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- Title
Colorectal Carcinoma: Local Tumor Staging and Assessment of Lymph Node Metastasis by High-Resolution MR Imaging in Surgical Specimens.
- Authors
Yamada, Ichiro; Yoshino, Norio; Tetsumura, Akemi; Okabe, Satoshi; Enomoto, Masayuki; Sugihara, Kenichi; Kumagai, Jiro; Shibuya, Hitoshi
- Abstract
Purpose. To assess the accuracy of high-resolution MR imaging as ameans of evaluatingmural invasion and lymph nodemetastasis by colorectal carcinoma in surgical specimens. Materials and Methods. High-resolution T1-weighted and T2-weighted MR images were obtained in 92 surgical specimens containing 96 colorectal carcinomas. Results. T2-weighted MR images clearly depicted the normal colorectal wall as consisting of seven layers. In 90 (94%) of the 96 carcinomas the depth of mural invasion depicted by MR imaging correlated well with the histopathologic stage. Nodal signal intensity on T2-weighted images (93%) and nodal border contour (93%) were more accurate than nodal size (89%) as indicators of lymph node metastasis, and MR imaging provided the highest accuracy (94%-96%) when they were combined. Conclusion. High-resolution MR imaging is a very accurate method for evaluating both mural invasion and lymph node metastasis by colorectal carcinoma in surgical specimens.
- Subjects
TUMORS; MAGNETIC resonance imaging; IMAGE analysis; LYMPH node cancer; RECTAL cancer; CANCER diagnosis
- Publication
International Journal of Biomedical Imaging, 2009, p1
- ISSN
1687-4188
- Publication type
Article
- DOI
10.1155/2009/659836