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MRI of Rectal Cancer Provides the Data to Improve Survival Odds

By MedImaging International staff writers
Posted on 07 Jan 2014
New findings revealed that preoperative evaluation using magnetic resonance imaging (MRI) is crucial in helping provide an optimized treatment strategy for rectal patients by predicting local recurrence and disease-free survival.

Rectal cancer, which accounts for one-third of all colorectal cancers, currently is a leading cause of cancer death in the Western World. The five-year study was conducted across 11 hospitals and research institutes across the United Kingdom, tracking 374 patients diagnosed and being treated for rectal cancer.

The research published the December 2013 issue Journal of Clinical Oncology set out to qualify the prognostic relevance of high-resolution magnetic resonance imaging (MRI) assessment of circumferential resection margin (CRM). Its usefulness in evaluating the risk of local recurrence has not been earlier validated.

The benefits were distinctly noticeable, rates of recurrence for patients with MRI-clear CRM were only 7% compared to 20% in the case of MRI-involved CRM. Furthermore, a five-year overall survival rate of 62% was showed in patients with MRI-clear CRM, compared to 42% in patients with MRI-involved CRM, independent of the type of treatment received by patients. From this, it is possible to conclude that by using this pre-op assessment method, patients could be identified who have a significant risk of local recurrence, which can in turn be prevented by preoperative down-staging of MRI detected high risk tumors and improved surgery.

The study’s goal was to compare the prognostic significance of using preoperative MRI assessment of CRM compared with the existing and widely used “staging” systems such as the American Joint Committee on Cancer (AJCC) TNM stage model and other clinical variables. The pre-op MRI assessment proved to be superior to TNM in predicting local recurrence, disease free survival, and overall survival. The researchers believe that MRI CRM status, instead of assessing the AJCC TNM, should be used when informing patients regarding the risks of local recurrence and treatment decisions such as pelvic radiotherapy.

Furthermore, although computed tomography (CT) imaging scan, endoluminal ultrasound (EUS), and MRI have all shown to be acceptable in terms of tumor and node staging, neither a CT nor EUS is capable of assessing the potential circumferential margin.

Dr. Gina Brown, the report’s author, consultant radiologist and reader in gastrointestinal cancer imaging at the Royal Marsden NHS [National Health Service] Foundation Trust (London, UK), commented, “The research found that it is highly beneficial in terms of patient outcome to predict local recurrence by adopting MRI preoperative imaging, helping to inform treatment decisions both amongst multidisciplinary teams and patients. If an MRI predicts that complete removal of the tumor can be achieved with at least 1 mm of clear margin, this should largely eliminate the risk of local recurrence in patients.”

Prof. Bill Heald, from the Pelican Cancer Foundation (Basingstoke, UK), noted, “Predicting recurrence by preoperative imaging would enable more intensive preoperative treatments as well as providing a surgical ‘roadmap’ to avoid breaching the tumor. This is a significant breakthrough and reinforces our belief here at the Pelican Cancer Foundation that investment in research is vital: advances in diagnosis and treatments are making a real difference to bowel cancer patients and helping to save thousands of lives each year in the UK alone.”

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94 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
105 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
106 (72.002410888672): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294750015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (70.095062255859): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294750015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
109 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
110 (46.968460083008): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294750015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (514.98413085938): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294750015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (571.01249694824): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (432.01446533203): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
115 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
116 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
119 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
120 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
122 (329.97131347656): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 22482.872009277): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (571.96617126465): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750015 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750015 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 8580.207824707): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (73.909759521484): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (293.01643371582): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (72.956085205078): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (226.97448730469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (38.862228393555): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (283.95652770996): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (238.18016052246): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (61.03515625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (543.83277893066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (395.05958557129): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (304.22210693359): SELECT name FROM jos_deeppockets WHERE id=212
138 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=212
139 (716.9246673584): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (625.8487701416): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
142 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
143 (!!!!! 8343.2197570801): TRUNCATE TABLE jos_trademed_module
144 (102.99682617188): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294750015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (59.843063354492): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294750015 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (848.05488586426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
149 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
150 (!!!!! 1234.0545654297): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
152 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
153 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750015 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750015 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (34.809112548828): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
155 (31.948089599609): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
156 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
158 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750015 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750015 AND published='1' LIMIT 1
159 (92.983245849609): select jos_twitters.link from jos_twitters where cat=10
160 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10
161 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10
162 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10
163 (242.94853210449): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (979.90036010742): insert into jos_banners_delta values (14615,'2025-06-24 10:32:35','216.73.216.120','view'),(14202,'2025-06-24 10:32:35','216.73.216.120','view'),(14203,'2025-06-24 10:32:35','216.73.216.120','view')