August 7, 2026 · Abdominal radiology (New York) · DOI: 10.1007/s00261-026-05722-8

Local recurrence in rectal cancer: from detection to structured reporting

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The authors investigate the challenges and advancements in detecting local recurrence of rectal cancer following total mesorectal excision and neoadjuvant therapy, which affects a significant percentage of patients. They emphasize the importance of early recognition through multimodal imaging techniques, particularly MRI, to differentiate between viable tumors and postoperative changes, and discuss the role of structured reporting and emerging technologies in improving patient management. The review aims to provide a comprehensive overview of recurrence patterns and optimal imaging strategies to enhance surgical planning and outcomes.

Mohamed A Hamza, Valesca Bizinoto, Renata Vidal Leão, Ahmed Omar El Sadane Rabie, Shannon P Sheedy, Rodrigo Sanford, Mike L Wells, Yashant Aswani, Patrick J Navin, Bernardo Salvajoli, Cameron M Callaghan, Carlos Frederico Sparapan Marques, Eric J Dozois, Joel G Fletcher, Natally Horvat

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