Lower GI 2016

European Model of Stratification based on MRI risk categorization

LOW RISK: T1-2 N0 T3 < 5mm (mid/upper) MRF clear

High RISK: T4 MRF involved

INTERMEDIATE RISK: T3 > 5mm N1-2 MRF clear (>1mm) (EMVI +)

(EMVI -)

Preoperative chemoradiation TME

Preoperative 5x5 Gy or chemoradiation or (chemo +) TME alone

TME

Selected or no RT ???

Optimized CRT as definitive treatment