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Insights into Imaging

Table 1 Main updated imaging interpretation and reporting recommendations by 2016 ESGAR consensus meeting

From: Rectal cancer MRI: protocols, signs and future perspectives radiologists should consider in everyday clinical practice

• T3 and T4 substages should be reported (T3a, b, c, d and T4a, b)

• Structured report including the circumferential location of the tumour

• Nodal staging and restaging (according to short axis and morphological criteria concerning shape, border and signal)

• Presence of EMVI (increased risk of tumour recurrence and impaired overall survival)

• Sphincter invasion, involvement of MRF, pelvic wall/floor (T4), peritoneal reflection (T4)

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