Organ Preservation in Rectal Cancer: MRI and the Watch-and-Wait Approach

HomeRadiologyVol. 312, No. 3 PreviousNext Reviews and CommentaryEditorialOrgan Preservation in Rectal Cancer: MRI and the Watch-and-Wait ApproachLaurent Milot Laurent Milot Author AffiliationsFrom the Body and VIR Radiology Department, Hospices Civils de Lyon, Hôpital Edouard Herriot, 5, place D'Arsonval 69003 Lyon, France.Address correspondence to the author (email: [email protected]).Laurent Milot Published Online:Sep 3 2024https://doi.org/10.1148/radiol.241664See also the article by Williams and Omer et al in this issue.MoreSectionsFull textPDF ToolsAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookXLinked In References1. Al-Sukhni E, Milot L, Fruitman M, et al. Diagnostic accuracy of MRI for assessment of T category, lymph node metastases, and circumferential resection margin involvement in patients with rectal cancer: a systematic review and meta-analysis. Ann Surg Oncol 2012;19(7):2212–2223. MedlineGoogle Scholar2. Sclafani F, Brown G, Cunningham D, et al. Comparison between MRI and pathology in the assessment of tumour regression grade in rectal cancer. Br J Cancer 2017;117(10):1478–1485. MedlineGoogle Scholar3. van der Valk MJM, Hilling DE, Bastiaannet E, et al. Long-term outcomes of clinical complete responders after neoadjuvant treatment for rectal cancer in the International Watch & Wait Database (IWWD): an international multicentre registry study. Lancet 2018;391(10139):2537–2545. MedlineGoogle Scholar4. Williams H, Omer DM, Thompson HM, et al. MRI Predicts Residual Disease and Outcomes in Watch-and-Wait Patients with Rectal Cancer. Radiology 2024;312(3):e232748. Google Scholar5. Kim SH, Lee JM, Hong SH, et al. Locally advanced rectal cancer: added value of diffusion-weighted MR imaging in the evaluation of tumor response to neoadjuvant chemo- and radiation therapy. Radiology 2009;253(1):116–125. Google Scholar6. Nougaret S, Rousset P, Lambregts DMJ, et al. MRI restaging of rectal cancer: The RAC (Response-Anal canal-CRM) analysis joint consensus guidelines of the GRERCAR and GRECCAR groups. Diagn Interv Imaging 2023;104(7-8):311–322. MedlineGoogle Scholar7. Mc Entee PD, Shokuhi P, Rogers AC, et al. Extramural venous invasion (EMVI) in colorectal cancer is associated with increased cancer recurrence and cancer-related death. Eur J Surg Oncol 2022;48(7):1638–1642. MedlineGoogle Scholar8. Lambregts DMJ, Delli Pizzi A, Lahaye MJ, et al. A Pattern-Based Approach Combining Tumor Morphology on MRI With Distinct Signal Patterns on Diffusion-Weighted Imaging to Assess Response of Rectal Tumors After Chemoradiotherapy. Dis Colon Rectum 2018;61(3):328–337. MedlineGoogle Scholar9. Kennedy ED, Milot L, Fruitman M, et al. Development and implementation of a synoptic MRI report for preoperative staging of rectal cancer on a population-based level. Dis Colon Rectum 2014;57(6):700–708. MedlineGoogle ScholarArticle HistoryReceived: June 6 2024Revision requested: Aug 2 2024Revision received: Aug 2 2024Accepted: Aug 6 2024Published online: Sept 03 2024 FiguresReferencesRelatedDetailsAccompanying This ArticleMRI Predicts Residual Disease and Outcomes in Watch-and-Wait Patients with Rectal CancerSep 3 2024RadiologyRecommended Articles MRI Predicts Residual Disease and Outcomes in Watch-and-Wait Patients with Rectal CancerRadiology2024Volume: 312Issue: 3Watch-and-Wait Approach to Rectal Cancer: The Role of ImagingRadiology2023Volume: 307Issue: 1Identifying Complete Responders Following Chemotherapy-only Neoadjuvant Treatment for Rectal Cancer: Role of MRIRadiology2024Volume: 312Issue: 2Arterial Mucosal Linear Enhancement at Contrast-enhanced MRI to Exclude Residual Tumor after Neoadjuvant Chemotherapy and Radiation Therapy for Rectal CancerRadiology2024Volume: 312Issue: 2MRI for T Restaging of Locally Advanced Rectal Cancer Following Neoadjuvant Chemotherapy and Radiation TherapyRadiology2022Volume: 305Issue: 2pp. 373-374See More RSNA Education Exhibits Good Things Come To Those Who Wait!Digital Posters2021Posttreatment Challenges in Rectal Cancer MRI: A Systematic ApproachDigital Posters2022Rectal Cancer After Neoadjuvant Therapy, When We Are WrongDigital Posters2021 RSNA Case Collection Locally advanced, metastatic prostate adenocarcinomaRSNA Case Collection2020Clival Chordoma RSNA Case Collection2020Lipomatous Hypertrophy of the Interatrial Septum RSNA Case Collection2020 Vol. 312, No. 3 Metrics Altmetric Score PDF download