Role of MRI with diffusion and  whole tumor volume calculation in detection of response in rectal cancer patients under therapy

Laila A Mohsen; Moustafa Abdel Kader; Amany Saber Gergis; Ahmed Mahrous Sayed

doi:10.53730/ijhs.v6nS1.5242

Authors

Laila A Mohsen Associate Professor of Radiology, Radiology Department, Faculty of Medicine, El Minia University, El Minia, Egypt
Moustafa Abdel Kader Professor of Radiology, Radiology Department, Faculty of Medicine, El Minia University, El Minia, Egypt
Amany Saber Gergis Professor of Clinical Oncology, Faculty of Medicine, El Minia University, El Minia, Egypt
Ahmed Mahrous Sayed
Ahmed.radiologist@yahoo.com
Radiology specialist, Radiology Department, Minia Oncology Center, El Minia, Egypt

Keywords:

Colorectal cancer, Magnetic resonance, cancer rectum, perirectal, pelvic

Abstract

Background: MRI examination of the rectum has evolved as the standard technique in the assessment of cancer rectum having multiplaner capabilities and high tissue contrast imaging. The aim of this study: The aim of this study is to evaluate the role of MRI in assessment of rectal neoplasm. Patients and methods: In this study we prospectively evaluated 40 patients (24 male -60%) and (16 females -40%), who referred to the MRI unit, Radiology department, (Minia Oncology Center) for further assessment of histopathology proven rectal carcinoma, during the period of (August 2019 ) to (August 2021). Results: 10% of patients (4 participants) had high rectal cancer while 55% of them (22 patients) had middle rectal cancer. On the other hand, 35% of them (14 patients) had low rectal cancer. 85% of participants (34 patients) were diagnosed as adenocarcinoma while the remaining 6 participants (15% of patients) were diagnosed as mucinous adenocarcinoma. 77.5% of patients (31 participants) had grade II rectal cancer while 9 patients (22.5% of participants) were diagnosed as grade III rectal cancer. On performing TNM staging, we found that the majority of cases; 37.5% of participants (15 patients); were found to be in stage IIA.

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