Nodal Assessment
Involvement based on:
Size (short axis)
Mesorectal ≥5mm:
Sens 81%, Spec 68% (vs 3% &
100% for ≥10mm)
Internal iliac: ≥8mm
Other nodes ≥10mm
Morphology:
Mixed signal characteristics
Irregular border
Sensitivity 85%, Specificity 97%*
*Brown et al. Radiology 2003;227:371-377
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Systematic Approach