Correlation Between Endorectal Ultrasound and Magnetic Resonance Imaging for Predicting the Circumferential Resection Margin in Patients With Mid‐Low Rectal Cancer Without Preoperative Chemoradiotherapy
Objectives To assess the correlation between endorectal ultrasound (ERUS) and magnetic resonance imaging (MRI) in predicting the circumferential resection margin (CRM) status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy. Methods Twenty patients with rectal cancer who...
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| Veröffentlicht in: | Journal of ultrasound in medicine 2020-03, Vol.39 (3), p.569-577 |
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| creator | Ye, Dalin Zhu, Zhimin Chen, Fei Lie, Chaowei Li, Wenlu Lin, Yunyong Qiu, Shaodong |
| description | Objectives
To assess the correlation between endorectal ultrasound (ERUS) and magnetic resonance imaging (MRI) in predicting the circumferential resection margin (CRM) status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.
Methods
Twenty patients with rectal cancer who did not receive preoperative chemoradiotherapy and underwent ERUS and MRI examinations before total mesorectal excision from May 2018 to April 2019 were included in this study. The patient and tumor characteristics, lymph nodes, tumor stages, ERUS and MRI predictors of the CRM status, and postoperative pathologic results were recorded. The closest distance between the deepest portion of lesion invasion and the mesorectal fascia was independently measured on MRI and ERUS images by 2 observers. The observers were blinded to the pathologic results. Measurements from ERUS and MRI were compared.
Results
The mean distance between the distal edge of the lesion and the anal verge was 5.7 cm (range, 3.1–8.1 cm). The ERUS and pathologic evaluations of CRM involvement were consistent in 90% of the cases. The MRI and pathologic evaluations of CRM involvement were concordant in 95% of the cases. The Cohen κ coefficient of ERUS and MRI was 0.608 (P = .007). The correlation coefficient of ERUS and MRI for assessing the closest distance from the edge of cancer invasion to the mesorectal fascia was 0.99 (P = .0005).
Conclusions
Endorectal ultrasound and MRI assessments of the preoperative CRM status appear to be highly consistent. Endorectal ultrasound can be used as a complementary tool with MRI to predict the CRM status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy. |
| doi_str_mv | 10.1002/jum.15135 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2306219954</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2306219954</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3255-1ff54c6e7ae154d9da498df09267452f3a00b1f6aaa72c64b780539d4e59979f3</originalsourceid><addsrcrecordid>eNp1kUFuEzEUhi0EoqGw4ALIS7qY1vbYM_ESRqUUJaJCRCxHjv2cuJoZB9tDlF2PwME4BSfBkxR2SLYs633v-xc_Qq8puaSEsKv7sb-kgpbiCZpRIUghK1o-RTPC6nnBmazP0IsY7zNKaM2fo7OSVrRmnM_Qr8aHAJ1Kzg_4PaQ9wICvB-MD6KQ6vOpSUNGPg8Eq36XaDJCcxl8g-kENGvBtrzZu2GDrA74LYJxO0zdtATcu6LG3EGBILsvyUrZOSUsV8hLO5y5H53HE31za4qUzvx9-Lvw-s8f8ZsoIx6Ef0xTgdxDyzo-s30LvgzLO57CgdoeX6JlVXYRXj-85Wn24_tp8LBafb26bd4tCl0yIgloruK6gVkAFN9IoLufGEsmqmgtmS0XImtpKKVUzXfF1PSeilIaDkLKWtjxHb0_eXfDfR4ip7V3U0HVqAD_GlpWkYlRKwTN6cUJ18DEGsO0uuF6FQ0tJO5XX5vLaY3mZffOoHdc9mH_k37YycHUC9q6Dw_9N7afV8qT8A8dlqYk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2306219954</pqid></control><display><type>article</type><title>Correlation Between Endorectal Ultrasound and Magnetic Resonance Imaging for Predicting the Circumferential Resection Margin in Patients With Mid‐Low Rectal Cancer Without Preoperative Chemoradiotherapy</title><source>MEDLINE</source><source>Wiley Online Library All Journals</source><creator>Ye, Dalin ; Zhu, Zhimin ; Chen, Fei ; Lie, Chaowei ; Li, Wenlu ; Lin, Yunyong ; Qiu, Shaodong</creator><creatorcontrib>Ye, Dalin ; Zhu, Zhimin ; Chen, Fei ; Lie, Chaowei ; Li, Wenlu ; Lin, Yunyong ; Qiu, Shaodong</creatorcontrib><description>Objectives
To assess the correlation between endorectal ultrasound (ERUS) and magnetic resonance imaging (MRI) in predicting the circumferential resection margin (CRM) status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.
