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Magnetic resonance imaging for the clinical management of rectal cancer patients: recommendations from the 2012 European Society of Gastrointestinal and Abdominal Radiology (ESGAR) consensus meeting.

Authors :
Beets-Tan RG
Lambregts DM
Maas M
Bipat S
Barbaro B
Caseiro-Alves F
Curvo-Semedo L
Fenlon HM
Gollub MJ
Gourtsoyianni S
Halligan S
Hoeffel C
Kim SH
Laghi A
Maier A
Rafaelsen SR
Stoker J
Taylor SA
Torkzad MR
Blomqvist L
Source :
European radiology [Eur Radiol] 2013 Sep; Vol. 23 (9), pp. 2522-31. Date of Electronic Publication: 2013 Jun 07.
Publication Year :
2013

Abstract

Objectives: To develop guidelines describing a standardised approach regarding the acquisition, interpretation and reporting of magnetic resonance imaging (MRI) for clinical staging and restaging of rectal cancer.<br />Methods: A consensus meeting of 14 abdominal imaging experts from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR) was conducted following the RAND-UCLA Appropriateness Method. Two independent (non-voting) chairs facilitated the meeting. Two hundred and thirty-six items were scored by participants for appropriateness and classified subsequently as appropriate or inappropriate (defined by ≥ 80 % consensus) or uncertain (defined by < 80 % consensus). Items not reaching 80 % consensus were noted.<br />Results: Consensus was reached for 88 % of items: recommendations regarding hardware, patient preparation, imaging sequences, angulation, criteria for MRI assessment and MRI reporting were constructed from these.<br />Conclusions: These expert consensus recommendations can be used as clinical guidelines for primary staging and restaging of rectal cancer using MRI.<br />Key Points: • These guidelines recommend standardised imaging for staging and restaging of rectal cancer. • The guidelines were constructed through consensus amongst 14 abdominal imaging experts. • Consensus was reached by in 88 % of 236 items discussed.

Details

Language :
English
ISSN :
1432-1084
Volume :
23
Issue :
9
Database :
MEDLINE
Journal :
European radiology
Publication Type :
Academic Journal
Accession number :
23743687
Full Text :
https://doi.org/10.1007/s00330-013-2864-4