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臨床外科65巻11号

2010年10月発行

文献概要

特集 外科医のための大腸癌の診断と治療 2.大腸癌の診断

MRI検査

著者: 三宅基隆1 飯沼元2 荒井保明2 森山紀之3 杉村和朗1

所属機関: 1神戸大学医学部附属病院放射線科 2国立がん研究センター中央病院放射線診断部 3国立がん研究センターがん予防・検診研究センター

ページ範囲:P.88 - P.95

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■MRIは大腸癌診断において直腸癌の診断に用いられる.

■High-resolution MRIは原発巣の評価みならず骨盤内の詳細な情報を提供できるため有用である.

■拡散強調画像や高磁場装置である3.0T MRI装置の臨床への導入が進み,直腸癌診断における有用性が報告されつつある.

参考文献

1)Brown G, Richards CJ, Newcombe RG, et al:Rectal carcinoma:thin-section MR imaging for staging in 28 patients. Radiology 211:215-222, 1999
2)Brown G:Thin section MRI in multidisciplinary pre-operative decision making for patients with rectal cancer. Br J Radiol 78 Spec No 2:S117-127, 2005
3)Zhang XM, Zhang HL, Yu D, et al:3-T MRI of rectal carcinoma:preoperative diagnosis, staging, and planning of sphincter-sparing surgery. AJR Am J Roentgenol 190:1271-1278, 2008
4)Torricelli P, Pecchi A, Luppi G, et al:Gadolinium-enhanced MRI with dynamic evaluation in diagnosing the local recurrence of rectal cancer. Abdom Imaging 28:19-27, 2003
5)Akasu T, Iinuma G, Fujita T, et al:Thin-section MRI with a phased-array coil for preoperative evaluation of pelvic anatomy and tumor extent in patients with rectal cancer. AJR Am J Roentgenol 184:531-538, 2005
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12)Brown G, Richards CJ, Bourne MW, et al:Morphologic predictors of lymph node status in rectal cancer with use of high-spatial-resolution MR imaging with histopathologic comparison. Radiology 227:371-377, 2003
13)Harisinghani MG, Barentsz J, Hahn PF, et al:Noninvasive detection of clinically occult lymph-node metastases in prostate cancer. N Engl J Med 348:2491-2499, 2003
14)Koh DM, Brown G, Temple L, et al:Rectal cancer:mesorectal lymph nodes at MR imaging with USPIO versus histopathologic findings--initial observations. Radiology 231:91-99, 2004
15)Lahaye MJ, Engelen SM, Kessels AG, et al:USPIO-enhanced MR imaging for nodal staging in patients with primary rectal cancer:predictive criteria. Radiology 246:804-811, 2008
16)Nasu K, Kuroki Y, Kuroki S, et al:Diffusion-weighted single shot echo planar imaging of colorectal cancer using a sensitivity-encoding technique. Jpn J Clin Oncol 34:620-626, 2004
17)Rao SX, Zeng MS, Chen CZ, et al:The value of diffusion-weighted imaging in combination with T2-weighted imaging for rectal cancer detection. Eur J Radiol 65:299-303, 2008

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1278

印刷版ISSN:0386-9857

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