Evaluation of Mesorectal Fascia in Mid and Low Anterior Rectal Cancer Using Endorectal Ultrasound Is Feasible and Reliable: A Comparison With MRI Findings
BACKGROUND:Accuracy of MRI in assessing mesorectal fascia and predicting circumferential resection margin decreases in low anterior rectal tumors. OBJECTIVE:The purpose of this work was to evaluate the accuracy of endorectal ultrasound in predicting the pathologic circumferential resection margin in...
Gespeichert in:
| Veröffentlicht in: | Diseases of the colon & rectum 2014-06, Vol.57 (6), p.709-714 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 714 |
|---|---|
| container_issue | 6 |
| container_start_page | 709 |
| container_title | Diseases of the colon & rectum |
| container_volume | 57 |
| creator | Granero-Castro, Pablo Muñoz, Elena Frasson, Matteo García-Granero, Alvaro Esclapez, Pedro Campos, Salvador Flor-Lorente, Blas Garcia-Granero, Eduardo |
| description | BACKGROUND:Accuracy of MRI in assessing mesorectal fascia and predicting circumferential resection margin decreases in low anterior rectal tumors.
OBJECTIVE:The purpose of this work was to evaluate the accuracy of endorectal ultrasound in predicting the pathologic circumferential resection margin in low rectal anterior tumors and to compare it with MRI findings.
DESIGN:This was a prospective series comparing the preoperative circumferential resection margin assessed by endorectal ultrasound and MRI with pathologic examination.
SETTINGS:The study was conducted by a specialized colorectal multidisciplinary team at a tertiary teaching hospital.
PATIENTS:Between 2002 and 2008, 76 patients with mid to low rectal cancer were preoperatively evaluated by endorectal ultrasound and MRI and underwent total mesorectal excision without neoadjuvant radiochemotherapy. Twenty-seven patients with posterior or postero-lateral tumors were excluded, leaving 49 patients with anterior or antero-lateral tumors for the present subanalysis. We compared preoperative circumferential resection margin status using endorectal ultrasound and MRI with pathologic examination.
INTERVENTIONS:We conducted a comparison between preoperative circumferential resection margin status and pathologic examination after total mesorectal excision surgery.
MAIN OUTCOME MEASURES:Accuracy in predicting pathologic circumferential resection margin status was measured.
RESULTS:Overall accuracy of endorectal ultrasound and MRI in assessing circumferential resection margin status was 83.7% and 91.8%, with negative predictive values of 97.2% and 97.5%. When focusing on low rectal tumors, the overall accuracy of endorectal ultrasound increased to 87.5%, whereas the accuracy of MRI decreased to 87.5%, with a negative predictive value of 95.6% for both diagnostic tests.
LIMITATIONS:The sample size is small, and interobserver variability in radiologic assessment was not evaluated.
CONCLUSIONS:Endorectal ultrasound can help MRI in predicting circumferential resection margin involvement in mid to low anterior rectal cancer, especially at the low third of the rectum, with a high negative predictive value. |
| doi_str_mv | 10.1097/DCR.0000000000000096 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1523404989</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1523404989</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3315-f5981789d8523fb259a668d02731a44263ff7751bf1a580f2b98196f840fee243</originalsourceid><addsrcrecordid>eNpdkV-LEzEUxYMobl39BiJ5EXyZNX9nEt_K2GqhRSgWH4c7M4mNppOazFj8Kn5as9vuit6XcMPvnAP3IPSSkhtKdPX2fb29If-MLh-hGZWcFIRL9RjNCKGs4BUpr9CzlL7llTBSPUVXTChSSS1n6PfiJ_gJRhcGHCzemBSi6UbweAmpc4DdgDeuxzD0eB1OeD6MJroQ8fZM1TB0JuJdcsNXvBj6e_XOjxFSmLJslfDSQHKtN3c2W-Md5OUdnuM6HI4QXcrpX9y4x5vtCi_d0Ge39Bw9seCTeXF5r9FuufhcfyzWnz6s6vm66DinsrBSK1op3SvJuG2Z1FCWqies4hSEYCW3tqokbS0FqYhlbeZ1aZUg1hgm-DV6c_Y9xvBjMmlsDi51xnsYTJhSQ7OvIEIrnVFxRrsYUorGNsfoDhB_NZQ0t600uZXm_1ay7NUlYWoPpn8Q3deQgdcXIB8dvI35qi795ZTkiud5yD8Fn3tI3_10MrHZG_Dj_i6XC8kLRqggZd6K2y_J_wBbjqMT</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1523404989</pqid></control><display><type>article</type><title>Evaluation of Mesorectal Fascia in Mid and Low Anterior Rectal Cancer Using Endorectal Ultrasound Is Feasible and Reliable: A Comparison With MRI Findings</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>Granero-Castro, Pablo ; Muñoz, Elena ; Frasson, Matteo ; García-Granero, Alvaro ; Esclapez, Pedro ; Campos, Salvador ; Flor-Lorente, Blas ; Garcia-Granero, Eduardo</creator><creatorcontrib>Granero-Castro, Pablo ; Muñoz, Elena ; Frasson, Matteo ; García-Granero, Alvaro ; Esclapez, Pedro ; Campos, Salvador ; Flor-Lorente, Blas ; Garcia-Granero, Eduardo</creatorcontrib><description>BACKGROUND:Accuracy of MRI in assessing mesorectal fascia and predicting circumferential resection margin decreases in low anterior rectal tumors.
