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The optimized rectal cancer MRI protocol: choosing the right sequences, sequence parameters, and preparatory
Tyler J Fraum1, Jingfei Ma2, Kartik Jhaveri3
1Department of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd, Campus, Box 8131, St. Louis, MO, 63110, USA. fraumt@wustl.edu.
Abstract:
Pelvic MRI plays a critical role in rectal cancer staging and treatment response assessment. Despite a consensus regarding the essential protocol components of a rectal cancer MRI, substantial differences in image quality persist across institutions and vendor software/hardware platforms. In this review, we present image optimization strategies for rectal cancer MRI examinations, including but not limited to preparation strategies, high-resolution T2-weighted imaging, and diffusion-weighted imaging. Our specific recommendations are supported by case studies from multiple institutions. Finally, we describe an ongoing initiative by the Society of Abdominal Radiology's Disease-Focused Panel (DFP) on Rectal and Anal Cancer to create standardized rectal cancer MRI protocols across scanner platforms.
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