Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging
Magnetic resonance imaging (MRI) has taken a center stage in the imaging armamentarium of rectal cancer evaluation. Rectal cancer staging has undergone a paradigm shift from a surgico-pathological approach to a chemo-radiological one, helping effectively stratify patients for appropriate management....
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| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
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| Series: | Journal of Gastrointestinal and Abdominal Radiology |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802320 |
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| author | Abdul Haseeb Wani Naseer A. Choh Humairah M. Syed Waris A. Mir Rauf A. Wani Irfan Robbani Tahleel A. Shera |
| author_facet | Abdul Haseeb Wani Naseer A. Choh Humairah M. Syed Waris A. Mir Rauf A. Wani Irfan Robbani Tahleel A. Shera |
| author_sort | Abdul Haseeb Wani |
| collection | DOAJ |
| description | Magnetic resonance imaging (MRI) has taken a center stage in the imaging armamentarium of rectal cancer evaluation. Rectal cancer staging has undergone a paradigm shift from a surgico-pathological approach to a chemo-radiological one, helping effectively stratify patients for appropriate management. Primary lesion characterization, its morphology and internal characteristics, proximity of tumor to the mesorectal fascia, presence of extramural venous invasion, presence of extra mesorectal pelvic lymph nodes, and involvement of peritoneum and distant metastases are critical findings that impact patient management for which MRI is the preoperative gold standard. However, there are pitfalls, challenges, and misinterpretations related to technique, image quality, and knowledge gaps among the radiologists. These have major implications for patient management and their outcomes. In this article, we highlight the pitfalls and challenges in rectal cancer MRI and present practical solutions to circumvent these. |
| format | Article |
| id | doaj-art-9be90a164ba24ed4ab24375da2541d27 |
| institution | Kabale University |
| issn | 2581-9178 |
| language | English |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Gastrointestinal and Abdominal Radiology |
| spelling | doaj-art-9be90a164ba24ed4ab24375da2541d272025-01-23T23:44:06ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Gastrointestinal and Abdominal Radiology2581-917810.1055/s-0045-1802320Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance ImagingAbdul Haseeb Wani0Naseer A. Choh1Humairah M. Syed2Waris A. Mir3https://orcid.org/0000-0003-1179-0629Rauf A. Wani4Irfan Robbani5Tahleel A. Shera6https://orcid.org/0000-0001-9301-5997Department of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of General and Minimal Invasive Surgery, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaDepartment of Radiodiagnosis and Imaging, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Jammu and Kashmir, IndiaMagnetic resonance imaging (MRI) has taken a center stage in the imaging armamentarium of rectal cancer evaluation. Rectal cancer staging has undergone a paradigm shift from a surgico-pathological approach to a chemo-radiological one, helping effectively stratify patients for appropriate management. Primary lesion characterization, its morphology and internal characteristics, proximity of tumor to the mesorectal fascia, presence of extramural venous invasion, presence of extra mesorectal pelvic lymph nodes, and involvement of peritoneum and distant metastases are critical findings that impact patient management for which MRI is the preoperative gold standard. However, there are pitfalls, challenges, and misinterpretations related to technique, image quality, and knowledge gaps among the radiologists. These have major implications for patient management and their outcomes. In this article, we highlight the pitfalls and challenges in rectal cancer MRI and present practical solutions to circumvent these.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802320rectal cancer stagingMRI protocoldiffusion weighted imagingpitfalls and challenges |
| spellingShingle | Abdul Haseeb Wani Naseer A. Choh Humairah M. Syed Waris A. Mir Rauf A. Wani Irfan Robbani Tahleel A. Shera Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging Journal of Gastrointestinal and Abdominal Radiology rectal cancer staging MRI protocol diffusion weighted imaging pitfalls and challenges |
| title | Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging |
| title_full | Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging |
| title_fullStr | Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging |
| title_full_unstemmed | Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging |
| title_short | Pitfalls and Challenges in the Interpretation of Rectal Cancer Magnetic Resonance Imaging |
| title_sort | pitfalls and challenges in the interpretation of rectal cancer magnetic resonance imaging |
| topic | rectal cancer staging MRI protocol diffusion weighted imaging pitfalls and challenges |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0045-1802320 |
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