Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes
<b>Background/Objectives:</b> This retrospective study evaluates the predictive role of magnetic resonance imaging (MRI) in complications and recurrence in rectal cancer patients undergoing surgery and neoadjuvant therapy, highlighting the impact of structured reporting templates on MRI...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-06-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/15/12/1472 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839654325316485120 |
|---|---|
| author | Eliodoro Faiella Filippo Carannante Federica Vaccarino Gabriella Teresa Capolupo Valentina Miacci Gloria Perillo Elva Vergantino Bruno Beomonte Zobel Marco Caricato Domiziana Santucci |
| author_facet | Eliodoro Faiella Filippo Carannante Federica Vaccarino Gabriella Teresa Capolupo Valentina Miacci Gloria Perillo Elva Vergantino Bruno Beomonte Zobel Marco Caricato Domiziana Santucci |
| author_sort | Eliodoro Faiella |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> This retrospective study evaluates the predictive role of magnetic resonance imaging (MRI) in complications and recurrence in rectal cancer patients undergoing surgery and neoadjuvant therapy, highlighting the impact of structured reporting templates on MRI quality. Compared to traditional free-text reports, structured radiology reports offer a point-by-point evaluation, improving clarity and completeness by thoroughly addressing all relevant findings. MRI is critical in rectal cancer staging, guiding treatment based on tumor characteristics like T stage, sphincter involvement, vascular invasion, and lymph node status. <b>Methods:</b> A retrospective analysis of MRI and reports from 67 rectal cancer patients at the time of diagnosis, who were subsequently treated with neoadjuvant radiochemotherapy and surgery, was conducted. MRI report features, including tumor location, morphology, T stage, sphincter infiltration, mesorectal fascia involvement, lymph nodes, and extramural vascular invasion, were evaluated against European Society of Gastrointestinal and Abdominal Radiology (ESGAR) recommendations. Multivariate and univariate analyses were performed to correlate MRI findings with postoperative outcomes such as complications, local recurrence, bleeding, and 30-day anastomotic leaks. <b>Results:</b> Sphincter involvement showed a strong association with increased complications (multivariate β = 0.410, univariate r = 0.270). Extramural vascular invasion was linked to higher rates of local recurrence (multivariate β = 0.199, univariate r = 0.127). Lymph node involvement correlated with an elevated risk of postoperative bleeding (multivariate β = 0.133, univariate r = 0.293). Additionally, advanced T staging predicted a higher incidence of 30-day anastomotic leaks (multivariate β = 0.210, univariate r = 0.261). These findings may provide clinically relevant insights to support personalized surgical planning and improve preoperative risk stratification. <b>Conclusions:</b> Detailed MRI reporting, aligned with structured templates, significantly guides surgical and therapeutic strategies in rectal cancer management. However, the retrospective nature of the study and the limited sample size may affect the generalizability of the results. |
| format | Article |
| id | doaj-art-dddc33a786094ac2bc6836269fc21c9f |
| institution | Matheson Library |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-dddc33a786094ac2bc6836269fc21c9f2025-06-25T13:42:11ZengMDPI AGDiagnostics2075-44182025-06-011512147210.3390/diagnostics15121472Predictive Utility of Structured MRI Reporting for Rectal Cancer OutcomesEliodoro Faiella0Filippo Carannante1Federica Vaccarino2Gabriella Teresa Capolupo3Valentina Miacci4Gloria Perillo5Elva Vergantino6Bruno Beomonte Zobel7Marco Caricato8Domiziana Santucci9Operative Reasearch Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyUOC Chirurgia Colorettale, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Reasearch Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyUOC Chirurgia Colorettale, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyUOC Chirurgia Colorettale, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Reasearch Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Reasearch Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Reasearch Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyUOC Chirurgia Colorettale, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, ItalyOperative Reasearch Unit of Radiology and Interventional Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Via Alvaro del Portillo 200, 00128 Rome, Italy<b>Background/Objectives:</b> This retrospective study evaluates the predictive role of magnetic resonance imaging (MRI) in complications and recurrence in rectal cancer patients undergoing surgery and neoadjuvant therapy, highlighting the impact of structured reporting templates on MRI quality. Compared to traditional free-text reports, structured radiology reports offer a point-by-point evaluation, improving clarity and completeness by thoroughly addressing all relevant findings. MRI is critical in rectal cancer staging, guiding treatment based on tumor characteristics like T stage, sphincter involvement, vascular invasion, and lymph node status. <b>Methods:</b> A retrospective analysis of MRI and reports from 67 rectal cancer patients at the time of diagnosis, who were subsequently treated with neoadjuvant radiochemotherapy and surgery, was conducted. MRI report features, including tumor location, morphology, T stage, sphincter infiltration, mesorectal fascia involvement, lymph nodes, and extramural vascular invasion, were evaluated against European Society of Gastrointestinal and Abdominal Radiology (ESGAR) recommendations. Multivariate and univariate analyses were performed to correlate MRI findings with postoperative outcomes such as complications, local recurrence, bleeding, and 30-day anastomotic leaks. <b>Results:</b> Sphincter involvement showed a strong association with increased complications (multivariate β = 0.410, univariate r = 0.270). Extramural vascular invasion was linked to higher rates of local recurrence (multivariate β = 0.199, univariate r = 0.127). Lymph node involvement correlated with an elevated risk of postoperative bleeding (multivariate β = 0.133, univariate r = 0.293). Additionally, advanced T staging predicted a higher incidence of 30-day anastomotic leaks (multivariate β = 0.210, univariate r = 0.261). These findings may provide clinically relevant insights to support personalized surgical planning and improve preoperative risk stratification. <b>Conclusions:</b> Detailed MRI reporting, aligned with structured templates, significantly guides surgical and therapeutic strategies in rectal cancer management. However, the retrospective nature of the study and the limited sample size may affect the generalizability of the results.https://www.mdpi.com/2075-4418/15/12/1472magnetic resonance imagingrectal cancerpost-operative complicationslocal recurrencestructured reportoutcome |
| spellingShingle | Eliodoro Faiella Filippo Carannante Federica Vaccarino Gabriella Teresa Capolupo Valentina Miacci Gloria Perillo Elva Vergantino Bruno Beomonte Zobel Marco Caricato Domiziana Santucci Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes Diagnostics magnetic resonance imaging rectal cancer post-operative complications local recurrence structured report outcome |
| title | Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes |
| title_full | Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes |
| title_fullStr | Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes |
| title_full_unstemmed | Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes |
| title_short | Predictive Utility of Structured MRI Reporting for Rectal Cancer Outcomes |
| title_sort | predictive utility of structured mri reporting for rectal cancer outcomes |
| topic | magnetic resonance imaging rectal cancer post-operative complications local recurrence structured report outcome |
| url | https://www.mdpi.com/2075-4418/15/12/1472 |
| work_keys_str_mv | AT eliodorofaiella predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT filippocarannante predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT federicavaccarino predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT gabriellateresacapolupo predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT valentinamiacci predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT gloriaperillo predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT elvavergantino predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT brunobeomontezobel predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT marcocaricato predictiveutilityofstructuredmrireportingforrectalcanceroutcomes AT domizianasantucci predictiveutilityofstructuredmrireportingforrectalcanceroutcomes |