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Vergleich von endorektaler MRT (EMRT) und endorektaler Sonographie (ES) nach operativer Therapie von Rektumkarzinomen zum Ausschluss von Rezidiven oder Residualtumoren [Comparison between endorectal MRI (EMRTI) and endorectal sonography (ES) after surgery or therapy for rectal tumors to exclude recurrent or residual tumor]

Item Type:Article
Title:Vergleich von endorektaler MRT (EMRT) und endorektaler Sonographie (ES) nach operativer Therapie von Rektumkarzinomen zum Ausschluss von Rezidiven oder Residualtumoren [Comparison between endorectal MRI (EMRTI) and endorectal sonography (ES) after surgery or therapy for rectal tumors to exclude recurrent or residual tumor]
Creators Name:Pegios, W. and Huenerbein, M. and Schroeder, R. and Wust, P. and Schlag, P.M. and Felix, R. and Vogl, T.
Abstract:PURPOSE: This study was designed to evaluate the accuracy and limitations for staging of contrast-enhanced endorectal MR imaging comparing with transrectal US for restaging of rectal lesions after surgery or after therapeutic radiation. Both methods were correlated with histologic findings. METHOD/MATERIALS: The efficacy of these both methods was evaluated in 30 patients with supposed residual or recurrent rectal neoplasms. Contrast enhanced (bolus injection of 0.1 mmol/kg b.w. Gd-DTPA) endorectal MR imaging was performed using a 1.5 Tesla Magnetom. In addition endosonography (7.5 x or 10-MHz transducer) was used. RESULTS: In 8 patients with rectal adenoma after electro-laser resection, 8 patients with rectal carcinoma stage pT1 after transanal resection, 8 patients with rectal carcinoma stage pT2 and 6 patients with rectal carcinoma stage pT3 after regional hyperthermia with radiochemo-therapy, the following results were obtained during the postsurgical or posttherapeutical follow-up with respect to histopathological evaluation: exact staging in 86.6 % with EMRI and 63.3 % in ES, overstaging in 8 % (EMRI) and 23 % (ES), understaging in 0 % (EMRI) and 7 % (ES). The highest diagnostic accuracy was shown in EMRT in patients with rectal adenoma and rectal carcinoma (pT1) and after electro-laser resection or transanal resection during follow-up. CONCLUSIONS: Contrast enhanced endorectal MR imaging appears to be very promising for accurate posttherapeutical staging of rectal cancer and helpful in the diagnosis of recurrence or the differentiation between scar tissue and residual rectal tumor.
Keywords:Rectal Lesions, Endorectal MR Imaging, Endosonography, Post-therapeutical Treatment
Source:RoeFo Fortschritte auf dem Gebiete der Roentgenstrahlen und der neuen bildgebenden Verfahren
ISSN:1438-9029
Publisher:Thieme Verlag (Germany)
Volume:174
Number:6
Page Range:731-737
Date:13 June 2002
Official Publication:https://doi.org/10.1055/s-2002-32218
PubMed:View item in PubMed

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