How Do MRI Findings Influence Rectal Cancer Management?

Treatment of rectal cancer is currently guided by the need to reduce local recurrence, improve survival, reduce treatment-related toxicity, and improve the patient's quality of life (QoL). Magnetic resonance imaging (MRI) scan is now the imaging modality of choice for rectal cancer. However, th...

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Main Authors: Ayloor Seshadri Ramakrishnan, Jeyakumar Pradeep
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd.
Series:Journal of Gastrointestinal and Abdominal Radiology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801776
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author Ayloor Seshadri Ramakrishnan
Jeyakumar Pradeep
author_facet Ayloor Seshadri Ramakrishnan
Jeyakumar Pradeep
author_sort Ayloor Seshadri Ramakrishnan
collection DOAJ
description Treatment of rectal cancer is currently guided by the need to reduce local recurrence, improve survival, reduce treatment-related toxicity, and improve the patient's quality of life (QoL). Magnetic resonance imaging (MRI) scan is now the imaging modality of choice for rectal cancer. However, the role of MRI in rectal cancer has transformed beyond describing the local stage of cancer to becoming a tool to predict the prognosis of a patient by its ability to detect features associated with a high risk of recurrence and poor survival. This greatly helps the multidisciplinary team (MDT) responsible for treating patients with rectal cancer to stratify them based on the potential for recurrence and decide on the need for and type of preoperative treatment to be offered. MRI also has the ability to assess the response to such treatments, based on which the MDT can tailor the subsequent treatment. This has the potential to spare the patient from unnecessary treatment, thus improving the QoL. MRI provides a roadmap to the surgeon while planning the surgery. In this review, we give a brief overview of the current management strategies for rectal cancer and highlight the role of MRI in the decision-making process.
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spelling doaj-art-4a20c9cc9bc1407faa55c12f9ff207992025-01-11T00:11:13ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Gastrointestinal and Abdominal Radiology2581-917810.1055/s-0044-1801776How Do MRI Findings Influence Rectal Cancer Management?Ayloor Seshadri Ramakrishnan0https://orcid.org/0000-0003-2471-0237Jeyakumar Pradeep1Consultant Surgical Oncologist, Integrated Cancer Care Group, Chennai, Tamil Nadu, IndiaDepartment of Surgical Oncology, Cancer Institute (WIA), Chennai, Tamil Nadu, IndiaTreatment of rectal cancer is currently guided by the need to reduce local recurrence, improve survival, reduce treatment-related toxicity, and improve the patient's quality of life (QoL). Magnetic resonance imaging (MRI) scan is now the imaging modality of choice for rectal cancer. However, the role of MRI in rectal cancer has transformed beyond describing the local stage of cancer to becoming a tool to predict the prognosis of a patient by its ability to detect features associated with a high risk of recurrence and poor survival. This greatly helps the multidisciplinary team (MDT) responsible for treating patients with rectal cancer to stratify them based on the potential for recurrence and decide on the need for and type of preoperative treatment to be offered. MRI also has the ability to assess the response to such treatments, based on which the MDT can tailor the subsequent treatment. This has the potential to spare the patient from unnecessary treatment, thus improving the QoL. MRI provides a roadmap to the surgeon while planning the surgery. In this review, we give a brief overview of the current management strategies for rectal cancer and highlight the role of MRI in the decision-making process.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801776magnetic resonance imagingrectal cancermultidisciplinary teamneoadjuvant treatment
spellingShingle Ayloor Seshadri Ramakrishnan
Jeyakumar Pradeep
How Do MRI Findings Influence Rectal Cancer Management?
Journal of Gastrointestinal and Abdominal Radiology
magnetic resonance imaging
rectal cancer
multidisciplinary team
neoadjuvant treatment
title How Do MRI Findings Influence Rectal Cancer Management?
title_full How Do MRI Findings Influence Rectal Cancer Management?
title_fullStr How Do MRI Findings Influence Rectal Cancer Management?
title_full_unstemmed How Do MRI Findings Influence Rectal Cancer Management?
title_short How Do MRI Findings Influence Rectal Cancer Management?
title_sort how do mri findings influence rectal cancer management
topic magnetic resonance imaging
rectal cancer
multidisciplinary team
neoadjuvant treatment
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-1801776
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