MR imaging for the preoperative planning of sphincter-saving surgery for tumors of the lower third of the rectum: use of intravenous and endorectal contrast materials.

作者: Michael Urban , Harald R. Rosen , Nikolaus Hölbling , Wolfgang Feil , Gerhard Hochwarther

DOI: 10.1148/RADIOLOGY.214.2.R00FE08503

关键词:

摘要: PURPOSE: To evaluate the value of magnetic resonance (MR) imaging with a flexible surface coil in predicting resectability tumors lower rectum and feasibility sphincteral salvage. MATERIALS AND METHODS: In prospective study, 61 patients histologically proved primary adenocarcinoma or middle third (<12 cm from pectinate line) were examined at double-contrast-material–enhanced MR circular polarized coil. RESULTS: Assessment anal infiltration was excellent, specificity 98% sensitivity 100%. determination tumor into adjacent organs (T4), 100%, 90%, surgical histologic findings as standards. While showed negative nodes 40 (stage N0 imaging), examination 27 positive 34. At imaging, 68%, s...

参考文章(25)
Ermanno Leo, Filiberto Belli, Maria Teresa Baldini, Marco Vitellaro, Luigi Mascheroni, Salvatore Andreola, Massimo Bellomi, Roberto Zucali, New perspective in the treatment of low rectal cancer: Total rectal resection and coloendoanal anastomosis Diseases of The Colon & Rectum. ,vol. 37, ,(1994) , 10.1007/BF02048434
P Vassallo, C Matei, W D Heston, S J McLachlan, J A Koutcher, R A Castellino, AMI-227-enhanced MR lymphography: usefulness for differentiating reactive from tumor-bearing lymph nodes. Radiology. ,vol. 193, pp. 501- 506 ,(1994) , 10.1148/RADIOLOGY.193.2.7972768
R Weissleder, G Elizondo, J Wittenberg, A S Lee, L Josephson, T J Brady, Ultrasmall superparamagnetic iron oxide: an intravenous contrast agent for assessing lymph nodes with MR imaging. Radiology. ,vol. 175, pp. 494- 498 ,(1990) , 10.1148/RADIOLOGY.175.2.2326475
Philip B. Paty, Warren E. Enker, Alfred M. Cohen, Bruce D. Minsky, Hamutal Friedlander-Klar, Long-term functional results of coloanal anastomosis for rectal cancer. American Journal of Surgery. ,vol. 167, pp. 90- 95 ,(1994) , 10.1016/0002-9610(94)90058-2
R. Parc, E. Tiret, P. Frileux, E. Moszkowski, J. Loygue, Resection and colo-anal anastomosis with colonic reservoir for rectal carcinoma. British Journal of Surgery. ,vol. 73, pp. 139- 141 ,(2005) , 10.1002/BJS.1800730223
M. M. J. McNicholas, W. P. Joyce, J. Dolan, R. G. Gibney, D. P. Macerlaine, J. Hyland, Magnetic resonance imaging of rectal carcinoma: A prospective study British Journal of Surgery. ,vol. 81, pp. 911- 914 ,(2005) , 10.1002/BJS.1800810640
T L Tio, P P Coene, O M van Delden, G N Tytgat, COLORECTAL CARCINOMA : PREOPERATIVE TNM CLASSIFICATION WITH ENDOSONOGRAPHY Radiology. ,vol. 179, pp. 165- 170 ,(1991) , 10.1148/RADIOLOGY.179.1.2006270
U. Hildebrandt, G. Schüder, G. Feifel, Preoperative staging of rectal and colonic cancer. Endoscopy. ,vol. 26, pp. 810- 812 ,(1994) , 10.1055/S-2007-1009115
H. R. Rosen, W. Feil, G. Novi, G. Z�ch, S. Dahlberg, R. Schiessel, The electrically stimulated (dynamic) graciloplasty for faecal incontinence ? first experiences with a modified muscle sling International Journal of Colorectal Disease. ,vol. 9, pp. 184- 186 ,(1994) , 10.1007/BF00292246
Claude Guinet, Jean-Noël Buy, Alain Sezeur, Henri Mosnier, Michel Ghossain, Michel Malafosse, Marcel Guivarcʼh, Dominique Vadrot, Jean Ecoiffier, Preoperative assessment of the extension of rectal carcinoma: correlation of MR, surgical, and histopathologic findings. Journal of Computer Assisted Tomography. ,vol. 12, pp. 209- 214 ,(1988) , 10.1097/00004728-198803000-00006