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Aim: To evaluate the change in signal intensity (SI) and volume (V) from multiparametric magnetic resonance imaging (MRI) for assessing the response of locally advanced rectal cancer (LARC) to chemoradiotherapy (CRT). Materials and methods: Eight‐two LARC patients who underwent pre‐ and post‐CRT T2‐weighted (T2W), apparent diffusion coefficient (ADC), and contrast‐enhanced T1‐weighted (ceT1W) MRI were retrospectively analyzed. The change of volume (%△V) and relative SI ratio (%△SIR) from each sequence were determined. All LARCs were confirmed pathologically and classified as tumor regression grade (TRG) ‐0, 1, 2,or 3. Descriptive statistics and receiver operating characteristic (ROC) analysis, with calculation of area under the curve (AUC), were used to compare the diagnostic performances. Results: Sixteen patients had TRG‐0, 15 had TRG‐1, 35 had TRG‐2, and 16 had TRG‐3. Except for ADC‐%△SIR, the remaining %△V and %△SIR values on MR sequences had significant differences among the four groups. The %△V and %△SIR (alone or together) did not distinguish TRG‐1 from TRG‐2, nor TRG‐2 from TRG‐3; however, differences between other TRGs were identified by %△V and %△SIR. The combined use of ADC‐%△V and T2W‐%△SIR provided the best diagnostic performance in distinguishing of TRG‐0 from TRG‐2 (AUC: 0.954) and from TRG‐3 (AUC: 1.000). Conclusions: Preoperative MRI of LARC patients after CRT has high diagnostic value for determination TRG, and may therefore improve the selection of patients most suitable for surgery. [ABSTRACT FROM AUTHOR]

This study aims to emphasise the importance of imaging in the diagnosis and treatment decision‐making in Zinner syndrome and provide a classification for seminal vesicle cysts. The data of six patients with Zinner syndrome in a single institution were collected. All patients underwent a contrast‐enhanced computed tomography (CT) exam. Among these patients, five patients also underwent an magnetic resonance imaging (MRI). These results were combined with the review of available literature to classify the seminal vesicle cysts. Among these patients, two patients had urinary urgency and frequency, while four patients had no urinary symptoms. No reproductive‐system symptoms were revealed. The imaging revealed left‐sided involvement in two patients and right‐sided involvement in four patients. The associated features included ipsilateral renal agenesis, seminal vesicle cyst or agenesis, and ejaculatory duct obstruction. Either an ipsilateral ureterocele or an ipsilateral small testis was noted. The seminal vesicle cysts demonstrated varying attenuation or intensity in the imaging. Imaging (CT and especially MRI) can be critical in the noninvasive diagnosis of Zinner syndrome and in allowing aberrant anatomy to be displayed for possible surgery. The proposed seminal vesicle cyst imaging classification could potentially contribute to clinical decision‐making. [ABSTRACT FROM AUTHOR]