Guideline decision tool · Radiology
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Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N) — free guideline decision tool

Point-and-click ESGAR elements to generate a rectal cancer MRI report block (T incl. T3a–d, MRF, EMVI, N, lateral nodes, sphincter) with high-risk features. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Lower edge from anal verge6 cm
Tumor length4 cm
Circumferential extent1/4–1/2
T stageT3 (beyond muscularis; a–d by depth)
T3 extramural depth (beyond muscularis)4 mm
Closest distance of tumor / node / deposit to MRF3 mm
EMVINegative
Suspicious mesorectal nodes (incl. tumor deposits)2 nodes
Lateral pelvic nodesNone suspicious
Mucinous contentNone / <50%
Sphincter involvement (low tumors)Internal sphincter

→MRI stagemT3bN1

  • Report block:Mid rectal cancer, lower edge 6 cm from the anal verge, length 4 cm, involving 1/4–1/2 of the circumference. Tumor extends beyond the muscularis propria by 4 mm (mT3b). Closest distance to the mesorectal fascia 3 mm, MRF clear. EMVI negative. 2 suspicious mesorectal node(s)/deposit(s) (mN1); no suspicious lateral pelvic nodes. Tumor involves the internal sphincter.
  • High-risk features:None (MRF−, EMVI−, ≤T3b, N0–1, lateral−)
  • Node criteria (ESGAR):Short axis ≥9 mm; 5–8 mm with ≥2 morphologic criteria; <5 mm with all 3 (round, irregular border, heterogeneous signal); mucinous nodes suspicious at any size.
Lower edge from anal verge6 cm
Tumor length4 cm
Circumferential extent≤ 1/4
T stageT1–2 (confined to wall)
T3 extramural depth (beyond muscularis)4 mm
Closest distance of tumor / node / deposit to MRF3 mm
EMVINegative
Suspicious mesorectal nodes (incl. tumor deposits)2 nodes
Lateral pelvic nodesNone suspicious
Mucinous contentNone / <50%
Sphincter involvement (low tumors)N/A / not involved

→MRI stagemT1–2N1

  • Report block:Mid rectal cancer, lower edge 6 cm from the anal verge, length 4 cm, involving ≤ 1/4 of the circumference. Tumor confined to the bowel wall (mT1–2). Closest distance to the mesorectal fascia 3 mm, MRF clear. EMVI negative. 2 suspicious mesorectal node(s)/deposit(s) (mN1); no suspicious lateral pelvic nodes.
  • High-risk features:None (MRF−, EMVI−, ≤T3b, N0–1, lateral−)
  • Node criteria (ESGAR):Short axis ≥9 mm; 5–8 mm with ≥2 morphologic criteria; <5 mm with all 3 (round, irregular border, heterogeneous signal); mucinous nodes suspicious at any size.

Common questions

What is Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N)?

Point-and-click ESGAR elements to generate a rectal cancer MRI report block (T incl. T3a–d, MRF, EMVI, N, lateral nodes, sphincter) with high-risk features. Instant, browser-side.

How is Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N) calculated? What is the core formula?

T3a <1 mm, T3b 1–5 mm, T3c 5–15 mm, T3d >15 mm; MRF involved ≤1 mm; N1 = 1–3, N2 ≥4.

When is Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N) used?

Primary staging rectal MRI reports and MDT preparation.

What are the key clinical points for Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N)?

T3 a–d by extramural depth. MRF ≤1 mm = involved. Report EMVI separately. Report lateral nodes separately.

What are the limits and cautions when using Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N) upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N) calculated in practice? Can you show a worked example?

Inputs: Lower edge from anal verge 6 cm, Tumor length 4 cm, Circumferential extent 1/4–1/2, T stage T3 (beyond muscularis; a–d by depth), T3 extramural depth (beyond muscularis) 4 mm, Closest distance of tumor / node / deposit to MRF 3 mm, EMVI Negative, Suspicious mesorectal nodes (incl. tumor deposits) 2 nodes… → Result: MRI stage mT3bN1(Report block: Mid rectal cancer, lower edge 6 cm from the anal verge, length 4 cm, involving 1/4–1/2 of the circumference. Tumor extends beyond the muscularis propria by 4 mm (mT3b). Closest distance to the mesorectal fascia 3 mm, MRF clear. EMVI negative. 2 suspicious mesorectal node(s)/deposit(s) (mN1); no suspicious lateral pelvic nodes. Tumor involves the internal sphincter., High-risk features: None (MRF−, EMVI−, ≤T3b, N0–1, lateral−), Node criteria (ESGAR): Short axis ≥9 mm; 5–8 mm with ≥2 morphologic criteria; <5 mm with all 3 (round, irregular border, heterogeneous signal); mucinous nodes suspicious at any size.) Inputs: Lower edge from anal verge 6 cm, Tumor length 4 cm, Circumferential extent ≤ 1/4, T stage T1–2 (confined to wall), T3 extramural depth (beyond muscularis) 4 mm, Closest distance of tumor / node / deposit to MRF 3 mm, EMVI Negative, Suspicious mesorectal nodes (incl. tumor deposits) 2 nodes… → Result: MRI stage mT1–2N1(Report block: Mid rectal cancer, lower edge 6 cm from the anal verge, length 4 cm, involving ≤ 1/4 of the circumference. Tumor confined to the bowel wall (mT1–2). Closest distance to the mesorectal fascia 3 mm, MRF clear. EMVI negative. 2 suspicious mesorectal node(s)/deposit(s) (mN1); no suspicious lateral pelvic nodes., High-risk features: None (MRF−, EMVI−, ≤T3b, N0–1, lateral−), Node criteria (ESGAR): Short axis ≥9 mm; 5–8 mm with ≥2 morphologic criteria; <5 mm with all 3 (round, irregular border, heterogeneous signal); mucinous nodes suspicious at any size.)

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Run Rectal Cancer MRI Structured Report (T stage / MRF / EMVI / N) now

Point-and-click ESGAR elements to generate a rectal cancer MRI report block (T incl. T3a–d, MRF, EMVI, N, lateral nodes, sphincter) with high-risk features. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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