Rectum / Pelvic Floor

The special MRI techniques play a significant role in detecting and assessing the extent of rectal cancer. These techniques significantly increase diagnostic accuracy when identifying and characterizing a lesion, contributing to selecting the most suitable treatment and to properly monitoring the treatment result.

ΟΡΘΟ ΠΥΕΛΙΚΟ ΕΔΑΦΟΣ

In the case of rectal cancer the following are identified with great accuracy:

The extent of cancer prior to treatment (staging)
The area that must receive radiation
The response during and after radiotherapy
Recurrence detection after surgery

A multiparametric study is the combination of special MRI techniques.

Multiparametric MRI combines special techniques with high-resolution anatomical images, significantly increasing accuracy when detecting cancer. It is indicated as an imaging method for detecting cancer in pelvic organs, such as the rectum.

At Metropolitan Hospital, multiparametric studies are performed using a state-of-the-art latest generation Siemens Skyra 3 Tesla scanner with 60 channel dedicated abdomen coil, so the use of an endorectal coil is not necessary.

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TECHNIQUES/EQUIPMENT

WHEN IS A MULTIPARAMETRIC RECTAL STUDY INDICATED?

In performing local staging of cancer before treatment
It detects the extent and margins of the cancer with great accuracy, contributing to selecting the most suitable treatment method. For example, if the disease has spread beyond the rectal walls (Τ3 A, B, C, D stage), the treatment approach must change. Patients undergo combined radiochemotherapy prior to surgery (neoadjuvant treatment).

In evaluating the treatment result (radiochemotherapy)
It determines residual cancer after radiochemotherapy, when restaging of the extent of the disease is performed.

In detecting cancer recurrence
It detects even the smallest recurrences at an early stage, with great accuracy.

DYNAMIC PELVIC FLOOR STUDY / PROCTOGRAPHY

A Dynamic Pelvic Floor Study / Proctography is a special technique used to monitor the pelvic organs (rectum, urinary bladder, uterus) in cine mode, during dynamic phases (bowel squeezing/evacuation). It helps determine pelvic floor weakness or organ prolapse (e.g. uterus, rectum) with great accuracy.

It is highly sensitive is assessing symptoms such as prolapse, incontinence, constipation and pain, so surgeons may select the most suitable treatment method (conservative approach or surgery).