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Rectal Cancer DFP

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SAR Rectal Cancer DFP



To define the role and incremental value of various imaging modalities (including MRI, endorectal ultrasound, PET-CT, PET-MR, and molecular imaging) in the detection and staging of rectal cancer. 
To enhance treatment and positive outcome in patients with primary rectal cancer, through education, imaging technique optimization, report standardization and multidisciplinary research collaboration.



1. Educational: To provide basic and periodically updated, evidence-based information regarding:

a.    Optimal imaging techniques, standardized vendor-specific protocols, and technical standards for staging and re-staging.

b.    Address the role of non-MRI rectal cancer staging (US, CT, and PET-CT).

c.    Standards of reporting.

2. Patient Care: To form alliances with medical, surgical and radiation oncology groups to reach consensus on the role of imaging, and approaches to improve patient outcomes.

3. Research: Promote and encourage international research collaboration within and outside radiology.



SAR Rectal Cancer DFP Members:

Marc J. Gollub, MD, FACR - Chair (gollubm@MSKCC.ORG)

Professor of Radiology

Director, Section of CT

Department of Radiology

Memorial Sloan Kettering Cancer Center


Mukesh Harisinghani, MD, FACR - Co-Chair 


Professor of Radiology, Harvard Medical School,
Director of Abdominal MRI,
Massachusetts General Hospital

Supreeta Arya 


Courtney Coursey Moreno, MD (

Associate Professor of Radiology

Department of Radiology and Imaging Sciences

Emory University School of Medicine



Greg DePrisco


Randy D. Ernst, MD (

Professor, Diagnostic Radiology
University of Texas MD Anderson Cancer Center



Dhakshina Ganeshan, MD (

Assistant Professor, Department of Diagnostic Radiology
The University of Texas MD Anderson Cancer Center



Jennifer S. Golia Pernicka, MD (
Assistant Professor of Radiology
Memorial Sloan Kettering Cancer Center



Kartik S. Jhaveri, MD, FRCPC (

Director - Abdominal MRI, CME Director - Medical Imaging

Associate Professor - University of Toronto University Health Network,

Mt. Sinai and WCH


Thomas A. Hope, MD (
Assistant Professor in Residence
Department of Radiology and Biomedical Imaging



Zahra Kassam, MD, FRCPC (

Regional Imaging Lead, Southwest Regional Cancer Program Assistant

Professor, Radiology & Nuclear Medicine Schullich School of Medicine

Western University London, Ontario, Canada


Harmeet Kaur, MD (

Professor, Diagnostic Radiology

The University of Texas MD Anderson Cancer Center



David H. Kim, MD (

Professor of Radiology, Vice Chair of Education

University of Wisconsin School of Medicine and Public Health

Abdominal Imaging and Intervention



Elena Korngold (

Assistant Professor, Department of Radiology

Oregon Health and Science University

Portland, OR


Chandana Lall 



Neeraj Lalwani (

Associate Professor

Department of Radiology, Section of Abdominal Imaging

Wake Forest University and Baptist Medical Center


Stephanie Nougaret



Iva Petkovska, MD (

SAR rectal cancer DFP Educational Subcommittee Lead
Assistant Professor
MSKCC Comprehensive MRI Oncologic Imaging Fellowship Associate Program Director- Department of Radiology
Memorial Sloan Kettering Cancer Center


Perry J. Pickhardt, MD (

Professor of Radiology, Chief - Gastrointestinal Imaging

Medical Director- Cancer Imaging

University of Wisconsin

School of Medicine & Public Health


Gaiane (Maia) Margishvili Rauch, MD, PhD (

Assistant Professor
Department of Diagnostic Radiology

MD Anderson Cancer Center - Houston, TX



Shannon P. Sheedy, MD (

Assistant Professor, Diagnostic Radiology

Mayo Clinic of Rochester, MN



Raj Mohan Paspulati, MD, FSAR (


Associate Director of Digestive Health Institute, Head of GI & GYN Radiology

Abdominal Imaging - Department of Radiology

University Hospitals, Case Western Reserve University - Cleveland, OH




Regina Beets-Tan, MD PhD - International liaison

Chair Department of Radiology
The Netherlands Cancer Institute
Professor of Radiology
University of Maastricht
The Netherlands


Bruce Minsky - Radiation Oncology consultant

David Patrick Ryan - Medical Oncology consultant

Martin Weiser - Surgical consultant


The DFP will be organized into Subcommittees as follows:

Scientific and Practice
Multidisciplinary and International Liaisons
Research and Mentorship


Current works in progress:

1. Contributions to Educational Program for the SAR Annual Meeting.

2. "Review of Best Practice” white paper, with surgical and oncologic perspective.

