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Rectum

5

 

Doenja M. J. Lambregts and Regina G. H. Beets-Tan

 

Abbreviations

ADC\

Apparent diffusion coefficient

AUC\

Area under the (ROC) curve

CRT\

Chemoradiotherapy

DWI\

Diffusion-weighted (magnetic resonance) imaging

EPI\

Echo planar imaging

MRF\

Mesorectal fascia

MRI\

Magnetic resonance imaging

N-stage\

Nodal stage

T-stage\

Tumour stage

TME\

Total mesorectal excision

5.1\ Introduction

In the last decade, well over 100 papers have been published on the use of DWI for rectal cancer imaging. In an increasing number of centres worldwide, a DWI sequence is now routinely included in the rectal MRI protocol, not only for research purposes but also for clinical rectal cancer assessment. The routine use of DWI is also recommended by the expert consensus guidelines from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR), particularly for restaging of rectal tumours after chemoradiotherapy [1]. This chapter will discuss various applications of DWI for rectal cancer imaging, in the

D. M. J. Lambregts (*) · R. G. H. Beets-Tan

Department of Radiology, The Netherlands Cancer Institute, Amsterdam, Netherlands e-mail: d.lambregts@nki.nl; r.beetstan@nki.nl

© Springer International Publishing AG, part of Springer Nature 2019

65

S. Gourtsoyianni, N. Papanikolaou (eds.), Diffusion Weighted Imaging of the Gastrointestinal Tract, https://doi.org/10.1007/978-3-319-92819-7_5