MRI of Rectal Cancer: Clinical Atlas

By Arnd-Oliver Schäfer

Oncology in most cases has obvious massive developments over fresh years. stronger und- status of tumor biology, multidisciplinary group judgements and an individualized remedy are cornerstones of therapy making plans for melanoma sufferers at the present time. those dev- opments have challenged the imaging neighborhood with ever extra specifc questions about tumor detection, staging and treatment keep watch over. while this evolution applies to many tumor entities, rectal melanoma takes a great position, because it used to be the popularity of yes anatomical and pathological good points of the sickness, with assistance from magnetic resonance imaging (MRI), that brought on radiology not just to help in illness mana- ment, yet in reality to be a strong engine for brand new thoughts in rectal melanoma therapy. the continual development of hugely really expert MRI and the groundbreaking scientifc contributions of radiologists around the globe have prepared the ground for s- stantial refnements of this system over the last decade. therefore, devoted imaging protocols for regimen diagnostic work-up of r- tal melanoma sufferers at the moment are to be had, which may advisor multidisciplinary group de- sions and, together with optimized surgical procedure and chemoradiotherapy, bring about longer survival and a greater caliber of existence. along with the scientifc advances, the long-lasting medical luck of MRI within the feld of rectal melanoma is very contingent upon services. To this finish, ongoing schooling and non-stop education are very important.

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References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 17 17 17 17 18 18 18 18 19 21 22 23 23 Magnetic Resonance Imaging of Rectal melanoma . . . . . . . . . . . . . . . . . . four. 1 advent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. 2 Technical elements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. 2. 1 the fundamentals of Rectal MRI for Local Staging reasons . . . . . . . . . . . . . . . . . . . . . . . . . . four. 2. 2 destiny advancements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. three MRI for basic Staging of Rectal Cancer . . . . . . . . . . . . . . . . . . . four. three. 1 advent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. three. 2 T Staging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. three. three N Staging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. three. four Circumferential Resection Margin . . . . . . . . . . . . . . . . . . . . . four. three. five adverse Prognostic elements in Rectal melanoma . . . . . . . . . . . . four. four MRI After Neoadjuvant Chemoradiation treatment . . . . . . . . . . . . . . four. five MRI for the Detection of Recurrent Rectal melanoma . . . . . . . . . . . . . four. five. 1 creation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. five. 2 Risk-Adapted Surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . four. five. three Imaging for Recurrent Colorectal Cancer . . . . . . . . . . . . . . . four. 6 Integrative judgements in Rectal Cancer . . . . . . . . . . . . . . . . . . . . . . . four. 7 chosen Differential Diagnoses Mimicking Rectal melanoma . . . . . . . four. 7. 1 Anal melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . four. 7. 2 melanoma bobbing up from Anorectal Fistula . . . . . . . . . . . . . . . . . four. 7. three Gastrointestinal Stromal Tumor of the Rectum . . . . . . . . . . . four. 7. four Tumors of the Retrorectal house . . . . . . . . . . . . . . . . . . . . . . four. 7. five Anorectal colossal Condyloma Acuminatum: Buschke-Loewenstein Tumor . . . . . . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 25 25 25 26 30 30 30 32 34 35 39 forty forty forty-one forty-one forty three forty four forty four forty five forty five forty six forty seven forty seven medical Atlas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fifty five five. 1 creation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fifty five five. 2 level T1 Rectal melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . fifty six five. three degree T2 Rectal melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sixty three five. four level T3 Rectal melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . eighty five. five degree T4 Rectal melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 five. 6 unfavourable Prognostic elements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 122 Contents ix five. 7 five. eight five. nine five. 10 Recurrent Rectal melanoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . strange Metastatic unfold of Colorectal melanoma . . . . . . . . . . . . . . . Differential prognosis of Rectal Cancer . . . . . . . . . . . . . . . . . . . . . . Postsurgical Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143 171 177 208 Contributors Tobias Baumann, MD  division of Diagnostic Radiology, Freiburg collage medical institution, Hugstetter Strasse fifty five, 79106 Freiburg, Germany tobias. baumann@uniklinik-freiburg. de Ulrich Theodor Hopt, MD  division of basic and Visceral surgical procedure, Freiburg college clinic, Hugstetter Strasse fifty five, 79106 Freiburg, Germany ulrich. hopt@uniklinik-freiburg. de Mathias Langer, MD, MBA  division of Diagnostic Radiology, Freiburg college clinic, Hugstetter Strasse fifty five 79106 Freiburg, Germany mathias.

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