
โI do enjoy these meetings which are extremely informative and what I find most stimulating is the focus on future research.ย You are to be congratulated for organising these meetings and I am delighted to take partโ
โWhat a crew! This sounds GREAT!

โI really enjoyed the discussions and the whole format of the dayโ
โIt was the most exciting and thought-provoking meeting that I have ever attendedโ
โThanks for allowing me to attend the Symposium on rectal cancer, which was really outstanding in underscoring the many needs we have in this field. I enjoyed it very muchโ
โSounds fantasticโ
โInspiring talks and very interesting discussions, great meetingโ
โThank you for such an outstanding meeting.. One of the best – a very inspiring day!โ
โI know how good these meetings areโ
โThank you for the symposium yesterday.ย I returned on the train last night with renewed enthusiasm and a desire to try and improve our service.โ
โI am sure that it will be as entertaining and thought provoking as everโ
Clinical Trials
Our clinical trials are now sponsored by Imperial College London
Please click on the name of any of our trialsโbelow to find out more
Please click on the eligibility diagram to see how patients can be co-enrolled into our trials
TRIGGER โ a randomised trial looking at watch and wait for patients identified using mrTRG. The trial is a non-CTIMP therefore the preoperative treatment offered is according to local practice and not determined by the trial protocol (e.g. CRT, TNT)
COMET โ a study evaluating tumour deposits vs lymph nodes in patients undergoing surgery to determine the relative importance of tumour deposits vs lymph nodes in predicting prognosis.
SERENADE โ a study looking at earlier detection of liver metastases in patients with EMVI or tumour deposits using liver MRI.
IMPRESS โ a randomised trial testing MRI staging for pelvic sigmoid cancer compared with CT to improve surgical outcomes.
Beyond TME Origins โ a study evaluating the cause and treatment of pelvic recurrence following initial treatment of primary colon and rectal cancer in the pelvis.
ctDNA โ a study to determine the relationship between ctDNA and EMVI/tumour deposits in patients undergoing primary colon or rectal cancer surgery
EVIDENCE โ a tissue study evaluating whether distant metastases in colorectal cancer are related to EMVI and tumour deposits, not lymph nodes
DRIVEN – a retrospective analysis of pre-operative prognostic biomarkers in resected right compared with left colon cancer, and the influence of operative approach on survival
PRESERVE – a study to determine if we can successfully introduce accurate MRI staging of early rectal cancer into MDTs in 20 NHS Trusts
MERCURY 3 – a study to determine that a different staging system of mrTDV will improve the care and survival rates of patients with rectal cancer compared with the current practice of using TNM.
TRIALS CLOSED TO RECRUITMENT
Workshops
Open to recruitment
Please click on the trial you wish to know more about
Presentations
Beyond TME – why the need for pelvic exenteration
CT colon staging and importance of proforma reporting
Detection and description of peritoneal metastases by CT
Developments in Colorectal Cancer
Management of Advanced Rectal Cancer
MRI detection of EMVI in rectal cancer
MRI standards for Rectal Cancer Staging
MRI Techniques for Rectal Cancer
Peritoneal spread risk in gastric, pancreatic and colon cancers
Cart

Co-Chairs

Prof Gina Brown was awarded her Chair in Gastrointestinal Imaging at Imperial College London in 2015 and is also Consultant Radiologist for Imperial College NHS Foundation Trust.
Her research in colorectal cancer staging has set the national and global benchmarks for imaging assessment of colon and rectal cancer patients before and during treatment. These improved staging methods have resulted MRI based strategies being incorporated into several guidelines such as peer review measures, UK NICE and guidelines.
Mr Arnold Goede has been a Consultant Surgeon in Buckinghamshire Healthcare NHS Trust since 2011.โHis expertise includes advanced endoscopic procedures such as colonoscopy and polypectomy
Recently he has started Robotic Surgery in the NHS for patients with bowel and rectal cancer undergoing major surgery, and also Transanal Minimally Invasive Surgery using the TAMIS platform, to remove large benign polyps or early rectal cancers in selected patients.

Invited Guest Faculty

Prof James East is one of Europe’s leading colonoscopists. He works as a Consultant Gastroenterologist and Endoscopist, and is an Associate Professor, based at the Translational Gastroenterology Unit, John Radcliffe Hospital, University of Oxford and Mayo Clinic Healthcare London
For the last decade he has been the Clinical Lead for Endoscopy at the John Radcliffe and Director of Bowel Cancer Screening Oxfordshire
Prof Iris Nagtegaal is Professor of Gastrointestinal Pathology since 2013 and theme leader of the research theme: Tumours of the digestive tract. She is gastrointestinal pathologist in the Radboudumc and expert pathologist of the National Bowel Cancer Screening Program.
Her main research interest focuses on personalized pathology of colorectal cancer: improving patients prognosis by providing evidence based diagnosis and basis for treatment.


Mr Roel Hompes is an honorary fellow of the American Society of Colon and Rectal Surgeons (ASCRS). He specializes in minimally invasive surgery (laparoscopy and TAMIS), and the management of colorectal cancer.
He has a strong interest in the management of early rectal cancer and transanal approaches for rectal cancer. The lower GI departement of the AUMC is one of the leading centres world wide in this field.
Mr Stephen Boyce trained in Edinburgh, and undertook specialist minimally-invasive colorectal surgery Fellowships in Sydney and Brisbane.
His predominant interest is in minimally-invasive techniques for treating patients with rectal cancer, including robotic surgery.
He is a Regional Surgical Advisor for the RCSEd.


Mr Francesco Di Fabio is involved in the management of patients with rectal cancer and he runs a dedicated Rectal Cancer Clinic. His clinical expertise also includes management of patients with significant colorectal polyps.
In 2018 he set up a dedicated Significant Polyp and Early Colorectal Cancer (SPECC) Multidisciplinary Team Meeting to support clinicians and patients in the decision-making process.
Mr Amyn Haji was appointed as a Consultant in Colorectal and Laparoscopic Surgery at Kingโs College Hospital in 2011
His research and clinical interests are in utilization of high frequency colonoscopy ultrasound in the staging of colorectal polyps and cancer. He has developed a practice of endoscopic mucosal resection and endoscopic submucosal dissection in the treatment of colorectal polyps. He uses advanced endoscopic techniques and is an expert in interventional endoscopy.


Dr Adriana Martinez trained in Medicine at โUniversidad CESโ in Medellin, Colombia and pursued her postgraduate training in the United Kingdom.
She has been a Consultant Gastro-intestinal Pathologist and Dermatopathologist at Northwick Park and St Mark’s Hospitals since 2007.โShe is the Clinical Lead for Histopathology.
Dr Kevin Monahan is Consultant Gastroenterologist at the Family Cancer Clinic & the Wolfson Unit for Endoscopy and Co Director of The St Markโs Centre for Familial Intestinal Cancer
He undertook his PhD at Cancer Research UK and St Markโs Hospital, and has an interest in prevention and early detection of cancer, particularly in the field of endoscopy, colorectal, pancreatic and other gastrointestinal cancers.


Dr Noriko Suzuki has been a member of the staff at St Marks since 1998 and an honorary consultant specialist endoscopist since 2004.
She trained in medicine at Osaka City University and completed specialist training in Japan. Her interests include the prevention, diagnosis and management of intestinal diseases utilising endoscopy. She has a particular interest in complex therapeutic endoscopy such as endoscopic submucosal dissection.
