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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

  • Gastrointestinal
  • Published:
European Radiology Aims and scope Submit manuscript

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.

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.

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.

Conclusions

These expert consensus recommendations can be used as clinical guidelines for primary staging and restaging of rectal cancer using MRI.

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.

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Authors and Affiliations

  1. Maastricht University Medical Centre+, Maastricht, The Netherlands

    Regina G. H. Beets-Tan, Doenja M. J. Lambregts & Monique Maas

  2. Academic Medical Centre, Amsterdam, The Netherlands

    Shandra Bipat & Jaap Stoker

  3. Catholic University School of Medicine, Rome, Italy

    Brunella Barbaro

  4. Coimbra University Hospitals, Coimbra, Portugal

    Filipe Caseiro-Alves & Luís Curvo-Semedo

  5. Mater Misericordiae University Hospital, Dublin, Ireland

    Helen M. Fenlon

  6. Memorial Sloan-Kettering Cancer Center, New York, USA

    Marc J. Gollub

  7. University Hospital of Heraklion, Crete, Greece

    Sofia Gourtsoyianni

  8. Guy’s & St. Thomas’ NHS FT, London, UK

    Sofia Gourtsoyianni

  9. Centre for Medical Imaging, University College London, London, United Kingdom

    Steve Halligan & Stuart A. Taylor

  10. Reims University Hospital, Reims, France

    Christine Hoeffel

  11. Inje University Haeundae Paik Hospital, Busan, South-Korea

    Seung Ho Kim

  12. Sapienza - University of Rome, Rome, Italy

    Andrea Laghi

  13. Medical University of Vienna, Vienna, Austria

    Andrea Maier

  14. Vejle Hospital, Vejle, Denmark

    Søren R. Rafaelsen

  15. Uppsala University, Uppsala, Sweden

    Michael R. Torkzad

  16. Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden

    Lennart Blomqvist

  17. Department of Radiology, Maastricht University Medical Centre+, P.O. Box 5800, 6202, AZ, Maastricht, The Netherlands

    Regina G. H. Beets-Tan

Authors
  1. Regina G. H. Beets-Tan
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  2. Doenja M. J. Lambregts
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  3. Monique Maas
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  4. Shandra Bipat
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  5. Brunella Barbaro
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  6. Filipe Caseiro-Alves
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  7. Luís Curvo-Semedo
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  8. Helen M. Fenlon
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  9. Marc J. Gollub
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  10. Sofia Gourtsoyianni
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  11. Steve Halligan
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  12. Christine Hoeffel
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  13. Seung Ho Kim
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  14. Andrea Laghi
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  15. Andrea Maier
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  16. Søren R. Rafaelsen
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  17. Jaap Stoker
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  18. Stuart A. Taylor
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  19. Michael R. Torkzad
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  20. Lennart Blomqvist
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Corresponding author

Correspondence to Regina G. H. Beets-Tan.

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Beets-Tan, R.G.H., Lambregts, D.M.J., Maas, M. et al. 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. Eur Radiol 23, 2522–2531 (2013). https://doi.org/10.1007/s00330-013-2864-4

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  • DOI: https://doi.org/10.1007/s00330-013-2864-4

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