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Application of Amide Proton Transfer-weighted Imaging in Predicting Pathological Complete Response After Neoadjuvant Therapy of Rectal Cancer

Application of Amide Proton Transfer-weighted Imaging in Predicting Pathological Complete Response After Neoadjuvant Therapy of Rectal Cancer

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Overview

The goal of this observational study is to learn about the amide proton transfer-weighted imaging for rectal cancer response assessment after neoadjuvant therapy. The main question it aims to answer is:

• Does amide proton transfer-weighted imaging predict the cancer response before surgery? Participants will underwent amide proton transfer-weighted imaging as part of their regular MRI examination.

Eligibility

Inclusion Criteria:

  • Locally advanced rectal cancer(cT3-4, or cN+), resectable, histologically confirmed rectal adenocarcinoma
  • Received neoadjuvant therapy before surgery
  • Complete radical resection of rectal cancer and postoperative pathological examination
  • Informed consent and signed the informed consent form

Exclusion Criteria:

  • Poor image quality, such as severe artifacts
  • Complicated with intestinal obstruction, intestinal perforation and other cases requiring surgical treatment
  • The interval between preoperative MRI and surgery was more than 2 weeks
  • Prior treatment for rectal cancer
  • History of other malignant tumors
  • Patients who cannot undergo MRI examination due to contraindications or relative contraindications
  • Patients were lost to follow-up or voluntarily withdrew from the study due to adverse reactions or other reasons

Study details
    Rectal Cancer

NCT06719414

Sixth Affiliated Hospital, Sun Yat-sen University

8 September 2025

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