Lower GI 2016

The Royal Marsden

Questions to think about regarding mrEMVI

1. MRI does not always agree histopathology at detecting vascular invasion by tumour especially after CRT 2. MRI detected EMVI is a stronger predictor for distant metastatic disease and pelvic recurrence than MRI assessment of nodal involvement 3. Is more prevalent than nodal metastatic disease in patients with rectal cancer