Rafaelsen Søren R
Vejle Sygehus, Røntgenafdelingen, Vejle.
Ugeskr Laeger. 2005 Oct 31;167(44):4173-5.
The main strength of MR is the ability to define the mesorectal facia. There is recent evidence suggesting that MR imaging can accurately predict the tumor-free circumferential resection margin before total mesorectal excision. However, the prediction of T stage is less accurate and more affected by the experience of the observer. Transrectal ultrasonography has proven useful for staging of rectal carcinoma. Computed tomography is one of the most useful imaging techniques for the evaluation of metastatic lesions in colorectal cancer.
磁共振成像(MR)的主要优势在于能够清晰显示直肠系膜筋膜。近期有证据表明,在进行全直肠系膜切除术前,MR成像能够准确预测环周切缘有无肿瘤残留。然而,对T分期的预测准确性较低,且受观察者经验影响较大。经直肠超声检查已被证实对直肠癌分期有帮助。计算机断层扫描(CT)是评估结直肠癌转移灶最有用的成像技术之一。