Molecular Imaging 2017

Have you checked your DisTANCE ?

Systematic Approach

Nodal Assessment

 Regional lymph nodes:  Mesorectal  99% within 5cm proximal to tumour  78% at level of tumour*  Sigmoid mesenteric  Inferior mesenteric  Lateral sacral, pre-sacral  Internal iliac  Superior, middle or inferior rectal

Right internal iliac node & mesorectal node

*Koh DM et al. Eur Radiol 2005; 1650-7