The optimized rectal cancer MRI protocol: choosing the right sequences, sequence parameters, and preparatory strategies

Tyler J. Fraum, Jingfei Ma, Kartik Jhaveri, Pankaj Nepal, Chandana Lall, James Costello, Mukesh Harisinghani

Research output: Contribution to journalReview articlepeer-review

4 Scopus citations

Abstract

Pelvic MRI plays a critical role in rectal cancer staging and treatment response assessment. Despite a consensus regarding the essential protocol components of a rectal cancer MRI, substantial differences in image quality persist across institutions and vendor software/hardware platforms. In this review, we present image optimization strategies for rectal cancer MRI examinations, including but not limited to preparation strategies, high-resolution T2-weighted imaging, and diffusion-weighted imaging. Our specific recommendations are supported by case studies from multiple institutions. Finally, we describe an ongoing initiative by the Society of Abdominal Radiology’s Disease-Focused Panel (DFP) on Rectal and Anal Cancer to create standardized rectal cancer MRI protocols across scanner platforms. Graphical Abstract: [Figure not available: see fulltext.].

Original languageEnglish (US)
Pages (from-to)2771-2791
Number of pages21
JournalAbdominal Radiology
Volume48
Issue number9
DOIs
StatePublished - Sep 2023

Keywords

  • Diffusion-weighted imaging
  • High-resolution T2-weighted imaging
  • Magnetic resonance imaging
  • Protocol optimization
  • Rectal cancer

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging
  • Gastroenterology
  • Urology

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