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Overview: 

MRI is the modality of choice for local staging of rectal carcinoma and surgical planning, providing assessment of lesion size, extension into perirectal fat, proximity to the mesorectal fascia, and lymph nodes. Additionally, MRI of the abdomen may be included to assess for liver metastases.

Non-Stanford Referring Physician Order Form: 
PDF icon Dedicated pelvis MRI order for local staging.
PDF icon Pelvis MRI for local disease evaluation as well as abdomen MRI for hepatic metastases.
Sample Epic Order: 
Example Result: 
References: 
  1. Iafrate F, et al. Preoperative staging of rectal cancer with MR imaging: correlation with surgical and histopathologic findings. RadioGraphics 2006; 26:701-14. PubMed link
  2. Kaur H, et al. MR imaging for preoperative evaluation of primary rectal cancer: practical considerations. RadioGraphics 2012; 32:389-409. PubMed link
  3. Barbaro B, et al. Restaging locally advanced rectal cancer with MR imaging after chemoradiation therapy. RadioGraphics 2010; 30:699-716. PubMed link
    Service Lines: 
    Oncology
    GI Oncology
    Colorectal Oncology
    Gut
    Radiation Oncology

    Last modified Mon, 23 Apr, 2012 at 18:20