直肠癌的多参数 MRI。
Multiparametric MRI in rectal cancer.
机构信息
Department of Radiology, Koç University School of Medicine, İstanbul, Turkey.
Department of General Surgery, Koç University School of Medicine, İstanbul, Turkey.
出版信息
Diagn Interv Radiol. 2019 May;25(3):175-182. doi: 10.5152/dir.2019.18189.
Abstract
MRI has a pivotal role in both pretreatment staging and posttreatment evaluation of rectal cancer. The accuracy of MRI in pretreatment staging is higher compared with posttreatment evaluation. This occurs due to similar signal intensities of tumoral and posttreatment fibrotic, necrotic, and inflamed tissue. This limitation occurs with conventional MRI of the rectum with morphologic sequences. There is a need towards increasing the accuracy of MRI, especially for posttreatment evaluation. The term multiparametric MRI implies addition of functional sequences, namely, diffusion and perfusion to the routine protocol. This review summarizes the technique, potential implications and previously published studies about multiparametric MRI of rectal cancer.
摘要
MRI 在直肠癌的术前分期和术后评估中都具有关键作用。与术后评估相比，MRI 在术前分期中的准确性更高。这是由于肿瘤组织和术后纤维化、坏死和炎症组织的信号强度相似所致。这种局限性发生在常规直肠 MRI 形态学序列中。需要提高 MRI 的准确性，特别是在术后评估方面。“多参数 MRI”一词意味着在常规方案中添加功能序列，即扩散和灌注。这篇综述总结了直肠癌多参数 MRI 的技术、潜在意义和已发表的研究。
相似文献
1
Multiparametric MRI in rectal cancer.直肠癌的多参数 MRI。
Diagn Interv Radiol. 2019 May;25(3):175-182. doi: 10.5152/dir.2019.18189.
2
Multiparametric MRI of rectal cancer-repeatability of quantitative data: a feasibility study.直肠癌多参数 MRI——定量数据的可重复性：一项可行性研究。
Diagn Interv Radiol. 2020 Mar;26(2):87-94. doi: 10.5152/dir.2019.19127.
3
MRI Evaluation of the Response of Rectal Cancer to Neoadjuvant Chemoradiation Therapy.MRI 评价直肠癌新辅助放化疗的反应。
Radiographics. 2019 Mar-Apr;39(2):538-556. doi: 10.1148/rg.2019180075.
4
Multiparametric MRI of rectal cancer in the assessment of response to therapy: a systematic review.直肠癌治疗反应的多参数 MRI 评估：系统评价。
Dis Colon Rectum. 2014 Jun;57(6):790-9. doi: 10.1097/DCR.0000000000000127.
5
Magnetic Resonance Texture Analysis in Identifying Complete Pathological Response to Neoadjuvant Treatment in Locally Advanced Rectal Cancer.磁共振纹理分析在识别局部晚期直肠癌新辅助治疗的完全病理缓解中的应用
Dis Colon Rectum. 2019 Feb;62(2):163-170. doi: 10.1097/DCR.0000000000001224.
6
[Application of magnetic resonance imaging in TN re-staging and efficacy evaluation after neoadjuvant therapy for rectal cancer].磁共振成像在直肠癌新辅助治疗后TN再分期及疗效评估中的应用
Zhonghua Wei Chang Wai Ke Za Zhi. 2018 Jun 25;21(6):637-641.
7
Magnetic resonance imaging following neoadjuvant chemoradiation and transanal endoscopic microsurgery for rectal cancer.直肠癌新辅助放化疗及经肛门内镜显微手术后的磁共振成像
Colorectal Dis. 2017 Jun;19(6):O196-O203. doi: 10.1111/codi.13691.
8
The Importance of Preoperative Staging of Rectal Cancer Using Multiparametric MRI. A Systematic Review.多参数磁共振成像在直肠癌术前分期中的重要性：一项系统评价
Chirurgia (Bucur). 2016 Sept-Oct;111(5):379-392. doi: 10.21614/chirurgia.111.5.379.
