Importance of MRI in Pre-operative evaluation of rectal cancers as regard sphincters invasion and adjacent organs infiltration and its effect on surgical decision | ||
| Minia Journal of Medical Research | ||
| Articles in Press, Accepted Manuscript, Available Online from 20 February 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/mjmr.2023.184733.1336 | ||
| Author | ||
| Abdelrahman Mohamed Salah* | ||
| General surgery, faculty of medicine, Minia university, egypt | ||
| Abstract | ||
| In this article, we will discuss how magnetic resonance imaging (MRI), the gold standard for imaging rectal cancer, has improved clinical staging of head and neck cancer malignancy. High-resolution T2-weighted object detection (T2WI) MRI is the gold standard due to its superior tissue contrast precision when imaging tumor tumor in the sagittal, longitudinal, and coronal planes. Both Patients and Techniques Between March 2021 and February 2023, 60 patients with endometrial cancer were gathered from the Urology Outpatient Clinics at Minia University Hospital and the National Cancer Institute for this prospective cohort research. The ages of the Cases varied from 23 and 72 years, with 27 men and 33 females participating (mean 50.8 years). Substantial consensus (Kappa 0.721) was found between MRI and surgical findings regarding tumor infiltration of the sphincters and subscapular muscle; MRI's sensitivity for the prediction of body invasion was 95% for both external and internal sphincter infiltration; its specificity was 93.8%; its PPV was 94%; and its NPV was 92%. As for MR's predictive abilities, they were calculated to be 95% sensitive, 83% specific, with a positive predictive value of 70% and a predictive values of 92%, respectively. In conclusion, sphincter complex expansion and penetration to surrounding organs may be accurately assessed by rectal MRI, allowing for more effective therapy of patients with cancer and better outcomes. Rectal cancer, MRI, sphincter invasion, subscapular muscle, neighboring organ infiltration, Low Midline resection, locoregional rectal cancer, and Neoadjuvant chemoradiotherapy are some of the significant terms here. | ||
| Keywords | ||
| Rectal cancer; Magnetic resonance imaging; sphincter invasion; adjacent organ infiltration and Neoadjuvant Chemoradiotherapy | ||
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