Current controversies in TNM for the radiological staging of rectal cancer and how to deal with them: results of a global online survey and multidisciplinary expert consensus

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Current controversies in TNM for the radiological staging of rectal cancer and how to deal with them : results of a global online survey and multidisciplinary expert consensus

Lambregts, Doenja M. J. (författare): Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands.

Bogveradze, Nino (författare): Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands.;Maastricht Univ, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands.;Amer Hosp Tbilisi, Dept Radiol, Tbilisi, Georgia.

Blomqvist, Lennart K. (författare): Karolinska Institutet

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Fokas, Emmanouil (författare): Goethe Univ Frankfurt am Main, Univ Hosp, Dept Radiooncol, Frankfurt, Germany.;Goethe Univ Frankfurt am Main, Univ Hosp, Frankfurt Canc Inst FCI, Frankfurt, Germany.

Garcia-Aguilar, Julio (författare): Mem Sloan Kettering Canc Ctr, Dept Surg, Colorectal Serv, Benno C Schmidt Chair Surg Oncol, New York, NY 10021 USA.

Glimelius, Bengt (författare): Uppsala universitet,Cancerprecisionsmedicin

Gollub, Marc J. (författare): Mem Sloan Kettering Canc Ctr, Dept Radiol, New York, NY USA.

Konishi, Tsuyoshi (författare): Univ Texas MD Anderson Canc Ctr, Dept Colon & Rectal Surg, Houston, TX USA.

Marijnen, Corrie A. M. (författare): Netherlands Canc Inst, Dept Radiat Oncol, Amsterdam, Netherlands.;Leiden Univ Med Ctr, Dept Radiat Oncol, Leiden, Netherlands.

Nagtegaal, Iris D. (författare): Radboud Univ Nijmegen Med Ctr, Dept Pathol, Nijmegen, Netherlands.

Nilsson, Per J. (författare): Karolinska Institutet

Perez, Rodrigo O. (författare): Hosp Alemao Oswaldo Cruz, Sao Paulo, Brazil.;Hosp Beneficencia Portuguesa Sao Paulo, Sao Paulo, Brazil.

Snaebjornsson, Petur (författare): Netherlands Canc Inst, Dept Pathol, Amsterdam, Netherlands.

Taylor, Stuart A. (författare): Univ Coll London Hosp, Ctr Med Imaging, London, England.

Tolan, Damian J. M. (författare): Leeds Teaching Hosp NHS Trust, Dept Radiol, Leeds, W Yorkshire, England.

Valentini, Vincenzo (författare): Univ Cattolica S Cuore, Fdn Policlin Univ A Gemelli IRCCS, Dept Bioimaging Radiat Oncol & Hematol, Rome, Italy.

West, Nicholas P. (författare): Univ Leeds, Pathol & Data Analyt, Leeds Inst Med Res St Jamess, Leeds, W Yorkshire, England.

Wolthuis, Albert (författare): Univ Hosp Leuven, Dept Abdominal Surg, Leuven, Belgium.

Lahaye, Max J. (författare): Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands.

Maas, Monique (författare): Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands.

Beets, Geerard L. (författare): Maastricht Univ, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands.;Netherlands Canc Inst, Dept Surg, Amsterdam, Netherlands.

Beets-Tan, Regina G. H. (författare): Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands.;Maastricht Univ, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands.;Univ Southern Denmark, Inst Reg Hlth Res, Odense, Denmark.

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Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands Netherlands Canc Inst, Dept Radiol, POB 90203, NL-1006 BE Amsterdam, Netherlands.;Maastricht Univ, GROW Sch Oncol & Dev Biol, Maastricht, Netherlands.;Amer Hosp Tbilisi, Dept Radiol, Tbilisi, Georgia. (creator_code:org_t)

2022-03-07
2022
Engelska.
Ingår i: European Radiology. - : Springer Nature. - 0938-7994 .- 1432-1084. ; 32:7, s. 4991-5003

Relaterad länk:: https://doi.org/10.1...; visa fler...; https://uu.diva-port... (primary) (Raw object); https://link.springe...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; visa färre...

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Objectives To identify the main problem areas in the applicability of the current TNM staging system (8(th) ed.) for the radiological staging and reporting of rectal cancer and provide practice recommendations on how to handle them. Methods A global case-based online survey was conducted including 41 image-based rectal cancer cases focusing on various items included in the TNM system. Cases reaching < 80% agreement among survey respondents were identified as problem areas and discussed among an international expert panel, including 5 radiologists, 6 colorectal surgeons, 4 radiation oncologists, and 3 pathologists. Results Three hundred twenty-one respondents (from 32 countries) completed the survey. Sixteen problem areas were identified, related to cT staging in low-rectal cancers, definitions for cT4b and cM1a disease, definitions for mesorectal fascia (MRF) involvement, evaluation of lymph nodes versus tumor deposits, and staging of lateral lymph nodes. The expert panel recommended strategies on how to handle these, including advice on cT-stage categorization in case of involvement of different layers of the anal canal, specifications on which structures to include in the definition of cT4b disease, how to define MRF involvement by the primary tumor and other tumor-bearing structures, how to differentiate and report lymph nodes and tumor deposits on MRI, and how to anatomically localize and stage lateral lymph nodes. Conclusions The recommendations derived from this global survey and expert panel discussion may serve as a practice guide and support tool for radiologists (and other clinicians) involved in the staging of rectal cancer and may contribute to improved consistency in radiological staging and reporting.

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Current controversies in TNM for the radiological staging of rectal cancer and how to deal with them : results of a global online survey and multidisciplinary expert consensus

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