Medical Practice Technical Challenges


Advanced Imaging on Rectal Cancer

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April 28th 2022 - April 29th 2022
António P. Matos (MD) , 
João Lopes Dias (MD)
This course aims to provide up-to-date insight regarding the role of imaging (namely MRI and endorectal ultrasound) on diagnosis, staging, treatment planning, and follow-up of rectal cancer, to all the physicians involved in delivering care to those patients affected with this prevalent disease.

After a relevant clinical background, namely in the field of gastroenterology (colonoscopy findings and procedures) and surgery (procedure planning needs), the course will teach the pivotal role of the radiology tools, namely MRI and endorectal ultrasound on rectal cancer management. Along the course, the students will understand the requisites for endorectal ultrasound and how to obtain high quality/high value rectal MRI, underlining the technical aspects. Imaging findings for both techniques of normal anatomy, rectal adenocarcinoma and its mimickers will be taught. The key features for accurate loco-regional staging will be provided.

The students will have the opportunity to read and interpret rectal MRI for loco-regional staging of adenocarcinoma, along with tools to do a value-based radiology report. Besides, the faculty will explain how to read and interpret rectal MRI after surgery or after neoadjuvant therapy (QT & RT), emphasizing the importance of the watch & wait (W&W) strategy for rectal adenocarcinoma management. In the context of W&W, clinical and imaging recurrence criteria will be provided.
For distant staging, the role of imaging, namely abdominal MRI and CT, will be discussed and updated.

The faculty will provide theoretical classes, case-based sessions, polling sessions and multidisciplinary tumour board simulations, to achieve all the above objectives.
Hands-on on imaging workstations for rectal MRI and simulation of endorectal ultrasound will be provided.
Radiologists & Radiology residents
Oncologists & Oncology residents
Radio-oncologists & Radio-oncology residents
General surgeons & General surgery residents
Gastroenterologists & Gastroenterologists residents
Urologists & Urologists residents
Gynaecologists & Gynaecologists residents
Pelvic surgeons
  1. To recognize the role of imaging in the diagnosis, staging, treatment planning, surveillance and recurrence of rectal cancer.
  2. To understand the benefit of adequate technical parameters for good image quality.
  3. To describe the normal rectal anatomy on imaging.
  4. To understand the pivotal role of imaging in loco-regional staging and treatment planning of rectal cancer.
  5. To accelerate the learning curve on rectal imaging, namely MRI, following a step-by-step evaluation and structure reporting.
  6. To recognize the most common rectal adenocarcinoma mimickers.
  7. To understand the role of endorectal ultrasound.
  8. To identify normal and pathological imaging features in post-treated patients namely the W&W strategy.
Degree in Medicine / Medical Imaging