Rachel is a Registrar in General and Colorectal Surgery in Wessex Deanery, and is currently undertaking a Clinical Research Fellowship at Buckinghamshire Healthcare NHS Trust with Prof Gina Brown at Imperial College London.
She has research and clinical interests in the management of Early Rectal Cancer and is the PRESERVE Trial Research Fellow.

Checkout
Publications
2025
Kuzu, M. A., Benlice, C., Parvaiz, A., Gorgun, E., Bertelsen, C. A., Wexner, S., Brown, G. . . Bordeianou, L. G. (n.d.). Standardizing the Definition of Each Colon Cancer Segment: Delphi Consensus on Clinical Decision-Making for Oncologic Outcomes. Diseases of the Colon & Rectum. doi:10.1097/dcr.0000000000003739
Wale, A., Harris, H., & Brown, G. (2025). Diagnostic Certainty in Characterizing Liver Lesions in Rectal Cancer: Abbreviated Liver MRI versus CT. Annals of Surgical Oncology, 32(4), 2435-2445. doi:10.1245/s10434-024-16468-2
Wale, A., Harris, H., & Brown, G. (n.d.). ASO Visual Abstract: Diagnostic Certainty in Characterizing Liver Lesions in Rectal Cancer: Abbreviated Liver MRI Versus CT. ANNALS OF SURGICAL ONCOLOGY, 2 pages. doi:10.1245/s10434-024-16601-1
Wale, A., & Brown, G. (2025). ASO Author Reflections: Diagnostic Certainty in Characterizing Liver Lesions in Rectal Cancer: Abbreviated Liver MRI Versus CT. Annals of Surgical Oncology, 32(4), 2481-2482. doi:10.1245/s10434-024-16605-x
Bregni, G., Adams, R., Bale, R., Bali, M. A., Bargellini, I., Blomqvist, L., Brown, G. . . Sclafani, F. (2025). EORTC consensus recommendations on the optimal management of colorectal cancer liver metastases. Cancer Treatment Reviews, 136, 102926. doi:10.1016/j.ctrv.2025.102926
Oguz Erdogan, A. S., Brouwer, N. P. M., Angerilli, V., Rutgers, N., Brown, G., Simmer, F., & Nagtegaal, I. D. (2025). The number of potential gateways determines prognostic value of tumour deposits in colon cancer. Pathology. doi:10.1016/j.pathol.2024.12.635
Wale, A., Bernier, L., Tait, D., Rao, S., & Brown, G. (2025). Simple imaging biomarker predicts survival in anal squamous cell cancer treated with curative intent: a UK cohort study. Clinical Radiology, 80, 106718. doi:10.1016/j.crad.2024.10.001
Nougaret, S., Gormly, K., Lambregts, D. M. J., Reinhold, C., Goh, V., Korngold, E., . . . Brown, G. (2025). MRI of the Rectum: A Decade into DISTANCE, Moving toย DISTANCED. Radiology, 314(1). doi:10.1148/radiol.232838
Brown, G., Camilleri, G., & Lal, N. (2025). Lymph node imaging in colorectal cancer. In Colorectal Imaging (pp. 201-224). Elsevier. doi:10.1016/b978-0-443-29048-0.00011-2
2024
Brouwer, N. P. M., Oguz Erdogan, A. S., van Vliet, S., Rutgers, N., Knijn, N., van Lijnschoten, G., Brown, G. . . Nagtegaal, I. D. (2024). Unraveling the routes to distant metastases in colorectal cancer: tumor deposits and lymph node metastases as the gateway. Cancer Communications, 44(10), 1209-1213. doi:10.1002/cac2.12598
Rokan, Z., Wale, A., Day, N., Kontovounisios, C., Moran, B., & Brown, G. (2024). Pelvic exenteration for locally advanced rectal cancer and associated outcomes in England between 1995 and 2016: Analysis of a national database. COLORECTAL DISEASE, 26(10), 1805-1814. doi:10.1111/codi.17137
Scott, A. J., Kennedy, E. B., Berlin, J., Brown, G., Chalabi, M., Cho, M. T., . . . Gholami, S. (2024). Management of Locally Advanced Rectal Cancer: ASCO Guideline. JOURNAL OF CLINICAL ONCOLOGY, 42(28), 24 pages. doi:10.1200/JCO.24.01160
Fadel, M. G., Ahmed, M., Shaw, A., Fehervari, M., Kontovounisios, C., & Brown, G. (2024). Oncological outcomes of local excision versus radical surgery for early rectal cancer in the context of staging and surveillance: a systematic review and meta-analysis. Cancer Treatment Reviews, 128. doi:10.1016/j.ctrv.2024.102753
2023
Hak, C. C. W., Balyasnikova, S., Withey, S., Tait, D., Brown, G., & Chong, I. (2023). Radiological Biomarkers in MRI directed Rectal Cancer Radiotherapy Volume Delineation. CANCERS, 15(21), 12 pages. doi:10.3390/cancers15215176
Hodges, N., Battersby, N., Rao, S., & Brown, G. (n.d.). Relationship Between Baseline Rectal Tumor Length and Magnetic Resonance Tumor Regression Grade Response to Chemoradiotherapy: A Subanalysis of the TRIGGER Feasibility Study. ANNALS OF SURGICAL ONCOLOGY, 7 pages. doi:10.1245/s10434-022-11914-5
Hodges, N., Battersby, N., Rao, S., & Brown, G. (n.d.). ASO Visual Abstract: The Relationship Between Baseline Rectal Tumour Length and Magnetic Resonance Tumour Regression Grade (mrTRG) Response to Chemoradiotherapy-A Subanalysis of the Trigger Feasibility Study. ANNALS OF SURGICAL ONCOLOGY, 1 page. doi:10.1245/s10434-022-11961-y
Stelzner, S., Heinze, T., Heimke, M., Gockel, I., Kittner, T., Brown, G., . . . Wedel, T. (2023). Beyond Total Mesorectal Excision Compartment-based Anatomy of the Pelvis Revisited for Exenterative Pelvic Surgery. ANNALS OF SURGERY, 278(1), E58-E67. doi:10.1097/SLA.0000000000005715
Hodges, N., Duxbury, O., Corr, A., Cho, S. H., Miskovic, D., & Brown, G. (2023). Inter- rater agreement between radiologists using the novel CT- TDV (T3c+; tumour deposits; EMVI) system in patients with potentially curable right colon cancer. BRITISH JOURNAL OF RADIOLOGY, 96(1146), 6 pages. doi:10.1259/bjr.20220682
Burns, E. M., Quyn, A., & Lexicon Collaboration of UKPEN and the ACPGBI Advanced Cancer subcommittee. (2023). The ‘Pelvic exenteration lexicon’: Creating a common language for complex pelvic cancer surgery.. Colorectal Dis, 25(5), 888-896. doi:10.1111/codi.16476
Burghgraef, T. A., Hol, J. C., Rutgers, M. L., Brown, G., Hompes, R., Sietses, C., & Consten, E. C. J. (2023). Implications of the new MRI-based rectum definition according to the sigmoid take-off: multicentre cohort study. BJS OPEN, 7(2), 8 pages. doi:10.1093/bjsopen/zrad018
2022
Fadel, M. G., Ahmed, M., Malietzis, G., Pellino, G., Rasheed, S., Brown, G., . . . Kontovounisios, C. (2022). Oncological outcomes of multimodality treatment for patients undergoing surgery for locally recurrent rectal cancer: A systematic review. CANCER TREATMENT REVIEWS, 109, 10 pages. doi:10.1016/j.ctrv.2022.102419
