Venus Hedayati MRCP, FRCR, Presenter: Nothing to Disclose

Svetlana Balyasnikova, Abstract Co-Author: Nothing to Disclose

Paris Tekkis, Abstract Co-Author: Nothing to Disclose

Gina Brown MD, MBBS, Abstract Co-Author: Nothing to Disclose

With the advent of extra-levator abdomino-perineal resections (ELAPE) and exenterative surgery there has been a paradigm shift in the management of locally advanced rectal cancer. The development and use of these surgical procedures has significantly increased accessibility to curative surgery, previously not performed on the basis of mesorectal margin involvement. The radiologist is fundamental in determining appropriate radiological suitability for these procedures and in assessing the surgical planes required and likely to achieve curative (R0) resections. The key imaging factors in locally advanced rectal cancer with the use and importance of a descriptive compartmental anatomical classification system for determining sites of local spread will be discussed. The indispensible understanding of surgical planes in concluding potential surgical options will be drawn upon. This exhibit will highlight recent advances in radiological-surgical assessment and focus on the surgical options beyond standard Total Mesorectal Excision (TME).

-Background -Summary of the current surgical options of TME and beyond  -Case examples from our institution using a compartmental-based pattern of reporting to ensure the radiologist can appropriately define the required surgical planes.

http://abstract.rsna.org/uploads/2014/14009378/14009378_6ryh.pdf

Hedayati, V, Balyasnikova, S, Tekkis, P, Brown, G, Beyond TME—Determining Surgical Planes for Locally Advanced Rectal Cancer Using MRI.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14009378.html