OBJECTIVE:The purpose of this work was to evaluate the accuracy of endorectal ultrasound in predicting the pathologic circumferential resection margin in low rectal anterior tumors and to compare it with MRI findings.
DESIGN:This was a prospective series comparing the preoperative circumferential resection margin assessed by endorectal ultrasound and MRI with pathologic examination.
SETTINGS:The study was conducted by a specialized colorectal multidisciplinary team at a tertiary teaching hospital.
PATIENTS:Between 2002 and 2008, 76 patients with mid to low rectal cancer were preoperatively evaluated by endorectal ultrasound and MRI and underwent total mesorectal excision without neoadjuvant radiochemotherapy. Twenty-seven patients with posterior or postero-lateral tumors were excluded, leaving 49 patients with anterior or antero-lateral tumors for the present subanalysis. We compared preoperative circumferential resection margin status using endorectal ultrasound and MRI with pathologic examination.
INTERVENTIONS:We conducted a comparison between preoperative circumferential resection margin status and pathologic examination after total mesorectal excision surgery.
MAIN OUTCOME MEASURES:Accuracy in predicting pathologic circumferential resection margin status was measured.
RESULTS:Overall accuracy of endorectal ultrasound and MRI in assessing circumferential resection margin status was 83.7% and 91.8%, with negative predictive values of 97.2% and 97.5%. When focusing on low rectal tumors, the overall accuracy of endorectal ultrasound increased to 87.5%, whereas the accuracy of MRI decreased to 87.5%, with a negative predictive value of 95.6% for both diagnostic tests.
LIMITATIONS:The sample size is small, and interobserver variability in radiologic assessment was not evaluated.
CONCLUSIONS:Endorectal ultrasound can help MRI in predicting circumferential resection margin involvement in mid to low anterior rectal cancer, especially at the low third of the rectum, with a high negative predictive value.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1097/DCR.0000000000000096</identifier><identifier>PMID: 24807595</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Hagerstown, MDc: The American Society of Colon and Rectal Surgeons</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Endosonography ; Fascia - diagnostic imaging ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Predictive Value of Tests ; Rectal Neoplasms - diagnostic imaging ; Rectal Neoplasms - pathology ; Rectal Neoplasms - surgery ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Tumors ; Young Adult</subject><ispartof>Diseases of the colon & rectum, 2014-06, Vol.57 (6), p.709-714</ispartof><rights>2014 The American Society of Colon and Rectal Surgeons</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3315-f5981789d8523fb259a668d02731a44263ff7751bf1a580f2b98196f840fee243</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786,27931,27932</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28538333$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24807595$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Granero-Castro, Pablo</creatorcontrib><creatorcontrib>Muñoz, Elena</creatorcontrib><creatorcontrib>Frasson, Matteo</creatorcontrib><creatorcontrib>García-Granero, Alvaro</creatorcontrib><creatorcontrib>Esclapez, Pedro</creatorcontrib><creatorcontrib>Campos, Salvador</creatorcontrib><creatorcontrib>Flor-Lorente, Blas</creatorcontrib><creatorcontrib>Garcia-Granero, Eduardo</creatorcontrib><title>Evaluation of Mesorectal Fascia in Mid and Low Anterior Rectal Cancer Using Endorectal Ultrasound Is Feasible and Reliable: A Comparison With MRI Findings</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>BACKGROUND:Accuracy of MRI in assessing mesorectal fascia and predicting circumferential resection margin decreases in low anterior rectal tumors.
OBJECTIVE:The purpose of this work was to evaluate the accuracy of endorectal ultrasound in predicting the pathologic circumferential resection margin in low rectal anterior tumors and to compare it with MRI findings.
DESIGN:This was a prospective series comparing the preoperative circumferential resection margin assessed by endorectal ultrasound and MRI with pathologic examination.