Hodges, N., Battersby, N., Rao, S., Brown, G., & TRIGGER Study Group. (2022). Relationship Between Baseline Rectal Tumor Length and Magnetic Resonance Tumor Regression Grade Response to Chemoradiotherapy: A Subanalysis of the TRIGGER Feasibility Study.. Ann Surg Oncol. doi:10.1245/s10434-022-11914-5
Rokan, Z., Simillis, C., Kontovounisios, C., Moran, B., Tekkis, P., & Brown, G. (2022). Locally Recurrent Rectal Cancer According to a Standardized MRI Classification System: A Systematic Review of the Literature. JOURNAL OF CLINICAL MEDICINE, 11(12), 16 pages. doi:10.3390/jcm11123511
Lord, A. C., Corr, A., Chandramohan, A., Hodges, N., Pring, E., Airo-Farulla, C., . . . Brown, G. (2022). Assessment of the 2020 NICE criteria for preoperative radiotherapy in patients with rectal cancer treated by surgery alone in comparison with proven MRI prognostic factors: a retrospective cohort study.. Lancet Oncol, 23(6), 793-801. doi:10.1016/S1470-2045(22)00214-5
Hodges, N., Mackenzie, H., D’Souza, N., Brown, G., & Miskovic, D. (2022). Survival outcomes for right-versus left-sided colon cancer and rectal cancer in England: A propensity-score matched population-based cohort study. EJSO, 48(4), 841-849. doi:10.1016/j.ejso.2021.10.007
Fernandes, M. C., Gollub, M. J., & Brown, G. (2022). The importance of MRI for rectal cancer evaluation.. Surg Oncol, 101739. doi:10.1016/j.suronc.2022.101739
Robb, H., Scrimgeour, G., Boshier, P., Przedlacka, A., Balyasnikova, S., Brown, G., . . . Kontovounisios, C. (2022). The current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 14 pages. doi:10.1007/s00464-022-09176-z
2021
Huddy, J. R., Rasheed, S., Brown, G., & Tilney, H. S. (2021). Comment on “Cancer Surgery During COVID-19: How We Move Forward”. ANNALS OF SURGERY, 274(6), E827-E828. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000718532600217&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Robb, H. D., Scrimgeour, G., Boshier, P. R., Balyasnikova, S., Brown, G., Bello, F., & Kontovounisios, C. (2021). Current and possible future role of 3D modelling within oesophagogastric surgery: a scoping review protocol. BMJ OPEN, 11(10), 4 pages. doi:10.1136/bmjopen-2020-045546
Brouwer, N. P. M., Lord, A. C., Terlizzo, M., Bateman, A. C., West, N. P., Goldin, R., . . . Brown, G. (2021). Interobserver variation in the classification of tumor deposits in rectal cancer-is the use of histopathological characteristics the way to go?. VIRCHOWS ARCHIV, 479(6), 1111-1118. doi:10.1007/s00428-021-03197-0
Tan, J. J., V. Carten, R., Babiker, A., Abulafi, M., Lord, A. C., & Brown, G. (2021). Prognostic Importance of MRI-Detected Extramural Venous Invasion in Rectal Cancer: A Literature Review and Systematic Meta-Analysis. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 111(2), 385-394. doi:10.1016/j.ijrobp.2021.05.136
Rao, S., Guren, M. G., Khan, K., Brown, G., Renehan, A. G., Steigen, S. E., . . . Arnold, D. (2021). Anal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. ANNALS OF ONCOLOGY, 32(9), 1087-1100. doi:10.1016/j.annonc.2021.06.015
Day, N., D’Souza, N., Shaw, A., Lord, A., Abulafi, M., Moran, B., . . . Brown, G. (2021). Local recurrence in sigmoid cancer is a hidden problem, could CT prognostic factors be of value in their prevention? A multi-centre study of 414 patients. EJSO, 47(8), 2093-2099. doi:10.1016/j.ejso.2021.03.254
Lord, A., Brown, G., Abulafi, M., Bateman, A., Frankel, W., Goldin, R., . . . Nagtegaal, I. (2021). Histopathological diagnosis of tumour deposits in colorectal cancer: a Delphi consensus study. HISTOPATHOLOGY, 79(2), 168-175. doi:10.1111/his.14344
Rokan, Z., Simillis, C., Kontovounisios, C., Moran, B. J., Tekkis, P., & Brown, G. (2021). Systematic review of classification systems for locally recurrent rectal cancer. BJS OPEN, 5(3), 14 pages. doi:10.1093/bjsopen/zrab024
2020
Huddy, J. R., Tilney, H. S., Rasheed, S., Rasheed, S., Tilney, H. S., & Brown, G. (2020). Comment on “Cancer Surgery During COVID-19: How we Move Forward”.. Ann Surg. doi:10.1097/SLA.0000000000004544
Lord, A. C., DสผSouza, N., Shaw, A., Rokan, Z., Moran, B., Abulafi, M., . . . Brown, G. (2020). MRI-Diagnosed Tumour Deposits and EMVI Status Have Superior Prognostic Accuracy to Current Clinical TNM Staging in Rectal Cancer.. Ann Surg. doi:10.1097/SLA.0000000000004499
Huddy, J. R., Rasheed, S., Brown, G., & Tilney, H. S. (2020). Letter to the Editor RE: “COVID-19 Impact on Colorectal Daily Practice-How Long Will It Take to Catch Up?”. JOURNAL OF GASTROINTESTINAL SURGERY, 24(11), 2696-2697. doi:10.1007/s11605-020-04795-0
D’Souza, N., Lord, A., Shaw, A., Patel, A., Balyasnikova, S., Tudyka, V., . . . Brown, G. (2020). The sigmoid take-off: An anatomical imaging definition of the rectum validated on specimen analysis. EJSO, 46(9), 1668-1672. doi:10.1016/j.ejso.2020.01.008
Keller, D. S., Berho, M., Brown, G., Hull, T., Moeslein, G., & Wexner, S. D. (2020). A narrative celebrating the recent contributions of women to colorectal surgery. SURGERY, 168(3), 355-362. doi:10.1016/j.surg.2020.06.024
Lord, A. C., Knijn, N., Brown, G., & Nagtegaal, I. D. (2020). Pathways of spread in rectal cancer: a reappraisal of the true routes to distant metastatic disease. EUROPEAN JOURNAL OF CANCER, 128, 1-6. doi:10.1016/j.ejca.2019.12.025
Glynne-Jones, R., Wyrwicz, L., Tiret, E., Brown, G., Rodel, C., Cervantes, A., & Arnold, D. (2017). Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. ANNALS OF ONCOLOGY, 28, 22-40. doi:10.1093/annonc/mdx224
Khakoo, S., Carter, P. D., Brown, G., Valeri, N., Picchia, S., Bali, M. A., . . . Cunningham, D. (2020). MRI Tumor Regression Grade and Circulating Tumor DNA as Complementary Tools to Assess Response and Guide Therapy Adaptation in Rectal Cancer. CLINICAL CANCER RESEARCH, 26(1), 183-192. doi:10.1158/1078-0432.CCR-19-1996