Methods
Twenty patients with rectal cancer who did not receive preoperative chemoradiotherapy and underwent ERUS and MRI examinations before total mesorectal excision from May 2018 to April 2019 were included in this study. The patient and tumor characteristics, lymph nodes, tumor stages, ERUS and MRI predictors of the CRM status, and postoperative pathologic results were recorded. The closest distance between the deepest portion of lesion invasion and the mesorectal fascia was independently measured on MRI and ERUS images by 2 observers. The observers were blinded to the pathologic results. Measurements from ERUS and MRI were compared.
Results
The mean distance between the distal edge of the lesion and the anal verge was 5.7 cm (range, 3.1–8.1 cm). The ERUS and pathologic evaluations of CRM involvement were consistent in 90% of the cases. The MRI and pathologic evaluations of CRM involvement were concordant in 95% of the cases. The Cohen κ coefficient of ERUS and MRI was 0.608 (P = .007). The correlation coefficient of ERUS and MRI for assessing the closest distance from the edge of cancer invasion to the mesorectal fascia was 0.99 (P = .0005).
Conclusions
Endorectal ultrasound and MRI assessments of the preoperative CRM status appear to be highly consistent. Endorectal ultrasound can be used as a complementary tool with MRI to predict the CRM status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.</description><identifier>ISSN: 0278-4297</identifier><identifier>EISSN: 1550-9613</identifier><identifier>DOI: 10.1002/jum.15135</identifier><identifier>PMID: 31617244</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; circumferential resection margin ; endorectal ultrasound ; Endosonography ; Female ; Humans ; magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Male ; Margins of Excision ; mesorectal fascia ; Middle Aged ; Predictive Value of Tests ; Preoperative Care - methods ; rectal cancer ; Rectal Neoplasms - diagnostic imaging ; Rectal Neoplasms - surgery ; Rectum - diagnostic imaging ; Rectum - surgery ; Retrospective Studies ; Ultrasonography - methods</subject><ispartof>Journal of ultrasound in medicine, 2020-03, Vol.39 (3), p.569-577</ispartof><rights>2019 by the American Institute of Ultrasound in Medicine</rights><rights>2019 by the American Institute of Ultrasound in Medicine.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3255-1ff54c6e7ae154d9da498df09267452f3a00b1f6aaa72c64b780539d4e59979f3</citedby><cites>FETCH-LOGICAL-c3255-1ff54c6e7ae154d9da498df09267452f3a00b1f6aaa72c64b780539d4e59979f3</cites><orcidid>0000-0002-0081-8465</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjum.15135$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjum.15135$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31617244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ye, Dalin</creatorcontrib><creatorcontrib>Zhu, Zhimin</creatorcontrib><creatorcontrib>Chen, Fei</creatorcontrib><creatorcontrib>Lie, Chaowei</creatorcontrib><creatorcontrib>Li, Wenlu</creatorcontrib><creatorcontrib>Lin, Yunyong</creatorcontrib><creatorcontrib>Qiu, Shaodong</creatorcontrib><title>Correlation Between Endorectal Ultrasound and Magnetic Resonance Imaging for Predicting the Circumferential Resection Margin in Patients With Mid‐Low Rectal Cancer Without Preoperative Chemoradiotherapy</title><title>Journal of ultrasound in medicine</title><addtitle>J Ultrasound Med</addtitle><description>Objectives
To assess the correlation between endorectal ultrasound (ERUS) and magnetic resonance imaging (MRI) in predicting the circumferential resection margin (CRM) status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.
