MRI of Rectal Cancer by Arnd-Oliver Schäfer & Mathias Langer

Author:Arnd-Oliver Schäfer & Mathias Langer
Language: eng
Format: epub
Publisher: Springer Berlin Heidelberg, Berlin, Heidelberg

4.5.3.3 Future Perspectives

For pre- and postoperative workup of patients with rectal cancer, pelvic MRI is routinely combined with abdominal and thoracic CT. Although MRI of the upper abdomen is an alternative to CT, the combination with high-resolution pelvic MRI during one examination is time consuming and normally requires patient repositioning. When workflow and cost effectiveness are considered, an integrated one-stop examination for both local staging and screening for distant metastases is a possibility. In this regard, the implementation of moving-table MRI represents a possible alternative to traditional multimodality approaches. Because of its high image quality and relatively short acquisition times, it appears reasonable to combine SMS with pelvic MRI for follow-up of patients with rectal cancer (Baumann et al. 2008; Fautz and Kannengiesser 2006; Schäfer and Langer 2007; Sommer et al. 2008, see also Section 4.2.2 and enclosed CD-ROM).

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