Lord, A. C., Moran, B., Abulafi, M., Rasheed, S., Nagtegaal, I. D., Terlizzo, M., & Brown, G. (2020). Can extranodal tumour deposits be diagnosed on MRI? Protocol for a multicentre clinical trial (the COMET trial). BMJ OPEN, 10(10), 7 pages. doi:10.1136/bmjopen-2019-033395
Sclafani, F., Wilson, S. H., Cunningham, D., De Castro, D. G., Kalaitzaki, E., Begum, R., . . . Chau, I. (2020). Analysis of KRAS, NRAS, BRAF, PIK3CA and TP53 mutations in a large prospective series of locally advanced rectal cancer patients. INTERNATIONAL JOURNAL OF CANCER, 146(1), 94-102. doi:10.1002/ijc.32507
2019
D’Souza, N., Babberich, M. P. M. D. N. T., d’Hoore, A., Tiret, E., Xynos, E., Beets-Tan, R. G. H., . . . Brown, G. (2019). Definition of the Rectum An International, Expert-based Delphi Consensus. ANNALS OF SURGERY, 270(6), 955-959. doi:10.1097/SLA.0000000000003251
D’Souza, N., Shaw, A., Lord, A., Balyasnikova, S., Abulafi, M., Tekkis, P., & Brown, G. (2019). Assessment of a Staging System for Sigmoid Colon Cancer Based on Tumor Deposits and Extramural Venous Invasion on Computed Tomography. JAMA NETWORK OPEN, 2(12), 11 pages. doi:10.1001/jamanetworkopen.2019.16987
Lord, A. C., Martinez, C. G., D’Souza, N., Pucher, P. H., Brown, G., & Nagtegaal, I. D. (2019). The significance of tumour deposits in rectal cancer after neoadjuvant therapy: a systematic review and meta-analysis. EUROPEAN JOURNAL OF CANCER, 122, 1-8. doi:10.1016/j.ejca.2019.08.020
Davidson, M., Aronson, L. I., Howard-Reeves, J., Bryant, H., Cutts, R. J., Hulkki-Wilson, S., . . . Chong, I. Y. (2019). Clonal diversity of MYC amplification evaluated by fluorescent in situ hybridisation and digital droplet polymerase chain reaction in oesophagogastric cancer: Results from a prospective clinical trial screening programme. EUROPEAN JOURNAL OF CANCER, 122, 12-21. doi:10.1016/j.ejca.2019.09.003
D’Souza, N., Lord, A. C., Shaw, A., Patel, A., Balyasnikova, S., Tudyka, V., . . . Brown, G. (2019). Ex vivo specimen MRI and pathology confirm a rectosigmoid mesenteric waist at the junction of the mesorectum and mesocolon. COLORECTAL DISEASE, 22(2), 212-218. doi:10.1111/codi.14856
Lord, A., D’Souza, N., Shaw, A., Day, N., & Brown, G. (2019). The Current Status of Nodal Staging in Rectal Cancer. CURRENT COLORECTAL CANCER REPORTS, 15(5), 143-148. doi:10.1007/s11888-019-00441-3
Vallance, A. E., Harji, D., & Fearnhead, N. S. (2019). Making an IMPACT: A priority setting consultation exercise to improve outcomes in patients with locally advanced, recurrent and metastatic colorectal cancer. EJSO, 45(9), 1567-1574. doi:10.1016/j.ejso.2019.04.005
Kennedy, E. D., Simunovic, M., Jhaveri, K., Kirsch, R., Brierley, J., Drolet, S., . . . Baxter, N. N. (2019). Safety and Feasibility of Using Magnetic Resonance Imaging Criteria to Identify Patients With “Good Prognosis” Rectal Cancer Eligible for Primary Surgery The Phase 2 Nonrandomized QuickSilver Clinical Trial. JAMA ONCOLOGY, 5(7), 961-966. doi:10.1001/jamaoncol.2019.0186
Keller, D. S., & Brown, G. (2019). Invited editorial re: “Response assessment after (chemo) radiotherapy for rectal cancer: Why are we missing complete responses with MRI and endoscopy?”. EJSO, 45(6), 929-930. doi:10.1016/j.ejso.2018.12.013
West, M. A., Astin, R., Moyses, H. E., Cave, J., White, D., Levett, D. Z. H., . . . Jack, S. (2019). Exercise prehabilitation may lead to augmented tumor regression following neoadjuvant chemoradiotherapy in locally advanced rectal cancer. ACTA ONCOLOGICA, 58(5), 588-595. doi:10.1080/0284186X.2019.1566775
Pooni, A., Al-Sukhni, E., Milot, L., Fruitman, M., Victor, J. C., Schmocker, S., . . . Kennedy, E. (2019). Selection of Patients With Rectal Cancer for Preoperative Chemoradiotherapy: Are T Category and Nodal Status All That Matters?. DISEASES OF THE COLON & RECTUM, 62(4), 447-453. doi:10.1097/DCR.0000000000001229
D’Souza, N., Lord, A., Shaw, A., Abulafi, M., Kontovounisios, C., Sjovall, A., . . . Brown, G. (2019). Meta-analysis of oncological outcomes of sigmoid cancers: A hidden epidemic of R1 “palliative” resections. EJSO, 45(4), 489-497. doi:10.1016/j.ejso.2018.09.028
Balyasnikova, S., & Brown, G. (2019). The MRI assessment of SPECC (significant polyps and early colorectal cancer) lesions.. Colorectal Dis, 21 Suppl 1, 19-22. doi:10.1111/codi.14526
West, M. A., Astin, R., Moyses, H. E., Cave, J., White, D., Levett, D. Z. H., . . . Jack, S. (2019). Exercise prehabilitation may lead to augmented tumor regression following neoadjuvant chemoradiotherapy in locally advanced rectal cancer.. Acta Oncol, 1-8. doi:10.1080/0284186X.2019.1566775
2018
Sclafani, F., Kalaitzaki, E., Cunningham, D., Tait, D., Brown, G., & Chau, I. (2018). Neoadjuvant rectal score: run with the hare and hunt with the hounds. ANNALS OF ONCOLOGY, 29(11), 2261-2262. doi:10.1093/annonc/mdy403
Siddiqui, M. R. S., Simillis, C., Bhoday, J., Battersby, N. J., Mok, J., Rasheed, S., . . . Brown, G. (2018). A meta-analysis assessing the survival implications of subclassifying T3 rectal tumours. EUROPEAN JOURNAL OF CANCER, 104, 47-61. doi:10.1016/j.ejca.2018.07.131
D’Souza, N., Lord, A., Shaw, A., Abulafi, M., Kontovounisios, C., Sjรถvall, A., . . . Brown, G. (2018). Meta-analysis of oncological outcomes of sigmoid cancers: A hidden epidemic of R1 “palliative” resections.. Eur J Surg Oncol. doi:10.1016/j.ejso.2018.09.028
Patel, A., Rockall, A., Guthrie, A., Gleeson, F., Worthy, S., Grubnic, S., . . . Brown, G. (2018). Can the completeness of radiological cancer staging reports be improved using proforma reporting? A prospective multicentre non-blinded interventional study across 21 centres in the UK. BMJ OPEN, 8(10), 11 pages. doi:10.1136/bmjopen-2017-018499
Glynne-Jones, R., Wyrwicz, L., Tiret, E., Brown, G., Rรถdel, C., Cervantes, A., . . . ESMO Guidelines Committee. (2018). Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.. Ann Oncol, 29(Supplement_4), iv263. doi:10.1093/annonc/mdy161
