ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2019-10-2-102-107ldt-420Research ArticleСТАНДАРТЫ ОКАЗАНИЯ МЕДИЦИНСКОЙ ПОМОЩИSTANDARTS OF MEDICAL CAREСОВРЕМЕННЫЙ МЕТОДИЧЕСКИЙ ПОДХОД К ПРОВЕДЕНИЮ МРТ ПРИ РАКЕ ПРЯМОЙ КИШКИMODERN METHODIC APPROACH FOR MRI STUDY OF RECTAL CANCERГришкоП. Ю.GrishkoP. Yu.

Гришко Павел Юрьевич — врач-рентгенолог отделения лучевой диагностики

197758, Санкт-Петербург, п. Песочный, Ленинградская ул., д. 68

dr.grishko@mail.ruМищенкоА. В.MishchenkoA. V.

Мищенко Андрей Владимирович — доктор медицинских наук, заведующий научным отделением диагностической и интервенционной радиологии ФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Петрова» МЗ РФ;

197758, СанктПетербург, п. Песочный, Ленинградская ул., д. 68;

профессор научно-клинического и образовательного центра «Лучевая диагностика и ядерная медицина» ФГБОУ ВО «Санкт-Петербургский государственный университет»;

199034, Санкт-Петербург, Университетская набережная, д. 7–9

St. Petersburg

dr.mishchenko@mail.ruГринфельдЮ. А.GrinfeldY. A.

Гринфельд Юлия Александровна — оператор магнитно-резонансного томографа отделения лучевой диагностики

197758, Санкт-Петербург, п. Песочный, Ленинградская ул., д. 68

St. Petersburg

juliasik.05@mail.ruСамсоновД. В.SamsonovD. V.

Самсонов Денис Владимирович — кандидат медицинских наук, врач-онколог хирургического отделения абдоминальной онкологии

197758, п. Песочный, Ленинградская ул., д. 68

St. Petersburg

desavl@mail.ruКарачунА. М.KarachunA. M.

Карачун Алексей Михайлович — доктор медицинских наук, заведующий хирургическим отделением абдоминальной онкологии, ведущий научный сотрудник научного отделения опухолей желудочно-кишечного тракта

197758, Санкт-Петербург, п. Песочный, Ленинградская ул., д. 68

St. Petersburg

dr.a.Karachun@gmail.comНациональный медицинский исследовательский центр онкологии им. Н. Н. ПетроваРоссияNational Medical Research Center of Oncology named after N. N. PetrovRussian Federation20190408201902102107Copyright © Гришко П.Ю., Мищенко А.В., Гринфельд Ю.А., Самсонов Д.В., Карачун А.М., 20192019Гришко П.Ю., Мищенко А.В., Гринфельд Ю.А., Самсонов Д.В., Карачун А.М.Grishko P.Y., Mishchenko A.V., Grinfeld Y.A., Samsonov D.V., Karachun A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/420

Статья посвящена разбору правильной методики проведения МР-исследования пациентам с раком прямой кишки (РПК). Рассматриваются технические аспекты сканирования, преимущества и недостатки различных используемых последовательностей и методик, особенности подготовки и укладки, а также их обоснование. Соблюдение правильной методики позволяет добиться получения качественных изображений, обладающих хорошей информативностью, тем самым давая возможность c высокой точностью оценить степень распространенности процесса, инвазии соседних органов и структур.

This article reviews the correct methodology of MRI in patients with rectal cancer (RC). The technical aspects of scanning, the advantages and disadvantages of the various sequences and methods used, the particularities of preparation and positioning, and their rationale are considered. Compliance with the correct methodology allows to obtain high-quality and high-informative images, thereby allowing to assess the extent of the process, the invasion of adjacent organs and structures with high accuracy.

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The authors declare that there are no conflicts of interest present.