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The Royal Marsden

Enrolment

mrTRG1 -2 @4-6 weeks post CRT no viable disease

(low signal intensity fibrotic scar tissue only)

confirmed by MRI @ 8-12 weeks

mrTRG3 @ 4-6 weeks post CRT a good partial response

Continued incremental response on MRI @ 8-12 weeks

NOT

INITIALLY EXCLUDED EVEN IF:

DRE - Thickening of rectal wall or clinically palpable tumour

Endoscopically – mucosal abnormality

Pathology - Biopsy positive