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Assessment of the prognostic factors for a local recurrence of rectal cancer: The utility of preoperative MR imaging

DC FieldValueLanguage
dc.contributor.author김기황-
dc.contributor.author김남규-
dc.contributor.author김명진-
dc.contributor.author김원호-
dc.contributor.author김주희-
dc.contributor.author오영택-
dc.contributor.author이강영-
dc.contributor.author임준석-
dc.date.accessioned2017-10-26T06:13:02Z-
dc.date.available2017-10-26T06:13:02Z-
dc.date.issued2005-
dc.identifier.issn1229-6929-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/150665-
dc.description.abstractOBJECTIVE: To determine the utility of MR imaging in evaluating the prognostic factors for a local recurrence of rectal cancer following a curative resection. MATERIALS AND METHODS: The preoperative MR images obtained from 17 patients with a local recurrence and 54 patients without a local recurrence, who had undergone a curative resection, were independently evaluated by three radiologists. The following findings were analyzed: the direct invasion of the perirectal fat by the primary rectal carcinoma, involvement of the perirectal lymph nodes, perirectal spiculate nodules, perivascular encasement, and an enlargement of the pelvic wall lymph nodes. The clinical and surgical profiles were obtained from the patients' medical records. The association of a local recurrence with the MR findings and the clinicosurgical variables was statistically evaluated. RESULTS: Of the MR findings, the presence of perivascular encasement (p = 0.001) and perirectal spiculate nodules (p = 0.001) were found to be significant prognostic factors for a local recurrence. Of the clinicosurgical profiles, the presence of a microscopic vascular invasion (p = 0.005) and the involvement of the regional lymph nodes (p = 0.006) were associated with a local recurrence. Logistic regression analysis showed that the presence of perirectal spiculate nodules was an independent predictor of a local recurrence (odds ratio, 7.382; 95% confidence interval, 1.438, 37.889; p = 0.017). CONCLUSION: The presence of perirectal spiculate nodules and perivascular encasement on the preoperative MR images are significant predictors of a local recurrence after curative surgery for a rectal carcinoma. This suggests that preoperative MR imaging can provide useful information to help in the planning of preoperative adjuvant therapy.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Society of Radiology-
dc.relation.isPartOfKOREAN JOURNAL OF RADIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHChi-Square Distribution-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHLymphatic Metastasis-
dc.subject.MESHMagnetic Resonance Imaging*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHNeoplasm Invasiveness-
dc.subject.MESHNeoplasm Recurrence, Local-
dc.subject.MESHNeoplasm Staging-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHPreoperative Care-
dc.subject.MESHPrognosis-
dc.subject.MESHRectal Neoplasms/pathology*-
dc.subject.MESHRectal Neoplasms/surgery-
dc.titleAssessment of the prognostic factors for a local recurrence of rectal cancer: The utility of preoperative MR imaging-
dc.typeArticle-
dc.publisher.locationKorea (South)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.departmentDept. of Radiology (영상의학교실)-
dc.contributor.googleauthorYoung Taik Oh-
dc.contributor.googleauthorMyeong-Jin Kim-
dc.contributor.googleauthorJoon Seok Lim-
dc.contributor.googleauthorJoo Hee Kim-
dc.contributor.googleauthorKang Young Lee-
dc.contributor.googleauthorNam Kyu Kim-
dc.contributor.googleauthorWon Ho Kim-
dc.contributor.googleauthorKi Whang Kim-
dc.identifier.doi10.3348/kjr.2005.6.1.8-
dc.contributor.localIdA00345-
dc.contributor.localIdA00353-
dc.contributor.localIdA00426-
dc.contributor.localIdA00774-
dc.contributor.localIdA00951-
dc.contributor.localIdA02390-
dc.contributor.localIdA02640-
dc.contributor.localIdA03408-
dc.relation.journalcodeJ02884-
dc.identifier.eissn2005-8330-
dc.identifier.pmid15782014-
dc.subject.keywordRectum, MR-
dc.subject.keywordRectum, neoplasms-
dc.subject.keywordRectum, surgery-
dc.contributor.alternativeNameKim, Ki Whang-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameKim, Myeong Jin-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.alternativeNameKim, Joo Hee-
dc.contributor.alternativeNameOh, Young Taik-
dc.contributor.alternativeNameLee, Kang Young-
dc.contributor.alternativeNameLim, Joon Seok-
dc.citation.volume6-
dc.citation.number1-
dc.citation.startPage8-
dc.citation.endPage16-
dc.identifier.bibliographicCitationKOREAN JOURNAL OF RADIOLOGY, Vol.6(1) : 8-16, 2005-
dc.date.modified2017-05-04-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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