the extent of extramural tumor spread, involvement of the lateral resection margin, involvement of neighboring organs in the pelvis, presence of local lymph node metastases, extramural lymphovascular infiltration and peritoneal involvement [15,17]. This information helps select patients who should receive neoadjuvant treatment. It is of paramount interest to provide detailed anatomic knowledge of tumor and tumor invasion toward neighboring organs before treatment
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