MRI to guide clinical management of rectal cancer: updated consensus recommendations from the European Society of Gastrointestinal and Abdominal Radiology (ESGAR): PART II—Restaging and response evaluation
QuestionSince the last ESGAR rectal imaging guideline update, the rectal cancer treatment landscape has further evolved, necessitating updates to the existing guidelines. FindingsAn online consensus process involving 26 panellists led to 96% consensus across 121 items discussed, including 49 items related to restaging after neoadjuvant treatment. Clinical relevanceKey updates included in these updated guidelines for MRI restaging of rectal cancer include new recommendations for assessing fibrosis, identifying patients for organ preservation, use of tumour regression grading systems, assessing mucinous tumours, ycEMVI, ycMRF, and ycN assessment.
Authors
- D. Ippolito
- Saugata Sen (ORCID: https://orcid.org/0000-0002-0418-712X)
- Inês Santiago (ORCID: https://orcid.org/0000-0001-7711-3669)
- S Kim
- Bengı Gürses (ORCID: https://orcid.org/0000-0002-2482-3445)
- Emilio Quaia
- Luís Curvo‐Semedo (ORCID: https://orcid.org/0000-0002-6441-227X)
- Andrea Laghi
- Andreas M. Hötker (ORCID: https://orcid.org/0000-0002-4748-8758)
- Søren Rafael Rafaelsen (ORCID: https://orcid.org/0000-0001-5182-5545)
- Soleen Stocker-Ghafoor
- P. Rodríguez Carnero (ORCID: https://orcid.org/0000-0002-1877-9847)
- Raphaëla C. Dresen (ORCID: https://orcid.org/0000-0001-6593-4582)
- Ivana Blažić (ORCID: https://orcid.org/0000-0002-4094-1791)
- Kirsten Gormly (ORCID: https://orcid.org/0000-0002-9794-5507)
- Marc J. Gollub (ORCID: https://orcid.org/0000-0002-6008-0730)
- Damiano Caruso (ORCID: https://orcid.org/0000-0001-9285-4764)
- Natally Horvat (ORCID: https://orcid.org/0000-0001-8849-5789)
- Cinthia D. Ortega (ORCID: https://orcid.org/0000-0001-6013-8982)
- Regina G. H. Beets‐Tan (ORCID: https://orcid.org/0000-0002-8533-5090)
- Jaap Stoker
- Juan-Ramón Ayuso
- Filippo Crimí
- Lennart Blomqvist
- Svetlana Balyaniskova
- Sofia Gourtsoyianni
- Vicky Goh
- Doenja M. J. Lambregts
- Christine Hoeffel
- Monique Maas
- ESGAR Rectal Imaging Guideline Group
- Max J. Lahaye
Institutions
- Memorial Sloan Kettering Cancer Center (US)
- Humanitas University (IT)
- Koç University (TR)
- University of Padua (IT)
- King's College London (GB)
- Hospital Israelita Albert Einstein (BR)
- Karolinska Institutet (SE)
- The Netherlands Cancer Institute (NL)
- Tata Medical Center (IN)
- University Hospital of Zurich (CH)
- Inje University Haeundae Paik Hospital (KR)
- Centre Hospitalier Universitaire de Reims (FR)
- King's College Hospital NHS Foundation Trust (GB)
- Hospital Clínic de Barcelona (ES)
- Region of Southern Denmark (DK)
- Aretaeio Hospital (GR)
- Hospital da Luz (PT)
- Hospital Universitario de La Princesa (ES)
- Zemun Hospital (RS)
- Institut de Recherche en Cancérologie de Montpellier (FR)
- Kingston Hospital (GB)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Mayo Clinic in Florida (US)
- IRCCS Humanitas Research Hospital (IT)
- The University of Adelaide (AU)
- University of Milano-Bicocca (IT)
- University of Coimbra (PT)
- Sapienza University of Rome (IT)
- Université de Reims Champagne-Ardenne (FR)
Publication Details
- Journal
- European Radiology
- Published
- 2026-01-29
- DOI
- https://doi.org/10.1007/s00330-025-12275-9
- Citations
- 3
- Primary Topic
- Colorectal Cancer Surgical Treatments
- Type
- article
- Field-Weighted Citation Impact
- 72.59