Davidson, M., Nankivell, M., Cunningham, D., Starling, N., Koh, D. -M., Brown, G., . . . Riddell, A. (2018). Magnetic resonance imaging in oesophageal (oes) cancer: Results from the STO3 MRI substudy. In ANNALS OF ONCOLOGY Vol. 29 (pp. 1 page). Munich, GERMANY: OXFORD UNIV PRESS. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000459277301217&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Khakoo, S., Carter, P., Valeri, N., Shaikh, R., Jones, T., Begum, R., . . . Cunningham, D. (2018). Circulating tumour DNA (ctDNA) as a tool to assess response and guide therapy adaptation in rectal cancer. In ANNALS OF ONCOLOGY Vol. 29 (pp. 661). Munich, GERMANY: OXFORD UNIV PRESS. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000459277304231&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Lord, A. C., D’Souza, N., Pucher, P. H., Moran, B. J., Abulafi, A. M., Wotherspoon, A., . . . Brown, G. (2018). Author response to comment on ‘significance of extranodal tumour deposits in colorectal cancer: A systematic review and meta-analysis’. EUROPEAN JOURNAL OF CANCER, 105, 129-130. doi:10.1016/j.ejca.2018.08.018
D’Souza, N., Balyasnikova, S., Tudyka, V., Lord, A., Shaw, A., Abulafi, M., . . . Brown, G. (2018). Variation in landmarks for the rectum: an MRI study. COLORECTAL DISEASE, 20(10), O304-O309. doi:10.1111/codi.14398
D’Souza, N., Babberich, M. P. M. D. N. T., Lord, A., Shaw, A., Abulafi, M., Tekkis, P., . . . Brown, G. (2018). The rectosigmoid problem. SURGICAL ONCOLOGY-OXFORD, 27(3), 521-525. doi:10.1016/j.suronc.2018.06.005
Chand, M., Keller, D. S., Mirnezami, R., Bullock, M., Bhangu, A., Moran, B., . . . Berho, M. (2018). Novel biomarkers for patient stratification in colorectal cancer: A review of definitions, emerging concepts, and data. WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY, 10(7), 145-158. doi:10.4251/wjgo.v10.i7.145
Tekkis, P., Tait, D., Cunningham, D., & Brown, G. (2018). Is organ preservation in rectal cancer ready for prime time?. LANCET, 391(10139), 2480-2482. doi:10.1016/S0140-6736(18)31324-2
Sao Juliao, G. P., Ortega, C. D., Vailati, B. B., Coutinho, F. A. B., Rossi, G., Habr-Gama, A., . . . Perez, R. O. (2018). The Estimate of the Impact of Coccyx Resection in Surgical Field Exposure During Abdominal Perineal Resection Using Preoperative High-Resolution Magnetic Resonance. WORLD JOURNAL OF SURGERY, 42(11), 3765-3770. doi:10.1007/s00268-018-4683-x
Bhoday, J., Glimelius, B., Tait, D., Glynne-Jones, R., Adams, R., & Brown, G. (2018). Session 4: What should we do for poor responders after chemoradiotherapy: bad biology or should the fight go on?. COLORECTAL DISEASE, 20, 97-99. doi:10.1111/codi.14088
Battersby, N. J., Perez, R. O., Baxter, N., Moran, B., & Brown, G. (2018). Session 4: Trying to augment response with chemotherapy: a triumph of hope over experience?. COLORECTAL DISEASE, 20, 100-102. doi:10.1111/codi.14089
Dattani, M., Marijnen, C., Moran, B., Tait, D., Cunningham, C., Rodriguez-Bigas, M., & Brown, G. (2018). Session 4: Shaping radiotherapy for rectal cancer: should this be personalized?. COLORECTAL DISEASE, 20, 92-96. doi:10.1111/codi.14087
Read, J., Tekkis, P., Rullier, E., Nicholls, J., Mortensen, N., Marks, J., . . . Brown, G. (2018). Session 3: Many ways to organ preserve the rectum but which is correct?. COLORECTAL DISEASE, 20, 82-87. doi:10.1111/codi.14085
Patel, A., Chang, G., Wale, A., Chong, I., Rutten, H., Nicholls, J., . . . Brown, G. (2018). Session 3: Intra-operative radiotherapy – creating new surgical boundaries. COLORECTAL DISEASE, 20, 65-75. doi:10.1111/codi.14083
Balyasnikova, S., Vuong, T., Wale, A., Chong, I., Rutten, H., & Brown, G. (2018). Session 3: Boosting primary and recurrent rectal cancer: how far can we push the radiotherapy envelope?. COLORECTAL DISEASE, 20, 88-91. doi:10.1111/codi.14086
Patel, U. B., Blomqvist, L., Chau, I., Nicholls, J., & Brown, G. (2018). Session 3: Beyond TME and radiotherapy MRI evaluation of rectal cancer treatment response. COLORECTAL DISEASE, 20, 76-81. doi:10.1111/codi.14084
Patel, A., Holm, T., Wale, A., Rutten, H., Nicholls, J., Hawkins, M., . . . Brown, G. (2018). Session 3: Beyond the boundaries of Total Mesorectal Excision – where surgeons fear to tread. COLORECTAL DISEASE, 20, 61-64. doi:10.1111/codi.14082
Siddiqui, M., Nagtegaal, I., Santiago, I., Knijn, N., Berho, M., Mirnezami, A., . . . Brown, G. (2018). Session 2: What causes liver metastases – lymph nodes or is it something else?. COLORECTAL DISEASE, 20, 39-42. doi:10.1111/codi.14077
Wale, A., Van Cutsem, E., Rao, S., Cunningham, D., & Brown, G. (2018). Session 2: Synchronous metastatic disease-liver first or primary first? The oncologist decides. COLORECTAL DISEASE, 20, 52-55. doi:10.1111/codi.14080
Siddiqui, M., Chand, M., Eng, C., Mehdizadeh, A., Mirnezami, A., & Brown, G. (2018). Session 2: Mutational discordance: the big challenge in personalized treatments – any solutions?. COLORECTAL DISEASE, 20, 49-51. doi:10.1111/codi.14079
Balyasnikova, S., Haboubi, N., Wale, A., Santiago, I., Morgan, M., Cunningham, D., . . . Brown, G. (2018). Session 2: Extramural vascular invasion and extranodal deposits: should they be treated the same?. COLORECTAL DISEASE, 20, 43-48. doi:10.1111/codi.14078
Patel, U. B., Cervantes, A., Fernandez-Martos, C., Sclafani, F., Cunningham, D., Nilsson, P., & Brown, G. (2018). Session 2: Are we ready for primary chemotherapy in rectal cancer: who, when, why?. COLORECTAL DISEASE, 20, 56-60. doi:10.1111/codi.14081
Bhoday, J., Martling, A., Strassburg, J., & Brown, G. (2018). Session 1: The surgeon as a prognostic factor in colon and rectal cancer?. COLORECTAL DISEASE, 20, 36-38. doi:10.1111/codi.14076
Wale, A., Wexner, S. D., Saur, N. M., Massarotti, H., Laurberg, S., Kennedy, E., . . . Brown, G. (2018). Session 1: The evolution and development of the multidisciplinary team approach: USA, European and UK experiences – what can we do better?. COLORECTAL DISEASE, 20, 17-27. doi:10.1111/codi.14073
Tudyka, V., Madoff, R., Wale, A., Laurberg, S., Yano, H., & Brown, G. (2018). Session 1: Colon cancer-10years behind the rectum. COLORECTAL DISEASE, 20, 28-33. doi:10.1111/codi.14074
