PMID- 37245878 OWN - NLM STAT- MEDLINE DCOM- 20230530 LR - 20240330 IS - 1558-5034 (Electronic) IS - 0887-2171 (Linking) VI - 44 IP - 3 DP - 2023 Jun TI - Diffusion and Perfusion Imaging in Rectal Cancer Restaging. PG - 117-125 LID - S0887-2171(23)00016-1 [pii] LID - 10.1053/j.sult.2023.02.002 [doi] AB - The assessment of tumor response, after neoadjuvant radiochemotherapy (n-CRT), permits the stratification of patients for the proper therapeutical management. Although histopathology analysis of the surgical speciemen is considered the gold standard for assessing tumor response, magnetic resonance imaging (MRI), with its significant developments in technical imaging, have allowed an increase in accuracy for the evaluation of response. MRI provides a radiological tumor regression grade (mrTRG) that is correlated with the pathologic tumor regression grade (pTRG). Functional MRI parameters have additional impending in early prediction of the efficacy of therapy. Some of functional methodologies are already part of clinical practice: diffusion-weighted MRI (DW-MRI) and perfusion imaging (dynamic contrast enhanced MRI [DCE-MRI]). CI - Copyright (c) 2023. Published by Elsevier Inc. FAU - Granata, Vincenza AU - Granata V AD - Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy. FAU - Fusco, Roberta AU - Fusco R AD - Medical Oncology Division, Igea SpA, Napoli, Italy. Electronic address: r.fusco@igeamedical.com. FAU - Setola, Sergio Venazio AU - Setola SV AD - Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy. FAU - Cozzi, Diletta AU - Cozzi D AD - Department of Radiology, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy; Italian Society of Medical and Interventional Radiology (SIRM), SIRM Foundation, Milan, Italy. FAU - Rega, Daniela AU - Rega D AD - Division of Gastrointestinal Surgical Oncology, "Istituto Nazionale Tumori - IRCCS - Fondazione G. Pascale", Naples, Italy. FAU - Petrillo, Antonella AU - Petrillo A AD - Division of Radiology, "Istituto Nazionale Tumori IRCCS Fondazione Pascale - IRCCS di Napoli", Naples, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230303 PL - United States TA - Semin Ultrasound CT MR JT - Seminars in ultrasound, CT, and MR JID - 8504689 SB - IM MH - Humans MH - Perfusion Imaging MH - *Diffusion Magnetic Resonance Imaging MH - *Rectal Neoplasms/diagnostic imaging/pathology/therapy MH - Neoplasm Staging MH - *Neoadjuvant Therapy/methods EDAT- 2023/05/29 00:42 MHDA- 2023/05/30 06:42 CRDT- 2023/05/28 20:56 PHST- 2023/05/30 06:42 [medline] PHST- 2023/05/29 00:42 [pubmed] PHST- 2023/05/28 20:56 [entrez] AID - S0887-2171(23)00016-1 [pii] AID - 10.1053/j.sult.2023.02.002 [doi] PST - ppublish SO - Semin Ultrasound CT MR. 2023 Jun;44(3):117-125. doi: 10.1053/j.sult.2023.02.002. Epub 2023 Mar 3.