Abstract
Objective: To assess spectral presaturation inversion-recovery MRI sequence with gadolinium to identify predictors of mesorectal fascia (MRF) invasion in patients with locally advanced rectal carcinoma after neoadjuvant therapy. Materials and methods: Sixty-five patients underwent neoadjuvant concomitant radiation and chemotherapy and surgery. Magnetic resonance images were assessed by two radiologists. Results: Linear (odds ratio, 95% confidence intervals: 19.33, 1.98-188.6) and reticular strands (odds ratio, 95% confidence intervals: 9.75, 1.45-67.77) reaching the MRF are predictors of MRF invasion. Conclusion: Linear or reticular mesorectal strands reaching the MRF detected at contrast-enhanced MRI represent a predictor of MRF invasion.
| Original language | English |
|---|---|
| Pages (from-to) | 698-703 |
| Number of pages | 6 |
| Journal | Clinical imaging |
| Volume | 38 |
| Issue number | 5 |
| Early online date | 16 May 2014 |
| DOIs | |
| Publication status | Published - Sept 2014 |
| Externally published | Yes |
Keywords / Materials (for Non-textual outputs)
- Magnetic resonance imaging
- Mesorectal fascia
- Neoadjuvant therapy
- Rectal cancer