Abstract
The National Accreditation Program for Rectal Cancer (NAPRC) was established by the American College of Surgeons with the goal of standardizing care of rectal cancer patients in order to improve outcomes. NAPRC accreditation requires compliance with an established set of standards, many of which are directly related to radiology participation in multidisciplinary conference, rectal MR image acquisition, interpretation and reporting, and radiologist education. This paper outlines the pertinent standards/requirements for radiologists as part of the Rectal Cancer Multidisciplinary Team in the NAPRC guidelines, with proposed methods and tips for implementation of these standards from the perspective of the radiologist.
Similar content being viewed by others
References
Siegel, RL, Miller, KD, Fuchs, HE, and Jemal, A, Cancer statistics, 2022. CA Cancer J Clin, 2022. 72(1): p. 7-33. doi: https://doi.org/10.3322/caac.21708
Weiser, MR, AJCC 8th Edition: Colorectal Cancer. Ann Surg Oncol, 2018. 25(6): p. 1454-1455. doi: https://doi.org/10.1245/s10434-018-6462-1
Benson, AB, Venook, AP, Al-Hawary, MM, Azad, N, Chen, YJ, Ciombor, KK, Cohen, S, Cooper, HS, Deming, D, Garrido-Laguna, I, Grem, JL, Gunn, A, Hecht, JR, Hoffe, S, Hubbard, J, Hunt, S, Jeck, W, Johung, KL, Kirilcuk, N, Krishnamurthi, S, Maratt, JK, Messersmith, WA, Meyerhardt, J, Miller, ED, Mulcahy, MF, Nurkin, S, Overman, MJ, Parikh, A, Patel, H, Pedersen, K, Saltz, L, Schneider, C, Shibata, D, Skibber, JM, Sofocleous, CT, Stotsky-Himelfarb, E, Tavakkoli, A, Willett, CG, Gregory, K, and Gurski, L, Rectal Cancer, Version 2.2022, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw, 2022. 20(10): p. 1139–1167. doi: https://doi.org/10.6004/jnccn.2022.0051
Archampong, D, Borowski, D, Wille-Jorgensen, P, and Iversen, LH, Workload and surgeon's specialty for outcome after colorectal cancer surgery. Cochrane Database Syst Rev, 2012(3): p. CD005391. doi: https://doi.org/10.1002/14651858.CD005391.pub3
Baek, JH, Alrubaie, A, Guzman, EA, Choi, SK, Anderson, C, Mills, S, Carmichael, J, Dagis, A, Qian, D, Kim, J, Garcia-Aguilar, J, Stamos, MJ, Bening, L, and Pigazzi, A, The association of hospital volume with rectal cancer surgery outcomes. Int J Colorectal Dis, 2013. 28(2): p. 191-6. doi: https://doi.org/10.1007/s00384-012-1536-1
Harmon, JW, Tang, DG, Gordon, TA, Bowman, HM, Choti, MA, Kaufman, HS, Bender, JS, Duncan, MD, Magnuson, TH, and Lillemoe, KD, Hospital volume can serve as a surrogate for surgeon volume for achieving excellent outcomes in colorectal resection. Annals of surgery, 1999. 230(3): p. 404.