Brown, G. (2018). Proceedings of the Future Horizons International Experts Meeting in Colorectal Cancer Held in London on 25th June 2015. Edited by: Dr Anita Wale and Prof Gina Brown. COLORECTAL DISEASE, 20, 5-7. doi:10.1111/codi.14068
Bernier, L., Balyasnikova, S., Tait, D., & Brown, G. (2018). Watch-and-Wait as a Therapeutic Strategy in Rectal Cancer. CURRENT COLORECTAL CANCER REPORTS, 14(2), 37-55. doi:10.1007/s11888-018-0398-5
Sclafani, F., Chau, I., Cunningham, D., Hahne, J. C., Vlachogiannis, G., Eltahir, Z., . . . Valeri, N. (2018). KRAS and BRAF mutations in circulating tumour DNA from locally advanced rectal cancer. SCIENTIFIC REPORTS, 8, 9 pages. doi:10.1038/s41598-018-19212-5
Chand, M., & Brown, G. (2018). Important imaging considerations in the pre-operative assessment of rectal cancer (Reprinted from Seminars in Colon and Rectal Surgery, vol 25, pg 6-12, 2014). SEMINARS IN COLON AND RECTAL SURGERY, 29(4), 199-205. doi:10.1053/j.scrs.2018.11.008
Lawler, M., Alsina, D., Adams, R. A., Anderson, A. S., Brown, G., Fearnhead, N. S., . . . Tomlinson, I. (2018). Critical research gaps and recommendations to inform research prioritisation for more effective prevention and improved outcomes in colorectal cancer. GUT, 67(1), 179-193. doi:10.1136/gutjnl-2017-315333
Siddiqui, M., Balyansikova, S., Nagtegaal, I., West, N., Murray, G., Bosch, S., . . . Brown, G. (2018). Agreement between histopathologic regression and MRI Tumour Regression (mrTRG) scales used to assess response for rectal cancers. International Journal of Surgery. doi:10.1016/j.ijsu.2018.05.190
2017
Battersby, N. J., Moran, B., Stelzner, S., West, N. P., Branagan, G., Strassburg, J., . . . Brown, G. (2017). Reply to: Does MRI Restaging of Rectal Cancer After Chemoradiotherapy Actually Permit a Change in Surgical Management?. ANNALS OF SURGERY, 266(6), E116-E118. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000419022400092&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Sclafani, F., Brown, G., Cunningham, D., Wotherspoon, A., Mendes, L. S. T., Balyasnikova, S., . . . Chau, I. (2017). Comparison between MRI and pathology in the assessment of tumour regression grade in rectal cancer. BRITISH JOURNAL OF CANCER, 117(10), 1478-1485. doi:10.1038/bjc.2017.320
Bhoday, J., Balyasnikova, S., Wale, A., & Brown, G. (2017). How Should Imaging Direct/Orient Management of Rectal Cancer?. CLINICS IN COLON AND RECTAL SURGERY, 30(5), 297-312. doi:10.1055/s-0037-1606107
Siddiqui, M. R. S., Shanmuganandan, A. P., Rasheed, S., Tekkis, P., Brown, G., & Abulafi, A. M. (2017). An audit comparing the reporting of staging MRI scans for rectal cancer with the London Cancer Alliance (LCA) guidelines. EJSO, 43(11), 2093-2104. doi:10.1016/j.ejso.2017.09.003
Lord, A. C., D’Souza, N., Pucher, P. H., Moran, B. J., Abulafi, A. M., Wotherspoon, A., . . . Brown, G. (2017). Significance of extranodal tumour deposits in colorectal cancer: A systematic review and meta-analysis. EUROPEAN JOURNAL OF CANCER, 82, 92-102. doi:10.1016/j.ejca.2017.05.027
Sclafani, F., Brown, G., Cunningham, D., Wotherspoon, A., Mendes, L. S. T., Evans, J., . . . Chau, I. (2017). Comparison between magnetic resonance imaging (MRI) and pathology in the assessment of tumour regression grade (TRG) in rectal cancer (RC). In ANNALS OF ONCOLOGY Vol. 28 (pp. 2 pages). Madrid, SPAIN: OXFORD UNIV PRESS. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000411324004275&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Battersby, N. J., Dattani, M., Rao, S., Cunningham, D., Tait, D., Adams, R., . . . Brown, G. (2017). A rectal cancer feasibility study with an embedded phase III trial design assessing magnetic resonance tumour regression grade (mrTRG) as a novel biomarker to stratify management by good and poor response to chemoradiotherapy (TRIGGER): study protocol for a randomised controlled trial. TRIALS, 18, 14 pages. doi:10.1186/s13063-017-2085-2
Glynne-Jones, R., Wyrwicz, L., Tiret, E., Brown, G., Rodel, C., Cervantes, A., & Arnold, D. (2017). Rectal cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. ANNALS OF ONCOLOGY, 28, 22-40. doi:10.1093/annonc/mdx224
Balyasnikova, S., Read, J., Wotherspoon, A., Rasheed, S., Tekkis, P., Tait, D., . . . Brown, G. (2017). Diagnostic accuracy of high-resolution MRI as a method to predict potentially safe endoscopic and surgical planes in patients with early rectal cancer. BMJ OPEN GASTROENTEROLOGY, 4(1), 9 pages. doi:10.1136/bmjgast-2017-000151
Sclafani, F., Brown, G., Cunningham, D., Rao, S., Tekkis, P., Tait, D., . . . Chau, I. (2017). Systemic Chemotherapy as Salvage Treatment for Locally Advanced Rectal Cancer Patients Who Fail to Respond to Standard Neoadjuvant Chemoradiotherapy. ONCOLOGIST, 22(6), 728-736. doi:10.1634/theoncologist.2016-0396
Siddiqui, M. R. S., Simillis, C., Hunter, C., Chand, M., Bhoday, J., Garant, A., . . . Brown, G. (2017). A meta-analysis comparing the risk of metastases in patients with rectal cancer and MRI-detected extramural vascular invasion (mrEMVI) vs mrEMVI-negative cases. BRITISH JOURNAL OF CANCER, 116(12), 1513-1519. doi:10.1038/bjc.2017.99
Sugarbaker, P. H., Sardi, A., Brown, G., Dromain, C., Rousset, P., & Jelinek, J. S. (2017). Concerning CT features used to select patients for treatment of peritoneal metastases, a pictoral essay. INTERNATIONAL JOURNAL OF HYPERTHERMIA, 33(5), 497-504. doi:10.1080/02656736.2017.1317368
Patel, U. B., Brown, G., Machado, I., Santos-Cores, J., Pericay, C., Ballesteros, E., . . . Fernandez-Martos, C. (2017). MRI assessment and outcomes in patients receiving neoadjuvant chemotherapy only for primary rectal cancer: long-term results from the GEMCAD 0801 trial. ANNALS OF ONCOLOGY, 28(2), 344-353. doi:10.1093/annonc/mdw616
