Research of application of magnetic resonance imaging in diagnosis and preoperative staging of rectal cancer

doi:10.3877/cma.j.issn.2095-3224.2013.06.04

Abstract

Abstract:

Objective

To evaluate the accuracy of 3.0T magnetic resonance imaging(MRI)for preoperative T/N staging of rectal cancer and distance from the anal verge to the tumor.

Methods

3.0T MRI was performed in 53 patients with primary rectal cancer prior to surgery, and assess its value in T/N staging.The final pathological result of surgical specimen was taken as standard.To analyze the correlation between MRI and pathology results in respect of measuring the distance from tumor to anus margin.

Results

The overall accuracy of T-staging and N-staging was 83.1% and 67.9%.There was no obvious difference between the result of T/N staging with MRI and postoperative histological staging.There was no significant statistical difference between MRI and resected specimens in determining the distance from the anal verge to tumor.

Conclusions

MRI could accurately evaluate preoperative T/N-staging of rectal cancer and assess the distance between the anal verge and the carcinoma.Therefore MRI is more reliable for preoperative treatment and selecting the optimum surgical modality for individual patient.

Key words: Rectal neoplasms, Magnetic resonance imaging, Neoplasm staging

Wen-feng DU, Yan-ting FAN, Dao-gui YANG. Research of application of magnetic resonance imaging in diagnosis and preoperative staging of rectal cancer[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2013, 02(06): 296-300.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhjzcjbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-3224.2013.06.04

https://zhjzcjbdzzz.cma-cmc.com.cn/EN/Y2013/V02/I06/296

Figures/Tables 4

References 11

[1]	Thaler W，Wtzka S，martin F，et al.Preoperative staging of rectal cancer by endoluminal ultrasound vs magnetic resonace imaging.Dis Colon Rcetum，1994,37:1189.
[2]	Philippe Soyer，Matthieu Lagadec，Marc Sirol，et al.Free-breathing diffusion-weighted single-shot echoplanar MR imaging using parallel imaging(GRAPPA 2)and high b value for the detection of primary rectal adenocarcinoma.Cancer Imaging ，2010,10:32-39.
[3]	Brown G，Richards CJ，Bourne MW，et al.Morphologic predictors of lymph node status in rectal cancer with use of high-spatial-resolution MR imaging with histopathologic comparison.Radiology，2003,227(2):371–377.
[4]	Goh V，Halligan S，Bartram CI.Local radiological staging of rectal cancer.Clin Radio，2004,59:215-226.
[5]	Christian Klessen，Patrik Rogalla，Matthias Taupitz.Local staging of rectal cancer：the current role of MRI.Eur J Radiol，2007,17:379–389.
[6]	KimJH，Beets GL，Kim MJ，et al.High resolution MR imaging for nodal staging in rectal cancer：are there any criteria in addition to the size.Eur J Radiol，2004,52:78–83.
[7]	BrownG，Richards CJ，Bourne MW，et al.Morphologic predictors of lymph node status in rectal cancer with use of high-spatial-resolution MR imaging with histopathologic comparison.Radiology，2003,227(2):371–377.
[8]	柏根基，王书中，张辉，等．磁共振扩散加权成像在胃肠道良、恶性病变诊断中的应用价值．临床放射学杂志，2007,26(3):270-273.
[9]	Wexner SD，Bashankaev B．低位直肠癌保肛手术的现状与争议．中华外科杂志，2009,47(13):971-974.
[10]	叶云．直肠癌的磁共振成像术前分期研究进展．中华实用中西医杂志，2007,20(ll):1009.
[11]	李震，沙儒，徐惠绵．纤维结肠镜和直肠指诊判定直肠癌．中国肿瘤临床，2007,34(6):305-307.

