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1 Mm of Preserved Muscularis Propria on MRI Accurately Identifies Rectal Cancers Suitable for Local Excision in the Intermuscular Plane

L. van der Schee, R. Carten,S. C. Albers,J. Van Den Bergh,M. Braat, A. Goede, S. Kol,M. Lacle, B. Mearadji, S. Moos, I. Nota, N. Peters, J. Prince, J. Reimerink,A. Farina Sarasqueta, J. Van Vooren,J. H. Van Waesberghe,B. A. Bastiaansen,F. Vleggaar,L.M. G. Moons, K. Horsthuis, G. Brown

ESGE Days 2024 Endoscopy(2024)

UMC Utrecht | Buckinghamshire Healthcare NHS Trust | Amsterdam University Medical Centers | Maastricht UMC+ | Imperial College London

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Abstract
Aims Adequate case selection for intermuscular local excision (LE) of early rectal cancer (RC) using optical diagnosis and radiological imaging remains challenging and may lead to both unnecessary radical surgery, as well as incomplete LE of≥pT2 RC. We aimed to investigate whether preservation of at least 1 mm of muscularis propria on MRI, evaluated using a systematic reporting approach, can identify RC suitable for LE in the intermuscular plane.
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