Methods
Twenty patients with rectal cancer who did not receive preoperative chemoradiotherapy and underwent ERUS and MRI examinations before total mesorectal excision from May 2018 to April 2019 were included in this study. The patient and tumor characteristics, lymph nodes, tumor stages, ERUS and MRI predictors of the CRM status, and postoperative pathologic results were recorded. The closest distance between the deepest portion of lesion invasion and the mesorectal fascia was independently measured on MRI and ERUS images by 2 observers. The observers were blinded to the pathologic results. Measurements from ERUS and MRI were compared.
Results
The mean distance between the distal edge of the lesion and the anal verge was 5.7 cm (range, 3.1–8.1 cm). The ERUS and pathologic evaluations of CRM involvement were consistent in 90% of the cases. The MRI and pathologic evaluations of CRM involvement were concordant in 95% of the cases. The Cohen κ coefficient of ERUS and MRI was 0.608 (P = .007). The correlation coefficient of ERUS and MRI for assessing the closest distance from the edge of cancer invasion to the mesorectal fascia was 0.99 (P = .0005).
Conclusions
Endorectal ultrasound and MRI assessments of the preoperative CRM status appear to be highly consistent. Endorectal ultrasound can be used as a complementary tool with MRI to predict the CRM status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>circumferential resection margin</subject><subject>endorectal ultrasound</subject><subject>Endosonography</subject><subject>Female</subject><subject>Humans</subject><subject>magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Margins of Excision</subject><subject>mesorectal fascia</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care - methods</subject><subject>rectal cancer</subject><subject>Rectal Neoplasms - diagnostic imaging</subject><subject>Rectal Neoplasms - surgery</subject><subject>Rectum - diagnostic imaging</subject><subject>Rectum - surgery</subject><subject>Retrospective Studies</subject><subject>Ultrasonography - methods</subject><issn>0278-4297</issn><issn>1550-9613</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFuEzEUhi0EoqGw4ALIS7qY1vbYM_ESRqUUJaJCRCxHjv2cuJoZB9tDlF2PwME4BSfBkxR2SLYs633v-xc_Qq8puaSEsKv7sb-kgpbiCZpRIUghK1o-RTPC6nnBmazP0IsY7zNKaM2fo7OSVrRmnM_Qr8aHAJ1Kzg_4PaQ9wICvB-MD6KQ6vOpSUNGPg8Eq36XaDJCcxl8g-kENGvBtrzZu2GDrA74LYJxO0zdtATcu6LG3EGBILsvyUrZOSUsV8hLO5y5H53HE31za4qUzvx9-Lvw-s8f8ZsoIx6Ef0xTgdxDyzo-s30LvgzLO57CgdoeX6JlVXYRXj-85Wn24_tp8LBafb26bd4tCl0yIgloruK6gVkAFN9IoLufGEsmqmgtmS0XImtpKKVUzXfF1PSeilIaDkLKWtjxHb0_eXfDfR4ip7V3U0HVqAD_GlpWkYlRKwTN6cUJ18DEGsO0uuF6FQ0tJO5XX5vLaY3mZffOoHdc9mH_k37YycHUC9q6Dw_9N7afV8qT8A8dlqYk</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Ye, Dalin</creator><creator>Zhu, Zhimin</creator><creator>Chen, Fei</creator><creator>Lie, Chaowei</creator><creator>Li, Wenlu</creator><creator>Lin, Yunyong</creator><creator>Qiu, Shaodong</creator><general>John Wiley & Sons, Inc</general><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><orcidid>https://orcid.org/0000-0002-0081-8465</orcidid></search><sort><creationdate>202003</creationdate><title>Correlation Between Endorectal Ultrasound and Magnetic Resonance Imaging for Predicting the Circumferential Resection Margin in Patients With Mid‐Low Rectal Cancer Without Preoperative Chemoradiotherapy</title><author>Ye, Dalin ; Zhu, Zhimin ; Chen, Fei ; Lie, Chaowei ; Li, Wenlu ; Lin, Yunyong ; Qiu, Shaodong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3255-1ff54c6e7ae154d9da498df09267452f3a00b1f6aaa72c64b780539d4e59979f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>circumferential resection margin</topic><topic>endorectal ultrasound</topic><topic>Endosonography</topic><topic>Female</topic><topic>Humans</topic><topic>magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Male</topic><topic>Margins of Excision</topic><topic>mesorectal fascia</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care - methods</topic><topic>rectal cancer</topic><topic>Rectal Neoplasms - diagnostic imaging</topic><topic>Rectal