The MRI assessment of SPECC (significant polyps and early colorectal cancer) lesions

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
S Balyasnikova, G Brown

Abstract

The development of high-resolution magnetic resonance imaging (MRI) has resulted in the ability to clearly depict the finer details of rectal wall anatomy. Careful specialist assessment of images obtained in patients with significant polyps and early rectal cancer lesions enables the identification of lesions that are confined to the bowel wall and amenable to organ preserving local excision. Currently, one-third of screen detected rectal cancers are limited to the bowel wall without nodal spread yet more than 90% undergo major excision surgery resulting in significant loss of bowel function, quality of life and at high economic cost. The SPECC initiative has highlighted the need for specialist training and accreditation of radiology specialists in precision assessment of significant polyps and early rectal cancer. The detailed assessment will enable provision of detailed roadmaps for surgeons and gastroenterologists to facilitate definitive excision of more lesions using minimally invasive endoscopic technique. Finally, the use of high resolution MRI in surveillance will enable the close monitoring of such patients where the preservation of the rectum has been achieved.

References

Jan 23, 2004·AJR. American Journal of Roentgenology·Gina BrownRichard J Heald
Feb 26, 2005·The British Journal of Radiology·G BrownM Bourne
Feb 27, 2010·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Alex Almoudaris, Omar Faiz
Aug 8, 2014·Topics in Magnetic Resonance Imaging : TMRI·Anita Wale, Gina Brown
Jul 31, 2016·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·S BalyasnikovaG Brown

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Citations

Apr 17, 2020·The British Journal of Surgery·R DeteringUNKNOWN Dutch ColoRectal Audit Group*
Feb 14, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·E O'ConnellJ P Burke

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