Sclafani, F., Brown, G., Cunningham, D., Rao, S., Tekkis, P. P., & Tait, D. M. (2017). Systemic chemotherapy (CT) as salvage treatment for locally advanced rectal cancer (LARC) patients (pts) who fail to respond to neoadjuvant chemoradiotherapy (CRT).. In JOURNAL OF CLINICAL ONCOLOGY Vol. 35 (pp. 1 page). Chicago, IL: AMER SOC CLINICAL ONCOLOGY. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000443281700690&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Hunter, C., Siddiqui, M., Delisle, T. G., Blake, H., Jeyadevan, N., Abulafi, M., . . . Brown, G. (2017). CT and 3-T MRI accurately identify T3c disease in colon cancer, which strongly predicts disease-free survival. CLINICAL RADIOLOGY, 72(4), 307-315. doi:10.1016/j.crad.2016.11.014
Georgiou, P. A., Ali, S. M., Brown, G., Rasheed, S., & Tekkis, P. P. (2017). Extended lymphadenectomy for locally advanced and recurrent rectal cancer. INTERNATIONAL JOURNAL OF COLORECTAL DISEASE, 32(3), 333-340. doi:10.1007/s00384-016-2711-6
Ciombor, K. K., Ernst, R. D., & Brown, G. (2017). Diagnosis and Diagnostic Imaging of Anal Canal Cancer. SURGICAL ONCOLOGY CLINICS OF NORTH AMERICA, 26(1), 45-+. doi:10.1016/j.soc.2016.07.002
Balyasnikova, S., Haboubi, N., Moran, B., & Brown, G. (2017). Histopathological and radiological reporting in rectal cancer: concepts and controversies, facts and fantasies. TECHNIQUES IN COLOPROCTOLOGY, 21(1), 15-23. doi:10.1007/s10151-016-1555-y
Battersby, N. J., Moran, B., Stelzner, S., West, N. P., Branagan, G., Strassburg, J., . . . Brown, G. (2017). Reply to: Does MRI Restaging of Rectal Cancer After Chemoradiotherapy Actually Permit a Change in Surgical Management?. Ann Surg, 266(6), e116-e118. doi:10.1097/SLA.0000000000001791
Simillis, C., Baird, D. L. H., Kontovounisios, C., Pawa, N., Brown, G., Rasheed, S., & Tekkis, P. P. (2017). A Systematic Review to Assess Resection Margin Status After Abdominoperineal Excision and Pelvic Exenteration for Rectal Cancer. ANNALS OF SURGERY, 265(2), 291-299. doi:10.1097/SLA.0000000000001963
Balyasnikova, S., Read, J., Tait, D., Wotherspoon, A., Swift, I., Cunningham, D., . . . Brown, G. (2017). The results of local excision with or without postoperative adjuvant chemoradiotherapy for early rectal cancer among patients choosing to avoid radical surgery. COLORECTAL DISEASE, 19(2), 139-147. doi:10.1111/codi.13477
2016
Harris, D. A., Thorne, K., Hutchings, H., Islam, S., Holland, G., Hatcher, O., . . . Beynon, J. (2016). Protocol for a multicentre randomised feasibility trial evaluating early Surgery Alone In LOw Rectal cancer (SAILOR). BMJ OPEN, 6(11), 8 pages. doi:10.1136/bmjopen-2016-012496
Frentzas, S., Simoneau, E., Bridgeman, V. L., Vermeulen, P. B., Foo, S., Kostaras, E., . . . Reynolds, A. R. (2016). Vessel co-option mediates resistance to anti-angiogenic therapy in liver metastases. NATURE MEDICINE, 22(11), 1294-1302. doi:10.1038/nm.4197
Evans, J., Bhoday, J., Sizer, B., Tekkis, P., Swift, R., Perez, R., . . . Brown, G. (2016). Results of a prospective randomised control 6 vs 12 trial: Is greater tumour downstaging observed on post treatment MRI if surgery is delayed to 12-weeks versus 6-weeks after completion of neoadjuvant chemoradiotherapy?. ANNALS OF ONCOLOGY, 27, 1 page. doi:10.1093/annonc/mdw370.1
Sclafani, F., Chau, I., Cunningham, D., Vlachogiannis, G., Eltahir, Z., Lampis, A., . . . Valeri, N. (2016). KRAS mutations in circulating tumour DNA (ctDNA) in MRI-defined, high-risk, locally-advanced rectal cancer (LARC) patients (pts) from the EXPERT-C trial. ANNALS OF ONCOLOGY, 27, 1 page. doi:10.1093/annonc/mdw370.73
O’Connor, J. P. B., Aboagye, E. O., Adams, J. E., Aerts, H. J. W. L., Barrington, S. F., Beer, A. J., . . . Waterton, J. C. (2017). Imaging biomarker roadmap for cancer studies. NATURE REVIEWS CLINICAL ONCOLOGY, 14(3), 169-186. doi:10.1038/nrclinonc.2016.162
Siddiqui, M. R. S., Bhoday, J., Battersby, N. J., Chand, M., West, N. P., Abulafi, A. -M., . . . Brown, G. (2016). Defining response to radiotherapy in rectal cancer using magnetic resonance imaging and histopathological scales. WORLD JOURNAL OF GASTROENTEROLOGY, 22(37), 8414-8434. doi:10.3748/wjg.v22.i37.8414
Lutz, M. P., Zalcberg, J. R., Glynne-Jones, R., Ruers, T., Ducreux, M., Arnold, D., . . . Otto, F. (2016). Corrigendum to “2nd St. Gallen EORTC Gastrointestinal Cancer Conference: Consensus recommendations on controversial issues in the primary treatment of rectal cancer” [Eur J Cancer 63 (August 2016) 11-24].. Eur J Cancer, 68, 208-209. doi:10.1016/j.ejca.2016.08.017
Battersby, N. J., How, P., Moran, B. J., Stelzner, S., West, N. P., Branagan, G., . . . Pedersen, B. G. (2016). The MERCURY II Study: Prospective Validation of a Low Rectal Cancer Assessment System Using Magnetic Resonance Imaging, and Development of a Local Recurrence Risk Stratification Model. In JOURNAL OF PATHOLOGY Vol. 240 (pp. 18). Univ Nottingham, Sch Med, Acad Univ Mol Pathol Div Canc & Stem Cells, Nottingham, ENGLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000386691900075&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Bhoday, J., Smith, F., Siddiqui, M. R., Balyasnikova, S., Swift, R. I., Perez, R., . . . Brown, G. (2016). Magnetic Resonance Tumor Regression Grade and Residual Mucosal Abnormality as Predictors for Pathological Complete Response in Rectal Cancer Postneoadjuvant Chemoradiotherapy. DISEASES OF THE COLON & RECTUM, 59(10), 925-933. doi:10.1097/DCR.0000000000000667
Chand, M., Rasheed, S., Heald, R., Swift, I., West, N., Rao, S., . . . Brown, G. (2017). Adjuvant chemotherapy may improve disease-free survival in patients with rectal cancer positive for MRI-detected extramural venous invasion following chemoradiation. COLORECTAL DISEASE, 19(6), 537-543. doi:10.1111/codi.13535
Kontovounisios, C., Tan, E., Pawa, N., Brown, G., Tait, D., Cunningham, D., . . . Tekkis, P. (2017). The selection process can improve the outcome in locally advanced and recurrent colorectal cancer: activity and results of a dedicated multidisciplinary colorectal cancer centre. COLORECTAL DISEASE, 19(4), 331-338. doi:10.1111/codi.13517