Neoplasms - surgery</topic><topic>Rectum - diagnostic imaging</topic><topic>Rectum - surgery</topic><topic>Retrospective Studies</topic><topic>Ultrasonography - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ye, Dalin</creatorcontrib><creatorcontrib>Zhu, Zhimin</creatorcontrib><creatorcontrib>Chen, Fei</creatorcontrib><creatorcontrib>Lie, Chaowei</creatorcontrib><creatorcontrib>Li, Wenlu</creatorcontrib><creatorcontrib>Lin, Yunyong</creatorcontrib><creatorcontrib>Qiu, Shaodong</creatorcontrib><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>Journal of ultrasound in medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ye, Dalin</au><au>Zhu, Zhimin</au><au>Chen, Fei</au><au>Lie, Chaowei</au><au>Li, Wenlu</au><au>Lin, Yunyong</au><au>Qiu, Shaodong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Correlation Between Endorectal Ultrasound and Magnetic Resonance Imaging for Predicting the Circumferential Resection Margin in Patients With Mid‐Low Rectal Cancer Without Preoperative Chemoradiotherapy</atitle><jtitle>Journal of ultrasound in medicine</jtitle><addtitle>J Ultrasound Med</addtitle><date>2020-03</date><risdate>2020</risdate><volume>39</volume><issue>3</issue><spage>569</spage><epage>577</epage><pages>569-577</pages><issn>0278-4297</issn><eissn>1550-9613</eissn><abstract>Objectives
To assess the correlation between endorectal ultrasound (ERUS) and magnetic resonance imaging (MRI) in predicting the circumferential resection margin (CRM) status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.
Methods
Twenty patients with rectal cancer who did not receive preoperative chemoradiotherapy and underwent ERUS and MRI examinations before total mesorectal excision from May 2018 to April 2019 were included in this study. The patient and tumor characteristics, lymph nodes, tumor stages, ERUS and MRI predictors of the CRM status, and postoperative pathologic results were recorded. The closest distance between the deepest portion of lesion invasion and the mesorectal fascia was independently measured on MRI and ERUS images by 2 observers. The observers were blinded to the pathologic results. Measurements from ERUS and MRI were compared.
Results
The mean distance between the distal edge of the lesion and the anal verge was 5.7 cm (range, 3.1–8.1 cm). The ERUS and pathologic evaluations of CRM involvement were consistent in 90% of the cases. The MRI and pathologic evaluations of CRM involvement were concordant in 95% of the cases. The Cohen κ coefficient of ERUS and MRI was 0.608 (P = .007). The correlation coefficient of ERUS and MRI for assessing the closest distance from the edge of cancer invasion to the mesorectal fascia was 0.99 (P = .0005).
Conclusions
Endorectal ultrasound and MRI assessments of the preoperative CRM status appear to be highly consistent. Endorectal ultrasound can be used as a complementary tool with MRI to predict the CRM status of patients with mid‐low rectal cancer without preoperative chemoradiotherapy.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>31617244</pmid><doi>10.1002/jum.15135</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-0081-8465</orcidid></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of ultrasound in medicine, 2020-03, Vol.39 (3), p.569-577 |
| issn | 0278-4297 1550-9613 |
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| subjects | Adult Aged Aged, 80 and over circumferential resection margin endorectal ultrasound Endosonography Female Humans magnetic resonance imaging Magnetic Resonance Imaging - methods Male Margins of Excision mesorectal fascia Middle Aged Predictive Value of Tests Preoperative Care - methods rectal cancer Rectal Neoplasms - diagnostic imaging Rectal Neoplasms - surgery Rectum - diagnostic imaging Rectum - surgery Retrospective Studies Ultrasonography - methods |
| title | Correlation Between Endorectal Ultrasound and Magnetic Resonance Imaging for Predicting the Circumferential Resection Margin in Patients With Mid‐Low Rectal Cancer Without Preoperative Chemoradiotherapy |
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