9
mMRI at 3.0 T as an Evaluation Tool of Therapeutic Response to Neoadjuvant CRT in Patients with Advanced-stage Rectal Cancer.3.0T磁共振成像作为晚期直肠癌患者新辅助放化疗治疗反应的评估工具
Anticancer Res. 2017 Jan;37(1):215-222. doi: 10.21873/anticanres.11309.
10
MRI for evaluation of treatment response in rectal cancer.用于评估直肠癌治疗反应的磁共振成像
Br J Radiol. 2016 Aug;89(1064):20150964. doi: 10.1259/bjr.20150964. Epub 2016 Jun 22.
引用本文的文献
1
Study on the application value of histogram parameters from reduced field-of-view VOI in rectal cancer.缩小视野感兴趣区直方图参数在直肠癌中的应用价值研究
Abdom Radiol (NY). 2025 Jul 2. doi: 10.1007/s00261-025-05096-3.
2
Predictive value of combined DCE-MRI perfusion parameters and clinical features nomogram for microsatellite instability in colorectal cancer.联合DCE-MRI灌注参数和临床特征列线图对结直肠癌微卫星不稳定性的预测价值
Discov Oncol. 2025 May 23;16(1):892. doi: 10.1007/s12672-025-02705-x.
3
Development and validation of a multi-parametric MRI deep-learning model for preoperative lymphovascular invasion evaluation in rectal cancer.用于直肠癌术前淋巴管侵犯评估的多参数MRI深度学习模型的开发与验证
Quant Imaging Med Surg. 2025 Jan 2;15(1):427-439. doi: 10.21037/qims-24-789. Epub 2024 Dec 9.
4
Landscape of Biomarkers and Pathologic Response in Rectal Cancer: Where We Stand?直肠癌生物标志物与病理反应概况：我们目前的状况如何？
Cancers (Basel). 2024 Dec 2;16(23):4047. doi: 10.3390/cancers16234047.
5
Magnetic resonance imaging-based radiomics in predicting the expression of Ki-67, p53, and epidermal growth factor receptor in rectal cancer.基于磁共振成像的影像组学在预测直肠癌中Ki-67、p53和表皮生长因子受体的表达中的应用
J Gastrointest Oncol. 2024 Oct 31;15(5):2088-2099. doi: 10.21037/jgo-24-220. Epub 2024 Oct 29.
6
Application of a combined clinical prediction model based on enhanced T1-weighted image(T1WI) full volume histogram in peripheral nerve invasion (PNI) and lymphatic vessel invasion (LVI) in rectal cancer.基于增强T1加权成像（T1WI）全容积直方图的联合临床预测模型在直肠癌周围神经侵犯（PNI）和淋巴管侵犯（LVI）中的应用
Abdom Radiol (NY). 2025 Mar;50(3):1069-1078. doi: 10.1007/s00261-024-04556-6. Epub 2024 Sep 10.
7
Comparison of preoperative CT- and MRI-based multiparametric radiomics in the prediction of lymph node metastasis in rectal cancer.基于术前CT和MRI的多参数影像组学在预测直肠癌淋巴结转移中的比较
Front Oncol. 2023 Nov 24;13:1230698. doi: 10.3389/fonc.2023.1230698. eCollection 2023.
8
Golden-angle radial sparse parallel magnetic resonance imaging of rectal perfusion: utility in the diagnosis of poorly differentiated rectal cancer.直肠灌注的金角径向稀疏并行磁共振成像：在低分化直肠癌诊断中的应用
Quant Imaging Med Surg. 2023 Aug 1;13(8):4826-4838. doi: 10.21037/qims-22-1244. Epub 2023 Jul 6.
9
Predicting lymphovascular invasion in rectal cancer: evaluating the performance of golden-angle radial sparse parallel MRI for rectal perfusion assessment.预测直肠癌的淋巴管侵犯：评估金角径向稀疏并行 MRI 对直肠灌注评估的性能。
Sci Rep. 2023 May 25;13(1):8453. doi: 10.1038/s41598-023-35763-8.
10
Machine learning based gray-level co-occurrence matrix early warning system enables accurate detection of colorectal cancer pelvic bone metastases on MRI.基于机器学习的灰度共生矩阵早期预警系统能够在磁共振成像（MRI）上准确检测结直肠癌骨盆骨转移。
Front Oncol. 2023 Mar 22;13:1121594. doi: 10.3389/fonc.2023.1121594. eCollection 2023.
