Evaluation of colon cancer prognostic factors by CT and MRI: an up-to-date review

Colorectal cancer (CRC) is a significant global health concern. Prognostication of CRC traditionally relies on the Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC) TNM staging classifications, yet clinical outcomes often vary independently of stage. Despite...

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Bibliographic Details
Published inAbdominal imaging Vol. 49; no. 11; pp. 4003 - 4015
Main Authors Guimarães, Ruggeri B., Pacheco, Eduardo O., Ueda, Serli N., Tiferes, Dario A., Mazzucato, Fernanda L., Talans, Aley, Torres, Ulysses S., D’Ippolito, Giuseppe
Format Journal Article
LanguageEnglish
Published New York Springer US 01.11.2024
Springer Nature B.V
Subjects
Colon
Colon cancer
Colonic Neoplasms - diagnostic imaging
Colonic Neoplasms - pathology
Colorectal cancer
Colorectal carcinoma
Computed tomography
Diagnostic systems
Gastroenterology
Hepatology
Humans
Imaging
Imaging techniques
Lymph nodes
Lymphatic Metastasis - diagnostic imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medical prognosis
Medicine
Medicine & Public Health
Metastases
Neoplasm Invasiveness
Neoplasm Staging
Patients
Prognosis
Public health
Radiology
Rectum
Special Section: Editor’s Invite
Tomography, X-Ray Computed - methods
CT
Colon cancer
MRI
Prognostic
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Summary:Colorectal cancer (CRC) is a significant global health concern. Prognostication of CRC traditionally relies on the Union for International Cancer Control (UICC) and American Joint Committee on Cancer (AJCC) TNM staging classifications, yet clinical outcomes often vary independently of stage. Despite similarities, rectal and colon cancers are distinct in their diagnostic methodologies and treatments, with MRI and CT scans primarily used for staging rectal and colon cancers, respectively. This paper examines the challenges in accurately assessing prognostic factors of colon cancer such as primary tumor extramural extension, retroperitoneal surgical margin (RSM) involvement, extramural vessel invasion (EMVI), and lymph node metastases through preoperative CT and MRI. It highlights the importance of these factors in risk stratification, treatment decisions, and surgical planning for colon cancer patients. Advancements in imaging techniques are crucial for improving clinical management and optimizing patient outcomes, underscoring the necessity for ongoing research to refine diagnostic methods and incorporate novel findings into practice. Graphical abstract
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ISSN:2366-0058
2366-004X
2366-0058
DOI:10.1007/s00261-024-04373-x