[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-169231-en":3,"doc-seo-169231-105":30,"detail-sidebar-cat-1-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":29},169231,962084931830,"Jacob","https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd",1,21,"Paper Templates","SAR Primary Rectal Cancer Staging Template - v.2021 - For Biopsy-Proven Adenocarcinoma","SAR primary rectal cancer staging template (v.2021) for biopsy-proven rectal adenocarcinoma, structured for comprehensive MRI reporting. It captures primary tumor morphology and location relative to the anal verge and sphincter complex, including craniocaudal extent and positional descriptors. The template provides detailed MR-T categorization guidance, low rectal sphincter invasion assessment, EMVI evaluation, and mesorectal fascia (MRF) risk stratification for T3 disease. It also records tumor deposits and lymph node status using size and morphologic criteria, ending with an MRI stage and impression summary.","SAR Primary Rectal Cancer Staging Template - v.2021\n(To be used only for biopsy-proven adenocarcinoma of the rectum)\nCLINICAL INFORMATION: [Free text]\nTECHNIQUE: [Free text]\nCOMPARISON: []\nPRIMARY TUMOR: MORPHOLOGY, LOCATION, AND CHARACTERISTICS:\nDistance to the anal verge: [] cm\nDistance to the top of sphincter complex/anorectal junction: [] cm Relationship to anterior peritoneal reflection:\n☐ Above ☐ Straddles ☐ Below\nCraniocaudal length: [] cm\nTumor location: ☐ Upper (10-15 cm) ☐ Mid (5-10 cm) ☐ Lower (0-5 cm)\n[Free text: use descriptors such as “anterior”, “posterior”, “left lateral”, right lateral”, or clock face depending on institutional preference]\nMorphology: ☐ Polypoid ☐ Annular ☐ Partly annular\nMucinous composition: ☐ No mucin ☐ Some mucin ☐ Mostly mucin\nMR-T CATEGORY1:\nTx (tumor not seen, post transanal excision/polypectomy)\nT1/2 (tumor confined to rectal wall)\nT3a (tumor penetrates \u003C 1 mm beyond muscularis propria)\nT3b (tumor penetrates 1- 5 mm beyond muscularis propria)\nT3c (tumor penetrates >5-15 mm beyond muscularis propria)\nT3d (tumor penetrates > 15 mm beyond muscularis propria)\n☐T4a (visible tumor signal thickening and/or nodularity of the anterior peritoneal reflection – may also apply to tumor signal extending laterally along peritoneal reflection)\nT4b* (tumor invades or adherent to adjacent organs or structures)\n* For T4b, structures with possible invasion include: [free text]\n1 T2 vs. early T3 category has been removed from the template based on group discussion.  This is considered an inherent limitation of the modality with limited accuracy, therefore the group has decided to not use this category in the report.  However, in challenging cases, the interpreting radiologist can discuss the T-stage in the multidisciplinary setting, in which case other factors may be used to reach a final decision on patient management.\nFOR LOW RECTAL TUMORS - Invasion of anal sphincter complex:\nAbsent\nInvades internal sphincter (IS) only\nInvades IS and extends into intersphincteric space (ISS)\nInvades IS + ISS + extends into or through external sphincter (describe involved structures  below)\nArea of involvement, if present:\n☐ Upper anal canal\n☐ Mid anal canal\n☐ Distal anal canal\nDescription of external sphincter involvement: []\nEMVI: ☐No ☐Yes\nLocation of EMVI (indicate series and image number): []\nMESORECTAL FASCIA (MRF) (FOR T3 TUMORS ONLY)\nShortest distance of tumor to MRF: [ ] mm (location), [image and series number]\nN/A: (tumor at peritonealized portion of the rectum)\nIs there a separate tumor deposit, LN or EMVI threatening (≥ 1mm and ≤2 mm) or invading (\u003C 1 mm) the MRF?\n☐ No ☐ Yes (if yes, note location)\nTUMOR DEPOSITS2:\n☐ None identified\n☐ Yes, series and image number: []\nFree text: [Describe number and location of tumor deposits]\n2 Note: This de novo section has been added because recent literature indicates that tumor deposits (TD) have a distinct appearance relative to lymph nodes and are defined as the following: “nodules of tumor within the mesorectum which appear to directly interrupt their course when seen on two orthogonal views”.       TD and LN have unique prognostic features (TD likely worse than LN), hence the separation into two distinct categories. Please see updated SAR User’s Guide for additional details.\nLYMPH NODES:\nMesorectal/superior rectal lymph nodes and/or tumor deposits:\n☐ N0 (no visible lymph nodes/deposits)\nN+ (short axis ≥ 9 mm)\nN+ (short axis 5 - 8.9 mm AND at least 2 suspicious morphologic criteria*)\nN+ (short axis \u003C5 mm AND all 3 suspicious morphologic criteria*)\nNx (indeterminate, all other cases)\n*Suspicious morphologic criteria: (1) round shape, (2) irregular borders, (3) heterogeneous signal intensity\nSuspicious extra mesorectal lymph nodes:\nNo\nYes (if yes, indicate short axis diameter and select location from list below:)\nShort axis diameter: []\nSeries and image number: []\nSelect lymph node location or indicate N/A:\nLocoregional:\u000b☐ N/A\n[Right/left] internal iliac, [] mm [Right/lef","cbCaigW2JTOW9wcP","https://ap.wps.com/l/cbCaigW2JTOW9wcP","docx",28160,4,"English","en",105,"# PRIMARY TUMOR: MORPHOLOGY, LOCATION, AND CHARACTERISTICS\n## Distance and location parameters\n## Morphology and mucinous composition\n## MR-T category guidance\n## Low rectal tumors: anal sphincter complex invasion\n## EMVI assessment\n## MRF assessment (T3 only)\n## Tumor deposits\n## Lymph nodes\n## Impression","[{\"question\":\"What kind of rectal cancer cases is this template intended for?