3. Establishment of a community of practice for members to discuss challenging issues and cases.



Member Resources

Rectal MRI Review Articles:

Magnetic resonance imaging for the clinical management of rectal cancer patients: recommendations from the 2012 European Society of Gastrointestinal and Abdominal Radiology (ESGAR) consensus meeting,


MR Imaging for Preoperative Evaluation of Primary Rectal Cancer: Practical Considerations,


Recent relevant publications by SAR Rectal Cancer DFP Panel Members


Limited accuracy of DCE-MRI in identification of pathological complete responders after chemoradiotherapy treatment for rectal cancer.

Gollub MJ, Tong T, Weiser M, Zheng J, Gonen M, Zakian KL.

Eur Radiol. 2016 Jul 20. [Epub ahead of print]

PMID: 27436029 [PubMed - as supplied by publisher]

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MRI for evaluation of treatment response in rectal cancer.

Blazic IM, Campbell NM, Gollub MJ.

Br J Radiol. 2016 Aug;89(1064):20150964. doi: 10.1259/bjr.20150964. Epub 2016 Jun 22.

PMID: 27331883 [PubMed - in process]

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Multiparametric MRI in the assessment of response of rectal cancer to neoadjuvant chemoradiotherapy: A comparison of morphological, volumetric and functional MRI parameters.

Hötker AM, Tarlinton L, Mazaheri Y, Woo KM, Gönen M, Saltz LB, Goodman KA, Garcia-Aguilar J, Gollub MJ.

Eur Radiol. 2016 Mar 5. [Epub ahead of print]

PMID: 26945761 [PubMed - as supplied by publisher]

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Organ Preservation in Rectal Adenocarcinoma: a phase II randomized controlled trial evaluating 3-year disease-free survival in patients with locally advanced rectal cancer treated with chemoradiation plus induction or consolidation chemotherapy, and total mesorectal excision or nonoperative management.

Smith JJ, Chow OS, Gollub MJ, Nash GM, Temple LK, Weiser MR, Guillem JG, Paty PB, Avila K, Garcia-Aguilar J; Rectal Cancer Consortium.

BMC Cancer. 2015 Oct 23;15:767. doi: 10.1186/s12885-015-1632-z.

PMID: 26497495 [PubMed - indexed for MEDLINE] Free PMC Article

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Dynamic contrast-enhanced MRI: Use in predicting pathological complete response to neoadjuvant chemoradiation in locally advanced rectal cancer.

Tong T, Sun Y, Gollub MJ, Peng W, Cai S, Zhang Z, Gu Y.

J Magn Reson Imaging. 2015 Sep;42(3):673-80. doi: 10.1002/jmri.24835. Epub 2015 Feb 5.

PMID: 25652254 [PubMed - indexed for MEDLINE]

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Assessment of Clinical Complete Response After Chemoradiation for Rectal Cancer with Digital Rectal Examination, Endoscopy, and MRI.

Weiser MR, Gollub MJ, Saltz LB.

Ann Surg Oncol. 2015 Nov;22(12):3769-71. doi: 10.1245/s10434-015-4691-0. Epub 2015 Jul 1. No abstract available.

PMID: 26130453 [PubMed - indexed for MEDLINE]

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Does gadolinium-based contrast material improve diagnostic accuracy of local invasion in rectal cancer MRI? A multireader study.

Gollub MJ, Lakhman Y, McGinty K, Weiser MR, Sohn M, Zheng J, Shia J.

AJR Am J Roentgenol. 2015 Feb;204(2):W160-7. doi: 10.2214/AJR.14.12599.

PMID: 25615776 [PubMed - indexed for MEDLINE] Free PMC Article

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Prognostic stratification by extramural depth of tumor invasion of primary rectal cancer based on the Radiological Society of North America.

Tong T, Gollub MJ.

AJR Am J Roentgenol. 2014 Dec;203(6):W749. doi: 10.2214/AJR.14.13260. No abstract available.

