Share:
Share this content in WeChat
X
Review
The value of magnetic resonance diffusion weighted imaging in rectal cancer diagnosis
KANG Ying-jie  ZHANG Hao 

DOI:10.3969/j.issn.1674-8034.2015.02.015.


[Abstract] Rectal cancer is one of the most common malignant tumors. In China, the incidence rate showed an upward trend year after year, seriously affecting people's health and quality of life. Accurate staging is essential for determining the optimal treatment strategies and planning appropriate surgical procedures. MRI is the most commonly used imaging method. DWI could clearly show the lesions, judging the extent of tumor invasion and lymph node metastasis, evaluation of preoperative chemotherapy and radiotherapy, which plays an important role in the clinical.
[Keywords] Rectal cancer;Magnetic resonance imaging;Diffusion weighted imaging

KANG Ying-jie Department of Radiology, Shanghai First People's Hospital Baoshan Branch, Shanghai 200940, China

ZHANG Hao* Department of Radiology, Shanghai First People's Hospital, Shanghai 200080, China

*Correspondence to: ZHANG H, E-mail: zhanghao021 @126.com

Conflicts of interest   None.

Received  2014-10-29
Accepted  2014-12-29
DOI: 10.3969/j.issn.1674-8034.2015.02.015
DOI:10.3969/j.issn.1674-8034.2015.02.015.

