Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press4210.17650/2220-3478-2013-0-1-19-30REVIEWОБЗОРЫ ЛИТЕРАТУРЫLOCAL STAGING OF RECTAL CANCER WITH CONVENTIONAL AND DIFFUSION-WEIGHTED MAGNETIC RESONANCE IMAGINGВОЗМОЖНОСТИ СТАНДАРТНЫХ РЕЖИМОВ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ СОВМЕСТНО С ДИФФУЗИОННО-ВЗВЕШЕННОЙ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИЕЙ В ОЦЕНКЕ МЕСТНОЙ РАСПРОСТРАНЕННОСТИ РАКА ПРЯМОЙ КИШКИBalyasnikovaS. S.БалясниковаС. С.
Russian Federation
blsn_sveta@mail.ruDronovaYe. L.ДроноваЕ. Л.
Russian Federation
blsn_sveta@mail.ruLukyanchenkoA. B.ЛукьянченкоА. Б.
Russian Federation
blsn_sveta@mail.ruDolgushinB. I.ДолгушинБ. И.
Russian Federation
blsn_sveta@mail.ruBarsukovYu. A.БарсуковЮ. А.
Russian Federation
blsn_sveta@mail.ruTsaryukV. F.ЦарюкВ. Ф.
Russian Federation
blsn_sveta@mail.ruPolynovskiyA. V.ПолыновскийА. В.
Russian Federation
blsn_sveta@mail.ruKuzmichevD. V.КузьмичевД. В.
Russian Federation
blsn_sveta@mail.ruN.N. Blokhin Russian Cancer Research Center, Russian Academy of Medical Sciences, MoscowФГБУ «РОНЦ им. Н.Н. Блохина» РАМН, Москва280220132119302802201528022015Copyright ©; 2013, Balyasnikova S.S., Dronova Y.L., Lukyanchenko A.B., Dolgushin B.I., Barsukov Y.A., Tsaryuk V.F., Polynovskiy A.V., Kuzmichev D.V.Copyright ©; 2013, Балясникова С.С., Дронова Е.Л., Лукьянченко А.Б., Долгушин Б.И., Барсуков Ю.А., Царюк В.Ф., Полыновский А.В., Кузьмичев Д.В.2013Balyasnikova S.S., Dronova Y.L., Lukyanchenko A.B., Dolgushin B.I., Barsukov Y.A., Tsaryuk V.F., Polynovskiy A.V., Kuzmichev D.V.Балясникова С.С., Дронова Е.Л., Лукьянченко А.Б., Долгушин Б.И., Барсуков Ю.А., Царюк В.Ф., Полыновский А.В., Кузьмичев Д.В.https://creativecommons.org/licenses/by/4.0https://onco-surgery.info/jour/article/view/42

In this article we present up-to-date views on rectal cancer imaging. Accurate initial and follow-up staging of rectal cancer is vitally important and provides information essential for treatment decision making, preoperative therapy and surgery planning. Almost worldwide magnetic resonance imaging (MRI) is currently considered as the most advanced staging modality for rectal cancer; however conventional MRI sequences have some diagnostic limits and not always allow to differentiate fibrotic tissue (present either desmoplastic reaction or fibrotic changes due to preoperative radiotherapy) from tumor. On the basis of our own experience and published data we tried to demonstrate imaging possibilities of conventional and diffusion-weighted (DW) MRI in local staging of rectal cancer.

Статья посвящена актуальным вопросам диагностики рака прямой кишки (РПК). Корректное первичное и предоперационное стадирование РПК позволяет выбирать необходимую тактику лечения, планировать предоперационную терапию и само хирургическое вмешательство. На сегодняшний момент во многих странах магнитно-резонансная томография (МРТ) является диагностическим методом выбора для стадирования РПК, но стандартные режимы МРТ имеют свои пределы и не всегда позволяют дифференцировать фиброзную ткань (которая может представлять десмопластическую реакцию или постлучевой фиброз) от опухолевой ткани.

На основе литературных данных и собственного накопленного опыта мы попытались продемонстрировать возможности не только стандартных режимов МРТ, но и диффузионно-взвешенной МРТ ((ДВ)-МРТ) в оценке местной распространенности РПК.

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