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01-01-2019 | Pictorial essay

Extramural venous invasion in rectal cancer: overview of imaging, histopathology, and clinical implications

Authors: Hamideh Ale Ali, Richard Kirsch, Suzan Razaz, Aaditeya Jhaveri, Seng Thipphavong, Erin D. Kennedy, Kartik S. Jhaveri

Published in: Abdominal Radiology | Issue 1/2019

Abstract

Objective

Extramural venous invasion (EMVI) is an independent prognostic factor for prediction of overall unfavorable outcomes in rectal cancer. While EMVI has traditionally been detected in postoperative pathologic specimens, MRI can provide this important piece of information preoperatively. This article reviews the methods of EMVI detection and their clinical implications for treatment and outcomes of rectal cancer.

Conclusion

EMVI has fundamental implications for rectal cancer prognosis and long-term outcomes. Since MRI has the advantage of preoperative detection of EMVI, it has been suggested that MRI-detected EMVI be incorporated for preoperative chemoradiotherapy (CRT) treatment stratification of rectal cancer for better patient triage and outcomes.

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Title: Extramural venous invasion in rectal cancer: overview of imaging, histopathology, and clinical implications
Authors: Hamideh Ale Ali
Richard Kirsch
Suzan Razaz
Aaditeya Jhaveri
Seng Thipphavong
Erin D. Kennedy
Kartik S. Jhaveri
Publication date: 01-01-2019
Publisher: Springer US
Published in: Abdominal Radiology / Issue 1/2019
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI: https://doi.org/10.1007/s00261-018-1673-2

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