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직장암 수술 전 Magnetic Resonance Imaging 병기 결정의 임상 중요성

Other Titles
 Clinical Significance of Preoperative Magnetic Resonance Imaging in Staging of Rectal Cancer 
Authors
 김주희 
Citation
 Korean Journal of Gastroenterology, Vol.47(4) : 248-253, 2006 
Journal Title
Korean Journal of Gastroenterology(대한소화기학회지)
ISSN
 1598-9992 
Issue Date
2006
Keywords
Rectum ; neoplasm ; Magnetic resonance imaging ; Staging
Abstract
Rectal cancer carries poor prognosis because of metastasis and local recurrence. Local recurrence has a profound effect on morbidity and quality of life. Randomized trials have proven that neoadjuvant treatment can significantly reduce local recurrence rate in some selected cases of advanced rectal cancer. Therefore, preoperative staging of rectal cancer has an important impact on treatment plan. Two main factors in predicting the local recurrence are known as the circumferential resection margin (CRM) and the nodal status. Recently, high-resolution magnetic resonance imaging (MRI) is regarded as a superior modality in the preoperative assessment of CRM with high accuracy and reproducibility. However, the results of imaging in predicting of nodal involvement are not satisfactory.
In order to increase the accuracy of preoperative nodal staging, several efforts were done to evaluate lymph node by MRI or by pelvic MRI using lymph node-specific contrast agent (ultrasmall superparamagnetic iron oxide, USPIO). In this review, the role of MRI in preoperative evaluation of rectal cancer will be discussed.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Joo Hee(김주희) ORCID logo https://orcid.org/0000-0001-5383-3602
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109357
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