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354192

Value of MRI in pre-operative assessment of rectal cancers and its impact on surgical decision and intervention

Article

Last updated: 29 Dec 2024

Subjects

-

Tags

General and special surgeries (Vascular surgery, Pediatric Surgery, Neurosurgery)

Abstract

For accurate staging of rectal cancer, high-resolution MRI is the suggested imaging modality. The standard rectal MRI protocol uses thin-slice, high spatial resolution T2-weighted images to capture the rectal tumor and the surrounding perirectal tissues and also the mesorectum surrounding the rectum. Many other imaging modalities can be used to asses rectal tumors as lower GIT endoscopy and endo-luminal ultrasound, so the accuracy of MRI in assessment of rectal tumors is needed to be evaluated in comparison to the gold slandered methods (the operative and histo-pathological findings). This study had been performed on 60 patients diagnosed with rectal cancer in Minia university hospital and in the national cancer institute from March 2021 till February 3023. There was a good correlation between MRI and operative finding of the cases as regard Distance of the tumor from anal verge. There was agreement between MRI and operative finding as regard Location of the tumor with the accuracy of MRI was 92%. No Significant difference between the final pathology and MRI as regard Tumor staging and detecting lymph node metastasis. There was significant correlation between MRI and operative finding of the cases as regard meso-rectal fascia (MRF) involvement. So rectal MRI is an important tool in management of patients with rectal cancer as regard staging rectal cancer which can assist surgeons to obtain negative surgical margins. MRI facilitates the pre-operative accurate assessment of rectal tumors in order to improve patient outcomes.

DOI

10.21608/ijhegy.2024.288239.1045

Keywords

Magnetic Resonance Imaging, Rectal Cancer, MRI in rectal cancer, mesorectal fascia, mesorectal invasion

Authors

First Name

Doaa

Last Name

Ali Saad

MiddleName

-

Affiliation

General Surgery Department, Minia University, Egypt

Email

doaa_surgery2002@mu.edu.eg

City

-

Orcid

-

First Name

khaled

Last Name

mahran

MiddleName

mohamed

Affiliation

General Surgery Department, Minia University, Egypt

Email

khaled.mahran@mu.edu.eg

City

-

Orcid

-

First Name

Samy

Last Name

Shehata

MiddleName

Ramzi

Affiliation

National Cancer Institute, Cairo university, Egypt

Email

samy.ramzy@mu.edu.eg

City

-

Orcid

-

First Name

ahmed

Last Name

ahmed

MiddleName

mostafa

Affiliation

National Cancer Institute, Cairo university, Egypt

Email

mostafa.ahmed@mu.edu.eg

City

cairo

Orcid

-

First Name

Abdelrahman

Last Name

Salah

MiddleName

Mohamed

Affiliation

General Surgery Department, Minia University, Egypt

Email

abdelrahman.salah@mu.edu.eg

City

Minia

Orcid

-

Volume

2

Article Issue

3

Related Issue

48709

Issue Date

2024-07-01

Receive Date

2024-05-08

Publish Date

2024-07-01

Page Start

117

Page End

125

Print ISSN

2974-3613

Online ISSN

2974-3621

Link

https://ijhegy.journals.ekb.eg/article_354192.html

Detail API

https://ijhegy.journals.ekb.eg/service?article_code=354192

Order

1

Type

Original Article

Type Code

2,586

Publication Type

Journal

Publication Title

International Journal of Health Sciences (Egypt)

Publication Link

https://ijhegy.journals.ekb.eg/

MainTitle

Value of MRI in pre-operative assessment of rectal cancers and its impact on surgical decision and intervention

Details

Type

Article

Created At

29 Dec 2024