Poster électronique

Apport de l'IRM dans la pathologie cancéreuse du rectum
H. Hadj Kacem, B. Ben Ayada, S. Bouklata, I. Nasser, M. Hammani, F. Imani - Rabat - Maroc
Congrès 2008
Résumé
Objectifs
Définir la place de l’IRM dans l’évaluation du cancer rectal et évaluer l’intérêt potentiel des séquences de l’imagerie fonctionnelle (diffusion et perfusion).
Matériels et méthodes
Etude prospective incluant 40 patients porteurs de lésions rectales ayant bénéficié d’une IRM rectale. L’exploration associait des séquences en fast spin écho T2, T1 et une imagerie fonctionnelle associant diffusion et perfusion. Les examens ont été confrontés aux résultats chirurgicales dans 35 cas.
Résultats
L’IRM permet d’évaluer de façon précise et reproductible l’extension tumorale aux organes de voisinage et les rapports de la tumeur à l’appareil sphinctérien. L’évaluation de l’extension transpariétale reste délicate (stade T2/T3), mais la précision de la distance au mésorectum est excellente. L’atteinte ganglionnaire reste également peu spécifique. Les séquences d’imagerie fonctionnelle permettent de commencer àévaluer le degré de réponse à la radiothérapie.
Conclusion
L’IRM est l’examen de choix pour faire le bilan loco-régional des cancers rectaux et permet de poser de façon fiable les indications de chirurgie conservatrice. Les séquences d’imagerie fonctionnelle aident à la stadification tumorale et permettent d’évaluer le degré de réponse aux traitements adjuvants.
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2017-08-31 21.45 :
Lisa Calabrese

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