PMID: 25415747 [PubMed - indexed for MEDLINE]

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Comparison of tumor regression grade systems for locally advanced rectal cancer after multimodality treatment.

Trakarnsanga A, Gönen M, Shia J, Nash GM, Temple LK, Guillem JG, Paty PB, Goodman KA, Wu A, Gollub M, Segal N, Saltz L, Garcia-Aguilar J, Weiser MR.

J Natl Cancer Inst. 2014 Sep 22;106(10). pii: dju248. doi: 10.1093/jnci/dju248. Print 2014 Oct.

PMID: 25249540 [PubMed - indexed for MEDLINE] Free PMC Article

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Multiparametric MRI of rectal cancer in the assessment of response to therapy: a systematic review.

Hötker AM, Garcia-Aguilar J, Gollub MJ.

Dis Colon Rectum. 2014 Jun;57(6):790-9. doi: 10.1097/DCR.0000000000000127. Review.

PMID: 24807605 [PubMed - indexed for MEDLINE]

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Neoadjuvant chemotherapy without routine use of radiation therapy for patients with locally advanced rectal cancer: a pilot trial.

Schrag D, Weiser MR, Goodman KA, Gonen M, Hollywood E, Cercek A, Reidy-Lagunes DL, Gollub MJ, Shia J, Guillem JG, Temple LK, Paty PB, Saltz LB.

J Clin Oncol. 2014 Feb 20;32(6):513-8. doi: 10.1200/JCO.2013.51.7904. Epub 2014 Jan 13.

PMID: 24419115 [PubMed - indexed for MEDLINE] Free Article

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Prognostic aspects of DCE-MRI in recurrent rectal cancer.

Gollub MJ, Cao K, Gultekin DH, Kuk D, Gonen M, Sohn M, Schwartz LH, Weiser MR, Temple LK, Nash GM, Guillem JG, Wang M, Garcia-Aguilar J, Goodman K, Paty PB.

Eur Radiol. 2013 Dec;23(12):3336-44. doi: 10.1007/s00330-013-2984-x. Epub 2013 Aug 27.

PMID: 23979104 [PubMed - indexed for MEDLINE]

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Magnetic resonance imaging for the clinical management of rectal cancer patients: recommendations from the 2012 European Society of Gastrointestinal and Abdominal Radiology (ESGAR) consensus meeting.

Beets-Tan RG, Lambregts DM, Maas M, Bipat S, Barbaro B, Caseiro-Alves F, Curvo-Semedo L, Fenlon HM, Gollub MJ, Gourtsoyianni S, Halligan S, Hoeffel C, Kim SH, Laghi A, Maier A, Rafaelsen SR, Stoker J, Taylor SA, Torkzad MR, Blomqvist L.

Eur Radiol. 2013 Sep;23(9):2522-31. doi: 10.1007/s00330-013-2864-4. Epub 2013 Jun 7.

PMID: 23743687 [PubMed - indexed for MEDLINE]

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Recognition of the anterior peritoneal reflection at rectal MRI.

Gollub MJ, Maas M, Weiser M, Beets GL, Goodman K, Berkers L, Beets-Tan RG.

AJR Am J Roentgenol. 2013 Jan;200(1):97-101. doi: 10.2214/AJR.11.7602.

PMID: 23255747 [PubMed - indexed for MEDLINE]

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Neither FDG-PET Nor CT can distinguish between a pathological complete response and an incomplete response after neoadjuvant chemoradiation in locally advanced rectal cancer: a prospective study.

Guillem JG, Ruby JA, Leibold T, Akhurst TJ, Yeung HW, Gollub MJ, Ginsberg MS, Shia J, Suriawinata AA, Riedel ER, Mazumdar M, Saltz LB, Minsky BD, Nash GM, Paty PB, Temple LK, Weiser MR, Larson SM.

Ann Surg. 2013 Aug;258(2):289-95. doi: 10.1097/SLA.0b013e318277b625.

PMID: 23187748 [PubMed - indexed for MEDLINE]

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Accuracy of endorectal ultrasound for measurement of the closest predicted radial mesorectal margin for rectal cancer.

Phang PT, Gollub MJ, Loh BD, Nash GM, Temple LK, Paty PB, Guillem JG, Weiser MR.

Dis Colon Rectum. 2012 Jan;55(1):59-64. doi: 10.1097/DCR.0b013e318235b885.

