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Abstract #2881

Assessment of pathological prognostic factors in rectal cancer: comparison of DWI, IVIM, and DKI

Mi Zhou1, Meining Chen2, Qin Zhang3, and Hongyun Huang1
1Department of Radiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China, 2MR Research Collaboration, Siemens Healthineers, Chengdu, China, 3MRI clinical application, Customer Service Department, Siemens Digital Medical Technology Co., LTD, Shanghai, China

Synopsis

Keywords: IVIM, Diffusion/other diffusion imaging techniques

Motivation: The prognosis of rectal cancer (RC), depends on pathological prognostic factors. Despite the contributions of MRI, accurate preoperative prediction of these factors remains challenging.

Goal(s): Evaluate the values of DWI, IVIM, and DKI in predicting RC’s pathological prognostic factors.

Approach: In 162 rectal cancer patients, we compared DWI, IVIM, and DKI MRI techniques to predict EMVI, LNM, and histological differentiation, analyzing correlations with histological data.

Results: MK was identified as a powerful predictor, especially for histological differentiation and LNM. The combine of MK+MD exhibited robust potential to predict EMVI, highlighting the diagnostic values of these models for rectal cancer prognosis.

Impact: This research enhances MRI's predictive capabilities for critical rectal cancer prognostic factors, potentially refining treatment planning and improving the prognosis of patients.

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