SETTINGS:The study was conducted by a specialized colorectal multidisciplinary team at a tertiary teaching hospital.
PATIENTS:Between 2002 and 2008, 76 patients with mid to low rectal cancer were preoperatively evaluated by endorectal ultrasound and MRI and underwent total mesorectal excision without neoadjuvant radiochemotherapy. Twenty-seven patients with posterior or postero-lateral tumors were excluded, leaving 49 patients with anterior or antero-lateral tumors for the present subanalysis. We compared preoperative circumferential resection margin status using endorectal ultrasound and MRI with pathologic examination.
INTERVENTIONS:We conducted a comparison between preoperative circumferential resection margin status and pathologic examination after total mesorectal excision surgery.
MAIN OUTCOME MEASURES:Accuracy in predicting pathologic circumferential resection margin status was measured.
RESULTS:Overall accuracy of endorectal ultrasound and MRI in assessing circumferential resection margin status was 83.7% and 91.8%, with negative predictive values of 97.2% and 97.5%. When focusing on low rectal tumors, the overall accuracy of endorectal ultrasound increased to 87.5%, whereas the accuracy of MRI decreased to 87.5%, with a negative predictive value of 95.6% for both diagnostic tests.
LIMITATIONS:The sample size is small, and interobserver variability in radiologic assessment was not evaluated.
CONCLUSIONS:Endorectal ultrasound can help MRI in predicting circumferential resection margin involvement in mid to low anterior rectal cancer, especially at the low third of the rectum, with a high negative predictive value.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Endosonography</subject><subject>Fascia - diagnostic imaging</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Predictive Value of Tests</subject><subject>Rectal Neoplasms - diagnostic imaging</subject><subject>Rectal Neoplasms - pathology</subject><subject>Rectal Neoplasms - surgery</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Tumors</subject><subject>Young Adult</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV-LEzEUxYMobl39BiJ5EXyZNX9nEt_K2GqhRSgWH4c7M4mNppOazFj8Kn5as9vuit6XcMPvnAP3IPSSkhtKdPX2fb29If-MLh-hGZWcFIRL9RjNCKGs4BUpr9CzlL7llTBSPUVXTChSSS1n6PfiJ_gJRhcGHCzemBSi6UbweAmpc4DdgDeuxzD0eB1OeD6MJroQ8fZM1TB0JuJdcsNXvBj6e_XOjxFSmLJslfDSQHKtN3c2W-Md5OUdnuM6HI4QXcrpX9y4x5vtCi_d0Ge39Bw9seCTeXF5r9FuufhcfyzWnz6s6vm66DinsrBSK1op3SvJuG2Z1FCWqies4hSEYCW3tqokbS0FqYhlbeZ1aZUg1hgm-DV6c_Y9xvBjMmlsDi51xnsYTJhSQ7OvIEIrnVFxRrsYUorGNsfoDhB_NZQ0t600uZXm_1ay7NUlYWoPpn8Q3deQgdcXIB8dvI35qi795ZTkiud5yD8Fn3tI3_10MrHZG_Dj_i6XC8kLRqggZd6K2y_J_wBbjqMT</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Granero-Castro, Pablo</creator><creator>Muñoz, Elena</creator><creator>Frasson, Matteo</creator><creator>García-Granero, Alvaro</creator><creator>Esclapez, Pedro</creator><creator>Campos, Salvador</creator><creator>Flor-Lorente, Blas</creator><creator>Garcia-Granero, Eduardo</creator><general>The American Society of Colon and Rectal Surgeons</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201406</creationdate><title>Evaluation of Mesorectal Fascia in Mid and Low Anterior Rectal Cancer Using Endorectal Ultrasound Is Feasible and Reliable: A Comparison With MRI Findings</title><author>Granero-Castro, Pablo ; Muñoz, Elena ; Frasson, Matteo ; García-Granero, Alvaro ; Esclapez, Pedro ; Campos, Salvador ; Flor-Lorente, Blas ; Garcia-Granero, Eduardo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3315-f5981789d8523fb259a668d02731a44263ff7751bf1a580f2b98196f840fee243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Endosonography</topic><topic>Fascia - diagnostic imaging</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Predictive Value of Tests</topic><topic>Rectal Neoplasms - diagnostic imaging</topic><topic>Rectal Neoplasms - pathology</topic><topic>Rectal Neoplasms - surgery</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Tumors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Granero-Castro, Pablo</creatorcontrib><creatorcontrib>Muñoz, Elena</creatorcontrib><creatorcontrib>Frasson, Matteo</creatorcontrib><creatorcontrib>García-Granero, Alvaro</creatorcontrib><creatorcontrib>Esclapez, Pedro</creatorcontrib><creatorcontrib>Campos, Salvador</creatorcontrib><creatorcontrib>Flor-Lorente, Blas</creatorcontrib><creatorcontrib>Garcia-Granero, Eduardo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Granero-Castro, Pablo</au><au>Muñoz, Elena</au><au>Frasson, Matteo</au><au>García-Granero, Alvaro</au><au>Esclapez, Pedro</au><au>Campos, Salvador</au><au>Flor-Lorente, Blas</au><au>Garcia-Granero, Eduardo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Mesorectal Fascia in Mid and Low Anterior Rectal Cancer Using Endorectal Ultrasound Is Feasible and Reliable: A Comparison With MRI Findings</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>2014-06</date><risdate>2014</risdate><volume>57</volume><issue>6</issue><spage>709</spage><epage>714</epage><pages>709-714</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>BACKGROUND:Accuracy of MRI in assessing mesorectal fascia and predicting circumferential resection margin decreases in low anterior rectal tumors.