\",\"answer\":\"Use it only for biopsy-proven adenocarcinoma of the rectum.\"},{\"question\":\"How is the tumor T category determined in this template?\",\"answer\":\"The template maps imaging findings to MR-T categories ranging from Tx/T1–T3 subtypes to T4a and T4b, based on penetration and involvement of the anterior peritoneal reflection or adjacent organs/structures.\"},{\"question\":\"What parameters are required for EMVI and MRF reporting?\",\"answer\":\"EMVI is recorded as No/Yes with location (series and image number). For MRF, the template requires the shortest tumor distance to MRF (including image and series) for T3 tumors, plus whether there is a separate threatening or invading tumor deposit/LN/EMVI within specified millimeter thresholds.\"}]","SAR Primary Rectal Cancer Staging Template - v.2021 - For Biopsy-Proven Adenocarcinoma | DOCX",1788248809,2,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":14,"keywords":34,"description":15,"schema_data":35,"social_meta":85,"head_meta":87,"extra_data":89,"updated_unix":28},"sar-primary-rectal-cancer-staging-template-v2021-for-biopsy-proven-adenocarcinoma","",{"@graph":36,"@context":84},[37,52,67],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,47,50],{"item":41,"name":42,"@type":43,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":29},"https://docshare.wps.com/template/","Template",{"item":48,"name":13,"@type":43,"position":49},"https://docshare.wps.com/template/paper-templates/",3,{"item":51,"name":14,"@type":43,"position":21},"https://docshare.wps.com/template/sar-primary-rectal-cancer-staging-template-v2021-for-biopsy-proven-adenocarcinoma/169231/",{"url":51,"name":14,"@type":53,"author":54,"headline":14,"publisher":56,"fileFormat":59,"inLanguage":23,"description":15,"dateModified":60,"datePublished":61,"encodingFormat":59,"isAccessibleForFree":62,"interactionStatistic":63},"DigitalDocument",{"name":9,"@type":55},"Person",{"url":41,"name":57,"@type":58},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-09-04","2026-09-01",true,{"@type":64,"interactionType":65,"userInteractionCount":11},"InteractionCounter",{"@type":66},"ViewAction",{"@type":68,"mainEntity":69},"FAQPage",[70,76,80],{"name":71,"@type":72,"acceptedAnswer":73},"What kind of rectal cancer cases is this template intended for?","Question",{"text":74,"@type":75},"Use it only for biopsy-proven adenocarcinoma of the rectum.","Answer",{"name":77,"@type":72,"acceptedAnswer":78},"How is the tumor T category determined in this template?",{"text":79,"@type":75},"The template maps imaging findings to MR-T categories ranging from Tx/T1–T3 subtypes to T4a and T4b, based on penetration and involvement of the anterior peritoneal reflection or adjacent organs/structures.",{"name":81,"@type":72,"acceptedAnswer":82},"What parameters are required for EMVI and MRF reporting?",{"text":83,"@type":75},"EMVI is recorded as No/Yes with location (series and image number). For MRF, the template requires the shortest tumor distance to MRF (including image and series) for T3 tumors, plus whether there is a separate threatening or invading tumor deposit/LN/EMVI within specified millimeter thresholds.","https://schema.org",{"og:url":51,"og:type":86,"og:title":14,"og:site_name":57,"og:description":15},"article",{"robots":88,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":91},[92,97,102,107,112,117,122,127,130],{"id":93,"doc_module":11,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},11,"Presentations",90,"presentations",{"id":98,"doc_module":11,"doc_module_name":46,"category_name":99,"show_sort_weight":100,"slug":101},12,"Resumes",80,"resumes",{"id":103,"doc_module":11,"doc_module_name":46,"category_name":104,"show_sort_weight":105,"slug":106},14,"Invoices",70,"invoices",{"id":108,"doc_module":11,"doc_module_name":46,"category_name":109,"show_sort_weight":110,"slug":111},15,"Posters",60,"posters",{"id":113,"doc_module":11,"doc_module_name":46,"category_name":114,"show_sort_weight":115,"slug":116},16,"Social Media",50,"social-media",{"id":118,"doc_module":11,"doc_module_name":46,"category_name":119,"show_sort_weight":120,"slug":121},17,"Forms",40,"forms",{"id":123,"doc_module":11,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},18,"Letters",30,"letters",{"id":12,"doc_module":11,"doc_module_name":46,"category_name":13,"show_sort_weight":128,"slug":129},5,"papers-templates",{"id":131,"doc_module":11,"doc_module_name":46,"category_name":132,"show_sort_weight":4,"slug":133},158,"General","general-158"]