Abstract:
:The aim of this study was to compare MR imaging and endoscopic ultrasonography (EUS) for the local staging of rectal tumours. Forty-nine patients were examined on a 1.5-T MR unit using either a pelvic phased-array coil (n = 37) alone or combined with an endorectal coil (n = 12). Sagittal and axial sequences with T2-weighted fast spin-echo and axial T1-weighted spin-echo techniques were employed. The EUS technique was performed using a flexible endosonoscope. The results were compared with findings at histopathological sectioning of the specimen. The T-stage on MR correlated with histopathology in 32 of 49 patients and on EUS in 29 of 49 patients. The N-stage on MR correlated with histopathology in 22 of 49 patients and on EUS in 26 of 49 patients. Tumour penetration of the rectal wall was predicted by MR with 86 % sensitivity and 65 % specificity, and by EUS with 89% sensitivity and 33% specificity. Preoperative radiotherapy was administered to 40 of the patients after the examinations which may explain some of the overstaging by MR and EUS. Three patients with surgically and histopathologically confirmed invasion of neighbouring organs in the pelvis were detected preoperatively on MR but none on EUS. Tumour penetration of the rectal wall and local lymph node metastases cannot accurately be predicted with MR or EUS. Magnetic resonance, however, seems to be more useful for preoperative identification of clinically occult advanced disease.
journal_name
Eur Radioljournal_title
European radiologyauthors
Blomqvist L,Machado M,Rubio C,Gabrielsson N,Granqvist S,Goldman S,Holm Tdoi
10.1007/s003300050979subject
Has Abstractpub_date
2000-01-01 00:00:00pages
653-60issue
4eissn
0938-7994issn
1432-1084journal_volume
10pub_type
临床试验,杂志文章abstract:OBJECTIVE:To evaluate the feasibility, image quality, and radiation dose of automatic spectral imaging protocol selection (ASIS) and adaptive statistical iterative reconstruction (ASIR) with reduced contrast agent dose in abdominal multiphase CT. METHODS:One hundred and sixty patients were randomly divided into two sc...
journal_title:European radiology
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:To clarify the changes in organic anion-transporting polypeptide 8 (OATP8) expression and enhancement ratio on gadoxetic acid-enhanced MR imaging in hepatocellular nodules during multistep hepatocarcinogenesis. METHODS:In imaging analysis, we focused on 71 surgically resected hepatocellular carcinomas (well...
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journal_title:European radiology
pub_type: 杂志文章,评审
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更新日期:2007-03-01 00:00:00
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pub_type: 信件
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journal_title:European radiology
pub_type: 杂志文章,评审
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更新日期:2001-01-01 00:00:00
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journal_title:European radiology
pub_type: 杂志文章,评审
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更新日期:1998-01-01 00:00:00
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更新日期:2002-09-01 00:00:00
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更新日期:2017-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2001-01-01 00:00:00
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更新日期:1998-01-01 00:00:00
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更新日期:1996-01-01 00:00:00
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