OBJECTIVE:The purpose of this work was to evaluate the accuracy of endorectal ultrasound in predicting the pathologic circumferential resection margin in low rectal anterior tumors and to compare it with MRI findings.
DESIGN:This was a prospective series comparing the preoperative circumferential resection margin assessed by endorectal ultrasound and MRI with pathologic examination.
SETTINGS:The study was conducted by a specialized colorectal multidisciplinary team at a tertiary teaching hospital.
PATIENTS:Between 2002 and 2008, 76 patients with mid to low rectal cancer were preoperatively evaluated by endorectal ultrasound and MRI and underwent total mesorectal excision without neoadjuvant radiochemotherapy. Twenty-seven patients with posterior or postero-lateral tumors were excluded, leaving 49 patients with anterior or antero-lateral tumors for the present subanalysis. We compared preoperative circumferential resection margin status using endorectal ultrasound and MRI with pathologic examination.
INTERVENTIONS:We conducted a comparison between preoperative circumferential resection margin status and pathologic examination after total mesorectal excision surgery.
MAIN OUTCOME MEASURES:Accuracy in predicting pathologic circumferential resection margin status was measured.
RESULTS:Overall accuracy of endorectal ultrasound and MRI in assessing circumferential resection margin status was 83.7% and 91.8%, with negative predictive values of 97.2% and 97.5%. When focusing on low rectal tumors, the overall accuracy of endorectal ultrasound increased to 87.5%, whereas the accuracy of MRI decreased to 87.5%, with a negative predictive value of 95.6% for both diagnostic tests.
LIMITATIONS:The sample size is small, and interobserver variability in radiologic assessment was not evaluated.
CONCLUSIONS:Endorectal ultrasound can help MRI in predicting circumferential resection margin involvement in mid to low anterior rectal cancer, especially at the low third of the rectum, with a high negative predictive value.</abstract><cop>Hagerstown, MDc</cop><pub>The American Society of Colon and Rectal Surgeons</pub><pmid>24807595</pmid><doi>10.1097/DCR.0000000000000096</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0012-3706 |
| ispartof | Diseases of the colon & rectum, 2014-06, Vol.57 (6), p.709-714 |
| issn | 0012-3706 1530-0358 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1523404989 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Endosonography Fascia - diagnostic imaging Female Gastroenterology. Liver. Pancreas. Abdomen Humans Magnetic Resonance Imaging Male Medical sciences Middle Aged Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Predictive Value of Tests Rectal Neoplasms - diagnostic imaging Rectal Neoplasms - pathology Rectal Neoplasms - surgery Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Tumors Young Adult |
| title | Evaluation of Mesorectal Fascia in Mid and Low Anterior Rectal Cancer Using Endorectal Ultrasound Is Feasible and Reliable: A Comparison With MRI Findings |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-04T20%3A56%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20Mesorectal%20Fascia%20in%20Mid%20and%20Low%20Anterior%20Rectal%20Cancer%20Using%20Endorectal%20Ultrasound%20Is%20Feasible%20and%20Reliable:%20A%20Comparison%20With%20MRI%20Findings&rft.jtitle=Diseases%20of%20the%20colon%20&%20rectum&rft.au=Granero-Castro,%20Pablo&rft.date=2014-06&rft.volume=57&rft.issue=6&rft.spage=709&rft.epage=714&rft.pages=709-714&rft.issn=0012-3706&rft.eissn=1530-0358&rft.coden=DICRAG&rft_id=info:doi/10.1097/DCR.0000000000000096&rft_dat=%3Cproquest_cross%3E1523404989%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1523404989&rft_id=info:pmid/24807595&rfr_iscdi=true |