MRI T分期	临床病理分期				合计
MRI T分期	T1	T2	T3	T4	合计
T1	2	1	0	0	3
T2	1	14	3	0	18
T3	0	3	24	0	27
T4	0	0	1	4	5
合计	?	?	?	?	53

MRI T分期	临床病理分期				合计
MRI T分期	T1	T2	T3	T4	合计
T1	2	1	0	0	3
T2	1	14	3	0	18
T3	0	3	24	0	27
T4	0	0	1	4	5
合计	?	?	?	?	53

MRI N分期	临床病理分期
MRI N分期	N0	N1	N2	合计
N0	14	4	1	19
N1	2	15	5	22
N2	2	3	7	12
合计	?	?	?	53

MRI N分期	临床病理分期
MRI N分期	N0	N1	N2	合计
N0	14	4	1	19
N1	2	15	5	22
N2	2	3	7	12
合计	?	?	?	53

[1]	Lianlian Zhang, Pinjing Hui, Yafang Ding. Clinical value of carotid Doppler ultrasonography in assessing vulnerability of atherosclerotic plaques [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 816-821.
[2]	Xia Kang, Hao Tian, Jin Qian, Yuan Gao, Hongming Miao, Xiaowei Qi. Osteorin attenuates osteolysis during bone metastasis of cancers through inhibiting osteoclastogenesis [J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 329-339.
[3]	Dechen Wang, Kang Yang, Zijie Yang, Mingbin Gui, Lianping Qu, Xiaofeng Zhang, Feng Gao. Progress of microsatellite stability state and PD-1/PD-L1/IDO in colorectal carcinoma [J]. Chinese Archives of General Surgery(Electronic Edition), 2023, 17(06): 462-465.
[4]	Xu Tang, Bing Han, Wei Liu, Ruxing Chen. Analysis of risk factors for metachronous liver metastases after radical colorectal cancer surgery and construction of a predictive model [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 16-20.
[5]	Shengjun Zhang, Ajing Zhao, Shoubo Li, Xianghong Hao, Minli Liu. An experimental study on the promotion of colorectal cancer invasion and migration by high glucose through HGF/c-met pathway [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 21-24.
[6]	Yanhui Zhang, Jiao Zhang, Zhixian Zhu. Effect of indwelling anal tube on anastomotic leakage after laparoscopic total mesangectomy after neoadjuvant chemoradiotherapy in patients with middle and low rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 25-28.
[7]	Ting Li, Lin Zhang. Relationship between serum fatty acid metabolites and vitamin D levels and colorectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 661-665.
[8]	Zhenbao Fu, Wanlong Cao, Fuhong Liu. Clinical effect of double ileal stomy with different suture methods during laparoscopic low anterior resection of rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 684-687.
[9]	Liang He, Songlin Wang, Yejiang Zhou. Comparative study on the effect of two prophylactic ileostomy in the treatment of ultra-low rectal cancer by laparoscopic ISR [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 697-700.
[10]	Yu Han, Wu Zhang, Anqi Li, Wenying Chen, Sidong Xie. Diagnostic value of MRI Liver Image Reporting and Data System (LI-RADS) for hepatocellular carcinoma in patients with non-cirrhotic hepatitis B [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 669-673.
[11]	Xu Guan, Xishan Wang. Reflecting on the merits and demerits of regional lymph node management in colorectal cancer based on surgical and immune perspectives [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 448-452.
[12]	Ruiqi Gu, Hongsheng Fang, Guoxiang Cai. Application and progress of circulating tumor DNA detection technology in the diagnosis and treatment of colorectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 453-459.
[13]	Yanjun Lu, Jian Ma, Pengyu Bai, Linghong Guo, Haiyi Liu, Bo Jiang, Wenqi Bai, Yixun Zhang. Clinical effect of Nano-carbon on 253 groups of lymph node dissection in laparoscopic radical resection of rectal cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 473-477.
[14]	Guangjun Zhong, Chunhua Liu, Wansen Zhu, Xiaolei Xu, Zhaojun Wang. Application of conventional MRI combined with different scanning sequences in preoperative staging diagnosis, chemotherapy efficacy and prognosis evaluation of gastric cancer [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 378-382.
[15]	Baoru Hu, Naijian Shang, Di Gao. DCE-MRI and DWI findings of advanced hepatocellular carcinoma and their correlation with prognosis after immunotherapy [J]. Chinese Journal of Digestion and Medical Imageology(Electronic Edition), 2023, 13(06): 399-403.

Please choose a citation manager

Content to export