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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