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European Radiology

, Volume 19, Issue 3, pp 643–650 | Cite as

MRI staging of low rectal cancer

  • Oliver C. Shihab
  • Brendan J. Moran
  • Richard J. Heald
  • Philip Quirke
  • Gina BrownEmail author
Gastrointestinal

Abstract

Low rectal tumours, especially those treated by abdominoperineal excision (APE), have a high rate of margin involvement when compared with tumours elsewhere in the rectum. Correct surgical management to minimise this rate of margin involvement is reliant on highly accurate imaging, which can be used to plan the planes of excision. In this article we describe the techniques for accurate magnetic resonance imaging (MRI) assessment and a novel staging system for low rectal tumours. Using this staging system it is possible for the radiologist to demonstrate accurately tumour-free planes for surgical excision of low rectal tumours.

Keywords

MRI Rectal cancer Staging Low rectal cancer 

Notes

Acknowledgements

The authors wish to acknowledge the Trial Management Group. Trial PIs: Professor RJ Heald, Mr BJ Moran, Dr. Torbjorn Holm, Mr. Ian Daniels (Surgery), Dr Gina Brown, Dr Lennart Blomqvist (Radiology), Professor Philip Quirke (Histopathology), Dr Diana Tait (Clinical Oncology), Dr Andy Norman, Dr Yolanda Barbachano (Statistics).

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Copyright information

© European Society of Radiology 2008

Authors and Affiliations

  • Oliver C. Shihab
    • 1
  • Brendan J. Moran
    • 2
  • Richard J. Heald
    • 1
  • Philip Quirke
    • 3
  • Gina Brown
    • 4
    Email author
  1. 1.Pelican Cancer Foundation, North Hampshire HospitalBasingstokeUK
  2. 2.Colorectal Research Unit, North Hampshire HospitalBasingstokeUK
  3. 3.Leeds Institute for Molecular MedicineSt James’s HospitalLeedsUK
  4. 4.Department of RadiologyRoyal Marsden HospitalSurreyUK

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