Rectal MRI Interpretation After Neoadjuvant Therapy

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Citações na Scopus
9
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
WILEY
Autores
HORVAT, Natally
HOMSI, Maria El
MAZAHERI, Yousef
GOLLUB, Marc J.
PARODER, Viktoriya
Citação
JOURNAL OF MAGNETIC RESONANCE IMAGING, v.57, n.2, p.353-369, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
In recent years, several key advances in the management of locally advanced rectal cancer have been made, including the implementation of total mesorectal excision as the standard surgical approach; use of neoadjuvant chemoradiotherapy in selected patients with a high risk of local recurrence, and finally, adoption of organ preservation strategies, through either local excision or nonoperative management in selected patients with clinical complete response following neoadjuvant chemoradiotherapy. This review aims to shed light on the role of rectal MRI in the assessment of treatment response after neoadjuvant therapy, which is especially important given the growing feasibility of nonoperative management. First, an overview of current neoadjuvant therapies and response assessment based on digital rectal examination, endoscopy, and MRI will be provided. Second, the use of a high-quality restaging rectal MRI protocol will be presented. Third, a step-by-step approach to assessing treatment response on restaging rectal MRI following neoadjuvant treatment will be outlined, acknowledging challenges faced by radiologists during MRI interpretation. Finally, research related to response assessment will be discussed. Level of Evidence 4 Technical Efficacy Stage 3
Palavras-chave
rectal cancer, magnetic resonance imaging, neoadjuvant therapy
URI
https://observatorio.fm.usp.br/handle/OPI/58093
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Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/65
Artigos e Materiais de Revistas Científicas - ODS/03