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The Royal Marsden

Questions to think about

regarding mrEMVI

1.

MRI does not always agree histopathology at

detecting vascular invasion by tumour especially

after CRT

2.

MRI detected EMVI is a stronger predictor for

distant metastatic disease and pelvic recurrence

than MRI assessment of nodal involvement

3.

Is more prevalent than nodal metastatic disease

in patients with rectal cancer