Schäfer A-O
Klinik für Diagnostische und Interventionelle Radiologie, Klinikum St. Georg Leipzig, Delitzscher Straße 141, 04129, Leipzig, Deutschland.
Radiologe. 2015 Nov;55(11):1015-26; quiz 1027-8. doi: 10.1007/s00117-015-0030-5.
The significance of state of the art magnetic resonance imaging (MRI) for rectal cancer goes far beyond the detection and diagnostics of local dispersion and is increasingly focusing on patient prognosis. The identification of prognostic factors, such as tumor (T) and nodal (N) status, involvement of the circumferential resection margin, presence of extramural vascular invasion, tumor response prediction following neoadjuvant therapy, therapy-related changes in microcirculation, permeability and tissue cellularity and structured reporting are important elements of advanced rectal cancer imaging. In this context, multiparametric MRI is progressively evolving into a powerful imaging biomarker.
先进的磁共振成像（MRI）对直肠癌的意义远不止于检测和诊断局部扩散情况，且越来越关注患者的预后。识别预后因素，如肿瘤（T）和淋巴结（N）状态、环周切缘受累情况、壁外血管侵犯的存在、新辅助治疗后肿瘤反应预测、微循环、通透性和组织细胞性的治疗相关变化以及结构化报告，是晚期直肠癌成像的重要要素。在这种背景下，多参数MRI正逐渐发展成为一种强大的成像生物标志物。
