TY - JOUR
T1 - Local recurrence of rectosigmoid cancer
T2 - What about the choice of MRI for diagnosis?
AU - Balzarini, Luca
AU - Ceglia, Errico
AU - D'Ippolito, Giuseppe
AU - Petrillo, Raffaele
AU - Tess, John David Tesoro
AU - Musumeci, Renato
PY - 1990/12
Y1 - 1990/12
N2 - Local recurrence is a frequent event in the natural history of rectosigmoid cancer. The diagnostic possibilities, as well as the limits of computed tomography (CT) and transrectal ultrasonography (TRU), are well known in these conditions. The aim of our study was to define the possible role of magnetic resonance imaging (MRI). We considered 15 examinations carried out in 14 patients, seven of which were obtained before and after Gd-DTPA administration. MRI demonstrated a 93.3% accuracy, 100% sensitivity, and 83.3% specificity in relation to the presence of local recurrence. The presence of pelvic recurrence was suggested on the basis of morphological and signal criteria. The use of paramagnetic contrast gave additional information in four of seven patients. The use of Gd-DTPA may be most beneficial in patients suspected of recurrence, within 6 months of their last treatment, where the diagnosis is more difficult.
AB - Local recurrence is a frequent event in the natural history of rectosigmoid cancer. The diagnostic possibilities, as well as the limits of computed tomography (CT) and transrectal ultrasonography (TRU), are well known in these conditions. The aim of our study was to define the possible role of magnetic resonance imaging (MRI). We considered 15 examinations carried out in 14 patients, seven of which were obtained before and after Gd-DTPA administration. MRI demonstrated a 93.3% accuracy, 100% sensitivity, and 83.3% specificity in relation to the presence of local recurrence. The presence of pelvic recurrence was suggested on the basis of morphological and signal criteria. The use of paramagnetic contrast gave additional information in four of seven patients. The use of Gd-DTPA may be most beneficial in patients suspected of recurrence, within 6 months of their last treatment, where the diagnosis is more difficult.
KW - Local recurrence
KW - Rectosigmoid cancer, MRI and GdDTPA
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U2 - 10.1007/BF01888814
DO - 10.1007/BF01888814
M3 - Article
C2 - 2210210
AN - SCOPUS:0025182684
VL - 15
SP - 338
EP - 342
JO - Abdominal Imaging
JF - Abdominal Imaging
SN - 0942-8925
IS - 1
ER -