Porter, GA, Soskolne, CL, Yakimets, WW, and Newman, SC, Surgeon-related factors and outcome in rectal cancer. Ann Surg, 1998. 227(2): p. 157-67. doi: https://doi.org/10.1097/00000658-199802000-00001
Ricciardi, R, Roberts, PL, Read, TE, Marcello, PW, Schoetz, DJ, and Baxter, NN, Variability in reconstructive procedures following rectal cancer surgery in the United States. Dis Colon Rectum, 2010. 53(6): p. 874-80. doi: https://doi.org/10.1007/DCR.0b013e3181cf6f58
Dietz, DW and Consortium for Optimizing Surgical Treatment of Rectal, C, Multidisciplinary management of rectal cancer: the OSTRICH. J Gastrointest Surg, 2013. 17(10): p. 1863–8. doi: https://doi.org/10.1007/s11605-013-2276-4
Monson, JR, Probst, CP, Wexner, SD, Remzi, FH, Fleshman, JW, Garcia-Aguilar, J, Chang, GJ, Dietz, DW, and Consortium for Optimizing the Treatment of Rectal, C, Failure of evidence-based cancer care in the United States: the association between rectal cancer treatment, cancer center volume, and geography. Ann Surg, 2014. 260(4): p. 625–31; discussion 631–2. doi: https://doi.org/10.1097/SLA.0000000000000928
ACS. National Accreditation Program for Rectal Cancer. Cancer Programs 2022 [cited 2022; Available from: https://www.facs.org/quality-programs/cancer-programs/national-accreditation-program-for-rectal-cancer/.
Obias, VJ and Reynolds, HL, Jr., Multidisciplinary teams in the management of rectal cancer. Clin Colon Rectal Surg, 2007. 20(3): p. 143-7. doi: https://doi.org/10.1055/s-2007-984858
Palmer, G, Martling, A, Cedermark, B, and Holm, T, Preoperative tumour staging with multidisciplinary team assessment improves the outcome in locally advanced primary rectal cancer. Colorectal Dis, 2011. 13(12): p. 1361-9. doi: https://doi.org/10.1111/j.1463-1318.2010.02460.x
Vaughan-Shaw, PG, Wheeler, JM, and Borley, NR, The impact of a dedicated multidisciplinary team on the management of early rectal cancer. Colorectal Dis, 2015. 17(8): p. 704-9. doi: https://doi.org/10.1111/codi.12922
Ortiz, H, Wibe, A, Ciga, MA, Lujan, J, Codina, A, Biondo, S, and Spanish Rectal Cancer, P, Impact of a multidisciplinary team training programme on rectal cancer outcomes in Spain. Colorectal Dis, 2013. 15(5): p. 544–51. doi: https://doi.org/10.1111/codi.12141
Expert Panel on Gastrointestinal, I, Korngold, EK, Moreno, C, Kim, DH, Fowler, KJ, Cash, BD, Chang, KJ, Gage, KL, Gajjar, AH, Garcia, EM, Kambadakone, AR, Liu, PS, Macomber, M, Marin, D, Pietryga, JA, Santillan, CS, Weinstein, S, Zreloff, J, and Carucci, LR, ACR Appropriateness Criteria(R) Staging of Colorectal Cancer: 2021 Update. J Am Coll Radiol, 2022. 19(5S): p. S208-S222. doi: https://doi.org/10.1016/j.jacr.2022.02.012
Horvat, N, Carlos Tavares Rocha, C, Clemente Oliveira, B, Petkovska, I, and Gollub, MJ, MRI of Rectal Cancer: Tumor Staging, Imaging Techniques, and Management. Radiographics, 2019. 39(2): p. 367-387. doi: https://doi.org/10.1148/rg.2019180114
Kassam, Z, Lang, R, Bates, DDB, Chang, KJ, Fraum, TJ, Friedman, KA, Golia Pernicka, JS, Gollub, MJ, Harisinghani, M, Khatri, G, Lall, C, Lee, S, Magnetta, M, Nougaret, S, Paspulati, RM, Paroder, V, Shaish, H, Kim, DH, Rectal, SAR, and Anal Cancer Disease Focus, P, SAR user guide to the rectal MR synoptic report (primary staging). Abdom Radiol (NY), 2022. doi: https://doi.org/10.1007/s00261-022-03578-2
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Korngold, E.K., Gollub, M.J., Kim, D.H. et al. Update on The National Accreditation Program for Rectal Cancer (NAPRC): the radiologist’s role. Abdom Radiol 48, 2814–2824 (2023). https://doi.org/10.1007/s00261-023-03919-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-023-03919-9