MRI restaging of rectal cancer: The RAC (Response-Anal canal-CRM) analysis joint consensus guidelines of the GRERCAR and GRECCAR groups.

Nougaret, Stephanie, Pascal Rousset, Doenja M J Lambregts, Monique Maas, Kirsten Gormly, Oliver Lucidarme, Serge Brunelle, et al. 2023. “MRI Restaging of Rectal Cancer: The RAC (Response-Anal Canal-CRM) Analysis Joint Consensus Guidelines of the GRERCAR and GRECCAR Groups.”. Diagnostic and Interventional Imaging 104 (7-8): 311-22.

Abstract

PURPOSE: To develop guidelines by international experts to standardize data acquisition, image interpretation, and reporting in rectal cancer restaging with magnetic resonance imaging (MRI).

MATERIALS AND METHODS: Evidence-based data and experts' opinions were combined using the RAND-UCLA Appropriateness Method to attain consensus guidelines. Experts provided recommendations for reporting template and protocol for data acquisition were collected; responses were analysed and classified as "RECOMMENDED" versus "NOT RECOMMENDED" (if ≥ 80% consensus among experts) or uncertain (if < 80% consensus among experts).

RESULTS: Consensus regarding patient preparation, MRI sequences, staging and reporting was attained using the RAND-UCLA Appropriateness Method. A consensus was reached for each reporting template item among the experts. Tailored MRI protocol and standardized report were proposed.

CONCLUSION: These consensus recommendations should be used as a guide for rectal cancer restaging with MRI.

Last updated on 12/29/2023
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