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BMJ 2006;333 (14 October), doi:10.1136/bmj.333.7572.0-a
Preoperative high resolution magnetic resonance imaging can accurately predict the chances of achieving a surgically clear resection margin after rectal cancer surgery. The MERCURY Study Group (p 779) looked at preoperative imaging and pathohistology at the margins of surgical specimens from 408 patients with various stages of rectal cancer. Of the patients in whom imaging predicted that clear resection margins were achievable, 94% had a clear margin on histology. The authors conclude that this technique could be reproduced in multiple centres and could help avoid unnecessary preoperative treatment.
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