[1]
Siegel R, Ward E, Brawley O, et al. Cancer statistics, 2011. CA: a cancer journal for clinicians, 2011, 61(4): 212-236.
[2]
Lim KS, Tan CH. Diffusion-weighted MRI of adult male pelvic cancers. Clin Radiol, 2012, 67(9): 899-908.
[3]
Beaumont C, Pandey T, Gaines Fricke R, et al. MR evaluation of rectal cancer: current concepts. Current problems in diagnostic radiology, 2013, 42(3): 99-112.
[4]
余太慧,杨绮华,章作铨,等.直肠肛门病变的影像学诊断.磁共振成像, 2013, 4(4): 302-308.
[5]
Glimelius B, Oliveira J.Rectal cancer: ESMO clinical recommendations for diagnosis, treatment and follow-up. Ann Oncol, 2009, 20(Suppl 4): 54-56.
[6]
Qayyum A.Diffusion-weighted imaging in the abdomen and pelvis: concepts and applications. Radiographics, 2009, 29(6): 1797-1810.
[7]
Solak A, Genç B, Solak I, et al. The value of diffusion-weighted magnetic resonance imaging in the differential diagnosis in diffuse bowel wall thickening. Turk J Gastroenterol, 2013, 24(2): 154-160.
[8]
Sandrasegaran K. Functional MR imaging of the abdomen. Radiol Clin North Am, 2014, 52(4): 883-903.
[9]
Dyvorne H, Jajamovich G, Kakite S, et al. Intravoxel incoherent motion diffusion imaging of the liver: Optimal b-value subsampling and impact on parameter precision and reproducibility. Eur J Radiol, 2014, 83(12): 2109-2113.
[10]
亓俊霞,白人驹,于长路,等.磁共振扩散加权成像对直肠癌的显示及其恶性程度评估的初步研究.实用放射学杂志, 2013, 29(3): 400-404.
[11]
Sugita R, Yamazaki T, Furuta A, et al. High b-value diffusion-weighted MRI for detecting gallbladder carcinoma: preliminary study and results. Eur Radiol, 2009, 19(7): 1794-1798.
[12]
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.
[13]
Kim NK, Kim MJ, Park JK, et al. Preoperative staging of rectal cancer with MRI: accuracy and clinical usefulness. Ann Surg Oncol, 2000, 7(10): 732-737.
[14]
Keane C, Young M. Accuracy of magnetic resonance imaging for preoperative staging of rectal cancer. ANZ J Surg, 2014, 84(10): 758-762.
[15]
Ichikawa T, Erturk SM, Motosugi U, et al. High-B-value diffusionweighted MRI in colorectal cancer. Am J Roentgenol, 2006, 187(1): 181-184.
[16]
Feng Q, Yan YQ, Zhu J, et al. T staging of rectal cancer: accuracy of diffusion-weighted imaging compared with T2-weighted imaging on 3.0 tesla MRI. Journal of digestive diseases, 2014, 15(4): 188-194.
[17]
Curvo-Semedo L, Lambregts DM, Maas M, et al. Diffusion-weighted MRI in rectal cancer: apparent diffusion coefficient as a potential noninvasive marker of tumor aggressiveness. J Magn Reson Imaging, 2012, 35(6): 1365-1371.
[18]
Attenberger UI, Pilz LR, Morelli JN, et al. Multi-parametric MRI of rectal cancer - do quantitative functional MR measurements correlate with radiologic and pathologic tumor stages?. Eur J Radiol, 2014, 83(7): 1036-1043.
[19]
丛冠宁,秦明伟,有慧,等.磁共振弥散加权成像结合常规序列在直肠癌诊断中的应用.中国医学科学院学报, 2009, 31(2): 200-205.
[20]
Zhao Q, Liu L, Wang Q. Preoperative diagnosis and staging of rectal cancer using diffusion-weighted and water imaging combined with dynamic contrast-enhanced scanning. Oncol Lett, 2014, 8(6): 2734-2740.
[21]
Dworak O. Morphology of lymph nodes in the resected rectum of patients with rectal carcinoma. Pathol Res Pract, 1991, 187(8): 1020-1024.
[22]
Heijnen LA, Lambregts DM, Mondal D, et al. Diffusion-weighted MR imaging in primary rectal cancer staging demonstrates but does not characterise lymph nodes. Eur Radiol, 2013, 23(12): 3354-3360.
[23]
Cho EY, Kim SH, Yoon JH, et al. Apparent diffusion coefficient for discriminating metastatic from non-metastatic lymph nodes in primary rectal cancer. Eur J Radiol, 2013, 82(11): 662-668.
[24]
Mizukami Y, Ueda S, Mizumoto A, et al. Diffusion-weighted magnetic resonance imaging for detecting lymph node metastasis of rectal cancer. World J Surg, 2011, 35(4): 895-899.
[25]
Bipat S, Glas AS, Slors FJ, et al. Rectal Cancer: Local Staging and Assessment of Lymph Node Involvement with Endoluminal US, CT, and MR Imaging—A Meta-Analysis 1. Radiology, 2004, 232(3): 773-783.
[26]
Sinha R, Verma R, Rajesh A, et al. Diagnostic value of multidetector row CT in rectal cancer staging: comparison of multiplanar and axial images with histopathology. Clin Radiol, 2006, 61(11): 924-931.
[27]
Wibe A, Rendedal PR, Svensson E, et al. Prognostic significance of the circumferential resection margin following total mesorectal excision for rectal cancer. Br J Surg, 2002, 89(3): 327-334.
[28]
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.
[29]
Taylor FG, Quirke P, Heald RJ, et al. Preoperative High-resolution Magnetic Resonance Imaging Can Identify Good Prognosis Stage I, II, and III Rectal Cancer Best Managed by Surgery Alone: A Prospective, Multicenter, European Study That Recruited Consecutive Patients With Rectal Cancer. Ann Surg, 2011, 253(4): 711-719.
[30]
Simpson GS, Eardley N, McNicol F, et al. Circumferential resection margin (CRM) positivity after MRI assessment and adjuvant treatment in 189 patients undergoing rectal cancer resection. Int J Colorectal Dis, 2014, 29(5): 585-590.
[31]
周妮娜,陈敏,王文超,等.动态增强磁共振成像对直肠癌术前新辅助治疗疗效的评价.磁共振成像, 2010, 1(2): 103-109.
[32]
van der Paardt MP, Zagers MB, Beets-Tan RG, et al. Patients who undergo preoperative chemoradiotherapy for locally advanced rectal cancer restaged by using diagnostic MR imaging: a systematic review and meta-analysis. Radiology, 2013, 269(1): 101-112.
[33]
Engin G, Sharifov R, Gural Z, et al. Can diffusion-weighted MRI determine complete responders after neoadjuvant chemoradiationfor locally advanced rectal cancer?. Diagn Interv Radiol, 2012, 18(6): 574-581.
[34]
Jung SH, Heo SH, Kim JW, et al. Predicting response to neoadjuvant chemoradiation therapy in locally advanced rectal cancer: diffusion-weighted 3 Tesla MR imaging. J Magn Reson Imaging, 2012, 35(1): 110-116.
[35]
张晓鹏,孙应实.直肠癌术前放化疗疗效的影像学评价.中华胃肠外科杂志, 2012, 14(11): 830-833.
[36]
Cai G, Xu Y, Zhu J, et al. Diffusion-weighted magnetic resonance imaging for predicting the response of rectal cancer to neoadjuvant concurrent chemoradiation. World J Gastroenterol, 2013, 19(33): 5520-5527.

PREV Pathophysiology and neuroimaging development of brain alterations in chronic mountain sickness
NEXT Spontaneous brain activity alterations in T2DM patients with mild cognitive impairment: a resting-state fMRI study
  



Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn