Predictors of mesorectal fascia invasion after gadolinium injection in rectal carcinoma after neoadjuvant therapy.

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.

journal_name

Clin Imaging

journal_title

Clinical imaging

authors

Quaia E,Gennari AG,De Paoli L,Angileri R,Ukmar M,Cova MA

doi

10.1016/j.clinimag.2014.05.003

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

698-703

issue

5

eissn

0899-7071

issn

1873-4499

pii

S0899-7071(14)00124-7

journal_volume

38

pub_type

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