Update to the structured MRI report for primary staging of rectal cancer: Perspective from the SAR Disease Focused Panel on Rectal and Anal Cancer.

Objective: To review existing structured MRI reports for primary staging of rectal cancer and create a new, freely available structured report based on multidisciplinary expert opinion and literature review. Methods: Twenty abdominal imaging experts from the Society of Abdominal Radiology (SAR)'s Di...

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Publicado en:Abdominal Radiology Vol. 47; no. 10; pp. 3364 - 3375
Autores principales: Kassam, Zahra, Lang, Rebecca, Arya, Supreeta, Bates, David D. B., Chang, Kevin J., Fraum, Tyler J., Friedman, Kenneth A., Golia Pernicka, Jennifer S., Gollub, Marc J., Harisinghani, Mukesh, Khatri, Gaurav, Korngold, Elena, Lall, Chandana, Lee, Sonia, Magnetta, Michael, Moreno, Courtney, Nougaret, Stephanie, Paroder, Viktoriya, Paspulati, Raj M., Petkovska, Iva
Formato: Journal Article
Publicado: Springer Nature Oct2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2022
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00261-022-03612-3
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        atl: Update to the structured MRI report for primary staging of rectal cancer: Perspective from the SAR Disease Focused Panel on Rectal and Anal Cancer.
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        au:
          Kassam, Zahra
          Lang, Rebecca
          Arya, Supreeta
          Bates, David D. B.
          Chang, Kevin J.
          Fraum, Tyler J.
          Friedman, Kenneth A.
          Golia Pernicka, Jennifer S.
          Gollub, Marc J.
          Harisinghani, Mukesh
          Khatri, Gaurav
          Korngold, Elena
          Lall, Chandana
          Lee, Sonia
          Magnetta, Michael
          Moreno, Courtney
          Nougaret, Stephanie
          Paroder, Viktoriya
          Paspulati, Raj M.
          Petkovska, Iva
        affil: Western University, London, ON, Canada
      sug:
      ab: Objective: To review existing structured MRI reports for primary staging of rectal cancer and create a new, freely available structured report based on multidisciplinary expert opinion and literature review. Methods: Twenty abdominal imaging experts from the Society of Abdominal Radiology (SAR)'s Disease Focused Panel (DFP) on Rectal and Anal Cancer completed a questionnaire and participated in a subsequent consensus meeting based on the RAND-UCLA Appropriateness Method. Twenty-two items were classified via a group survey as "appropriate" or "inappropriate" (defined by ≥ 70% consensus), or "needs group discussion" (defined by < 70% consensus). Certain items were also discussed with multidisciplinary team members from colorectal surgery, oncology and pathology. Results: After completion of the questionnaire, 16 (72%) items required further discussion (< 70% consensus). Following group discussion, consensus was achieved for 21 (95%) of the items. Based on the consensus meeting, a revised structured report was developed. The most significant modifications included (1) Exclusion of the T2/early T3 category; (2) Replacement of the term "circumferential resection margin (CRM)" with "mesorectal fascia (MRF)"; (3) A revised definition of "mucinous content"; (4) Creation of two distinct categories for suspicious lymph nodes (LNs) and tumor deposits; and (5) Classification of suspicious extra-mesorectal LNs by anatomic location. Conclusion: The SAR DFP on Rectal and Anal Cancer recommends using this newly updated reporting template for primary MRI staging of rectal cancer.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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