本文引用的文献
1
Predictive value of MRI-detected extramural vascular invasion in stage T3 rectal cancer patients before neoadjuvant chemoradiation.新辅助放化疗前MRI检测壁外血管侵犯在T3期直肠癌患者中的预测价值
Diagn Interv Radiol. 2018 May-Jun;24(3):128-134. doi: 10.5152/dir.2018.17286.
2
Could IVIM and ADC help in predicting the KRAS status in patients with rectal cancer?IVIM 和 ADC 能否有助于预测直肠癌患者的 KRAS 状态？
Eur Radiol. 2018 Jul;28(7):3059-3065. doi: 10.1007/s00330-018-5329-y. Epub 2018 Feb 15.
3
Intravoxel Incoherent Motion MRI of Rectal Cancer: Correlation of Diffusion and Perfusion Characteristics With Prognostic Tumor Markers.直肠癌体素内不相干运动 MRI：扩散和灌注特征与预后肿瘤标志物的相关性。
AJR Am J Roentgenol. 2018 Apr;210(4):W139-W147. doi: 10.2214/AJR.17.18342. Epub 2018 Feb 15.
4
MR imaging perfusion and diffusion analysis to assess preoperative Short Course Radiotherapy response in locally advanced rectal cancer: Standardized Index of Shape by DCE-MRI and intravoxel incoherent motion-derived parameters by DW-MRI.磁共振灌注和弥散分析评估局部进展期直肠癌术前短程放疗反应：DCE-MRI 的标准化形状指数和 DW-MRI 的体素内不相干运动衍生参数。
Med Oncol. 2017 Nov 18;34(12):198. doi: 10.1007/s12032-017-1059-2.
5
Whole-tumour diffusion kurtosis MR imaging histogram analysis of rectal adenocarcinoma: Correlation with clinical pathologic prognostic factors.直肠腺癌的全肿瘤体素内不相干运动磁共振弥散峰度成像直方图分析：与临床病理预后因素的相关性。
Eur Radiol. 2018 Apr;28(4):1485-1494. doi: 10.1007/s00330-017-5094-3. Epub 2017 Oct 23.
6
Study protocol: multi-parametric magnetic resonance imaging for therapeutic response prediction in rectal cancer.研究方案：用于直肠癌治疗反应预测的多参数磁共振成像
BMC Cancer. 2017 Jul 4;17(1):465. doi: 10.1186/s12885-017-3449-4.
7
Conventional and ZOOMit DWI for Evaluation of Testis in Patients With Ipsilateral Varicocele.传统及ZOOMit扩散加权成像用于评估同侧精索静脉曲张患者的睾丸情况
AJR Am J Roentgenol. 2017 May;208(5):1045-1050. doi: 10.2214/AJR.16.17292. Epub 2017 Feb 22.
8
mMRI at 3.0 T as an Evaluation Tool of Therapeutic Response to Neoadjuvant CRT in Patients with Advanced-stage Rectal Cancer.3.0T磁共振成像作为晚期直肠癌患者新辅助放化疗治疗反应的评估工具
Anticancer Res. 2017 Jan;37(1):215-222. doi: 10.21873/anticanres.11309.
9
Diffusion Kurtosis Imaging Study of Rectal Adenocarcinoma Associated with Histopathologic Prognostic Factors: Preliminary Findings.直肠癌与组织病理学预后因素相关的扩散峰度成像研究：初步发现。
Radiology. 2017 Jul;284(1):66-76. doi: 10.1148/radiol.2016160094. Epub 2016 Dec 5.
10
Renal zoomed EPI-DWI with spatially-selective radiofrequency excitation pulses in two dimensions.采用二维空间选择性射频激发脉冲的肾脏增强 EPI-DWI（扩散加权成像）。
Eur J Radiol. 2016 Oct;85(10):1773-1777. doi: 10.1016/j.ejrad.2016.07.022. Epub 2016 Aug 1.
Zotero 插件