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2016 ; 29
(3
): 205-15
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English Wikipedia
Beyond Histologic Staging: Emerging Imaging Strategies in Colorectal Cancer with
Special Focus on Magnetic Resonance Imaging
#MMPMID27582645
Fraum TJ
; Owen JW
; Fowler KJ
Clin Colon Rectal Surg
2016[Sep]; 29
(3
): 205-15
PMID27582645
show ga
Imaging plays an increasingly important role in the staging and management of
colorectal cancer. In recent years, magnetic resonance imaging (MRI) has
supplanted transrectal ultrasound as the preferred modality for the locoregional
staging of rectal cancer. Furthermore, the advent of both diffusion-weighted
imaging and hepatobiliary contrast agents has significantly enhanced the ability
of MRI to detect colorectal liver metastases. In clinical practice, MRI routinely
provides prognostic information, helps to guide surgical strategy, and determines
the need for neoadjuvant therapies related to both the primary tumor and
metastatic disease. Expanding on these roles for MRI, positron emission
tomography (PET)/MRI is the newest clinical hybrid imaging modality and combines
the metabolic information of PET with the high soft tissue contrast of MRI. The
addition of PET/MRI to the clinical staging armamentarium has the potential to
provide comprehensive state-of-the-art colorectal cancer staging in a single
examination.