MRI restaging of rectal cancer: The RAC (Response–Anal canal–CRM) analysis joint consensus guidelines of the GRERCAR and GRECCAR groups Guidelines


Authors: Nougaret, S.; Rousset, P.; Lambregts, D. M. J.; Maas, M.; Gormly, K.; Lucidarme, O.; Brunelle, S.; Milot, L.; Arrivé, L.; Salut, C.; Pilleul, F.; Hordonneau, C.; Baudin, G.; Soyer, P.; Brun, V.; Laurent, V.; Savoye-Collet, C.; Petkovska, I.; Gerard, J. P.; Cotte, E.; Rouanet, P.; Catalano, O.; Denost, Q.; Tan, R. B.; Frulio, N.; Hoeffel, C.
Title: MRI restaging of rectal cancer: The RAC (Response–Anal canal–CRM) analysis joint consensus guidelines of the GRERCAR and GRECCAR groups
Abstract: Purpose: To develop guidelines by international experts to standardize data acquisition, image interpretation, and reporting in rectal cancer restaging with magnetic resonance imaging (MRI). Materials and methods: Evidence-based data and experts’ opinions were combined using the RAND-UCLA Appropriateness Method to attain consensus guidelines. Experts provided recommendations for reporting template and protocol for data acquisition were collected; responses were analysed and classified as “RECOMMENDED” versus “NOT RECOMMENDED” (if ≥ 80% consensus among experts) or uncertain (if < 80% consensus among experts). Results: Consensus regarding patient preparation, MRI sequences, staging and reporting was attained using the RAND-UCLA Appropriateness Method. A consensus was reached for each reporting template item among the experts. Tailored MRI protocol and standardized report were proposed. Conclusion: These consensus recommendations should be used as a guide for rectal cancer restaging with MRI. © 2023
Keywords: neoadjuvant therapy; magnetic resonance imaging; rectal neoplasms; re-staging; “watch-and-wait”
Journal Title: Diagnostic and Interventional Imaging
Volume: 104
Issue: 7-8
ISSN: 2211-5684
Publisher: Elsevier Masson  
Date Published: 2023-07-01
Start Page: 311
End Page: 322
Language: English
DOI: 10.1016/j.diii.2023.02.002
PUBMED: 36949002
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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