Body MRI

Rectal Cancer Staging: From Intro to Expert

Sample case from Rectal MRI
19DICOM Cases
1+ hrVideo
4CME Credits

No credit card required.

What we say about a rectal MRI helps determine a patient's prognosis and dictates whether they go directly to surgery or get neoadjuvant therapy first. That's a significant responsibility — and it requires a rigorous, systematic approach.

This course focuses on mastering rectal cancer staging and restaging. We've hand-picked 19 cases to efficiently teach you the most important pearls, without requiring you to review hundreds of examples. You treat the platform like a worklist, commit to findings on a real PACS viewer, and let the AI Attending guide your thinking.

Nineteen cases. High yield. From introductory principles to the cases that separate a good read from a great one.

Who This Course Is For

R4–R5 residents. Body imaging fellows. Staff radiologists who want to be more confident with rectal MRI staging. Any radiologist who wants to stop second-guessing T-stage and MRF involvement.

Pathologies include:

Get a taste for some of the pathologies covered in this course.

Primary Staging

  • Including T1/T2 disease, T3 extramural extension, and T4 organ invasion

Prognostic Factors

  • Including mesorectal fascia involvement, EMVI, and tumour deposits

Restaging & Rare Entities

  • Including post-treatment fibrosis vs. residual tumour, and TRG scoring

What You'll Learn

  1. 1Accurately assign a T-stage to rectal cancers using high-resolution oblique axial T2-weighted images.
  2. 2Identify key prognostic factors including mesorectal fascia (MRF) involvement and extramural vascular invasion (EMVI).
  3. 3Differentiate post-treatment fibrosis from residual viable tumour when restaging rectal cancer after neoadjuvant therapy.

"It was like a teacher telling me: these are the important points, the rest you can forget. These are the things you should be looking at to keep a diagnosis or give a differential. It gave me direction."

Nikahat Yasmine, Radiology Fellow (Year 3), University of Iowa

Frequently Asked Questions

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Pinnacle and Joint Accreditation logos

In support of improving patient care, this activity has been planned and implemented by Navigating Radiology. Pinnacle Conference, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.