Yoshifumi Noda1, Satoshi Goshima1, Hideto Tomimatsu1, Haruo Watanabe1, Hiroshi Kawada1, Nobuyuki Kawai1, Hiromi Ono1, Masayuki Matsuo1, and Kyongtae T Bae2
1Radiology, Gifu University Hospital, Gifu, Japan, 2Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, United States
To
determine the ADC value
and clinical-pathologic risk factors associated with postoperative local
recurrence or distant metastases in patients with rectal cancer.
The plasmatic
CA19-9 level (P = 0.0027),
pathological N stage (P = 0.0018),
lymphatic invasion (P < 0.0001),
and ADC value (P = 0.0076) were
independently associated with postoperative local recurrence or distant
metastases in the patients with rectal cancer.
Among the several indicators,
the tumor ADC values and plasmatic CA19-9 level can be useful for the
preoperative prediction of high risk cases for postoperative local recurrence or distant
metastases in patients with rectal cancer.