PMID: 22156868 [PubMed - indexed for MEDLINE]

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Dynamic contrast enhanced-MRI for the detection of pathological complete response to neoadjuvant chemotherapy for locally advanced rectal cancer.

Gollub MJ, Gultekin DH, Akin O, Do RK, Fuqua JL 3rd, Gonen M, Kuk D, Weiser M, Saltz L, Schrag D, Goodman K, Paty P, Guillem J, Nash GM, Temple L, Shia J, Schwartz LH.

Eur Radiol. 2012 Apr;22(4):821-31. doi: 10.1007/s00330-011-2321-1. Epub 2011 Nov 20.

PMID: 22101743 [PubMed - indexed for MEDLINE]

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Surgery and high-dose-rate intraoperative radiation therapy for recurrent squamous-cell carcinoma of the anal canal.

Wright JL, Gollub MJ, Weiser MR, Saltz LB, Wong WD, Paty PB, Temple LK, Guillem JG, Minsky BD, Goodman KA.

Dis Colon Rectum. 2011 Sep;54(9):1090-7. doi: 10.1097/DCR.0b013e318220c0a1.

PMID: 21825888 [PubMed - indexed for MEDLINE]

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Prognostic implications of the distribution of lymph node metastases in rectal cancer after neoadjuvant chemoradiotherapy.

Leibold T, Shia J, Ruo L, Minsky BD, Akhurst T, Gollub MJ, Ginsberg MS, Larson S, Riedel E, Wong WD, Guillem JG.

J Clin Oncol. 2008 May 1;26(13):2106-11. doi: 10.1200/JCO.2007.12.7704. Epub 2008 Mar 24.

PMID: 18362367 [PubMed - indexed for MEDLINE] Free Article

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Prospective assessment of primary rectal cancer response to preoperative radiation and chemotherapy using 18-fluorodeoxyglucose positron emission tomography.

Guillem JG, Puig-La Calle J Jr, Akhurst T, Tickoo S, Ruo L, Minsky BD, Gollub MJ, Klimstra DS, Mazumdar M, Paty PB, Macapinlac H, Yeung H, Saltz L, Finn RD, Erdi Y, Humm J, Cohen AM, Larson S.

Dis Colon Rectum. 2000 Jan;43(1):18-24.

PMID: 10813118 [PubMed - indexed for MEDLINE]

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Jhaveri KS, Hosseini-Nik H. MRI of Rectal Cancer: An Overview and Update on Recent Advances. AJR Am J Roentgenol. 2015 Jul;205(1):W42-55 



Jhaveri KS, Hosseini-Nik H, Thipphavong S, Assarzadegan N, Menezes RJ, Kennedy ED, Kirsch R. MRI Detection of Extramural Venous Invasion in Rectal Cancer:

Correlation With Histopathology Using Elastin Stain. AJR Am J Roentgenol. 2016 Apr;206(4):747-55.



Tarulli E, Thipphavong S, Jhaveri K. A structured approach to reporting rectal cancer with magnetic resonance imaging. Abdom Imaging. 2015 Oct;40(8):3002-11.



Snelgrove RC, Subendran J, Jhaveri K, Thipphavong S, Cummings B, Brierley J, Kirsch R, Kennedy ED. Effect of Multidisciplinary Cancer Conference on Treatment Plan for Patients With Primary Rectal Cancer. Dis Colon Rectum. 2015 Jul;58(7):653-8.



 25. D. S. Keller1, R. Paspulati, A. Kjellmo4, K. M. Rokseth4, B. Bankwitz3, A. Wibe5 and

 C. P. Delaney1 MRI-defined height of rectal tumours, BJS 2014; 101: 127–132




Paspulati, Raj M ; Partovi, Sasan; Herrmann, Karin A; Krishnamurthi, Smitha; Conor, Delaney P; Nguyen, Nghi CComparison of hybrid FDG PET/MRI compared with PET/CT in colorectal cancer staging and restaging: A pilot study” Abdom Imaging. 2015 Aug;40(6):1415-25.




Paspulati RM1, Gupta A2. PET/MR Imaging in Cancers of the Gastrointestinal Tract. PET Clin. 2016 Oct;11(4):403-23. doi: 10.1016/j.cpet.2016.05.004. Epub 2016 Jul 21.



Chandana Lall
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