Siddiqui, M. R. S., Gormly, K. L., Bhoday, J., Balyansikova, S., Battersby, N. J., Chand, M., . . . Brown, G. (2016). Interobserver agreement of radiologists assessing the response of rectal cancers to preoperative chemoradiation using the MRI tumour regression grading (mrTRG). CLINICAL RADIOLOGY, 71(9), 854-862. doi:10.1016/j.crad.2016.05.005
Pearson, A., Smyth, E., Babina, I. S., Herrera-Abreu, M. T., Tarazona, N., Peckitt, C., . . . Turner, N. C. (2016). High-Level Clonal FGFR Amplification and Response to FGFR Inhibition in a Translational Clinical Trial. CANCER DISCOVERY, 6(8), 838-851. doi:10.1158/2159-8290.CD-15-1246
Sclafani, F., Chau, I., Cunningham, D., Lampis, A., Hahne, J. C., Ghidini, M., . . . Valeri, N. (2016). Sequence variation in mature microRNA-608 and benefit from neo-adjuvant treatment in locally advanced rectal cancer patients. CARCINOGENESIS, 37(9), 852-857. doi:10.1093/carcin/bgw073
Hunter, C., Blake, H., Jeyadevan, N., Abulafi, M., Swift, I., Toomey, P., & Brown, G. (2016). Local staging and assessment of colon cancer with 1.5-T magnetic resonance imaging. BRITISH JOURNAL OF RADIOLOGY, 89(1064), 9 pages. doi:10.1259/bjr.20160257
Balyasnikova, S., & Brown, G. (2016). Optimal Imaging Strategies for Rectal Cancer Staging and Ongoing Management. CURRENT TREATMENT OPTIONS IN ONCOLOGY, 17(6), 11 pages. doi:10.1007/s11864-016-0403-7
Lutz, M. P., Zalcberg, J. R., Glynne-Jones, R., Ruers, T., Ducreux, M., Arnold, D., . . . Otto, F. (2016). Second St. Gallen European Organisation for Research and Treatment of Cancer Gastrointestinal Cancer Conference: consensus recommendations on controversial issues in the primary treatment of rectal cancer. EUROPEAN JOURNAL OF CANCER, 63, 11-24. doi:10.1016/j.ejca.2016.04.010
Sclafani, F., Brown, G., Cunningham, D., Wotherspoon, A., Tait, D., Peckitt, C., . . . Chau, I. (2016). PAN-EX: a pooled analysis of two trials of neoadjuvant chemotherapy followed by chemoradiotherapy in MRI-defined, locally advanced rectal cancer. ANNALS OF ONCOLOGY, 27(8), 1557-1565. doi:10.1093/annonc/mdw215
Hunter, C., & Brown, G. (2016). Pre-operative staging of rectal cancer: a review of imaging techniques. EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY, 10(9), 1011-1025. doi:10.1080/17474124.2016.1179577
Battersby, N. J., How, P., Moran, B., Stelzner, S., West, N. P., Branagan, G., . . . Brown, G. (2016). Prospective Validation of a Low Rectal Cancer Magnetic Resonance Imaging Staging System and Development of a Local Recurrence Risk Stratification Model: The MERCURY II Study. ANNALS OF SURGERY, 263(4), 751-760. doi:10.1097/SLA.0000000000001193
Balyasnikova, S., & Brown, G. (2016). Imaging Advances in Colorectal Cancer. CURRENT COLORECTAL CANCER REPORTS, 12(3), 162-169. doi:10.1007/s11888-016-0321-x
West, M. A., Dimitrov, B. D., Moyses, H. E., Kemp, G. J., Loughney, L., White, D., . . . Brown, G. (2016). Timing of surgery following neoadjuvant chemoradiotherapy in locally advanced rectal cancer – A comparison of magnetic resonance imaging at two time points and histopathological responses. EJSO, 42(9), 1350-1358. doi:10.1016/j.ejso.2016.04.003
Sclafani, F., & Brown, G. (2016). Extramural Venous Invasion (EMVI) and Tumour Regression Grading (TRG) as Potential Prognostic Factors for Risk Stratification and Treatment Decision in Rectal Cancer. CURRENT COLORECTAL CANCER REPORTS, 12(3), 130-140. doi:10.1007/s11888-016-0319-4
Siddiqui, M. R. S., Balyansikova, S., Bhoday, J., Chand, M., Rao, S., Tekkis, P., . . . Brown, G. (2016). MRI assessment of intraluminal and extramural regression after chemoradiation therapy. In BRITISH JOURNAL OF SURGERY Vol. 103 (pp. 18). Royal Coll Surg England, London, ENGLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000374301300046&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
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Yu, S. K. T., Tait, D., Chau, I., & Brown, G. (2013). MRI Predictive Factors for Tumor Response in Rectal Cancer Following Neoadjuvant Chemoradiation Therapy – Implications for Induction Chemotherapy?. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 87(3), 505-511. doi:10.1016/j.ijrobp.2013.06.2052
van de Velde, C. J. H., Boelens, P. G., Borras, J. M., Coebergh, J. -W., Cervantes, A., Blomqvist, L., . . . Valentini, V. (2014). EURECCA colorectal: Multidisciplinary management: European consensus conference colon & rectum. EUROPEAN JOURNAL OF CANCER, 50(1), 34 pages. doi:10.1016/j.ejca.2013.06.048
Tam, H. H., Collins, D. J., Brown, G., Chau, I., Cunningham, D., Leach, M. O., & Koh, D. -M. (2013). The role of pre-treatment diffusion-weighted MRI in predicting long-term outcome of colorectal liver metastasis. BRITISH JOURNAL OF RADIOLOGY, 86(1030), 8 pages. doi:10.1259/bjr.20130281
Chand, M., Heald, R. J., & Brown, G. (2013). The importance of not overstaging mesorectal lymph nodes seen on MRI. COLORECTAL DISEASE, 15(10), 1201-1204. doi:10.1111/codi.12435
Bhangu, A., Kiran, R., Patel, P., Brown, G., & Tekkis, P. (2013). Survival after resection of colorectal cancer based on anatomical segment of involvement. BRITISH JOURNAL OF SURGERY, 100, 62. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000326083400186&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Slesser, A. A. P., Chand, M., Goldin, R., Brown, G., Tekkis, P. P., & Mudan, S. (2013). Outcomes of simultaneous resections for patients with synchronous colorectal liver metastases. EJSO, 39(12), 1384-1393. doi:10.1016/j.ejso.2013.09.012
Sclafani, F., Cunningham, D., Tabernero, J., Glimelius, B., Cervantes, A., Peckitt, C., . . . Chau, I. (2013). Updated survival analysis of EXPERT-C, a randomized phase II trial of neoadjuvant capecitabine and oxaliplatin (CAPOX) and chemoradiotherapy (CRT) with or without cetuximab in MRI-defined high risk rectal cancer patients. In EUROPEAN JOURNAL OF CANCER Vol. 49 (pp. S487). Amsterdam, NETHERLANDS: ELSEVIER SCI LTD. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000326843603224&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Sclafani, F., Gonzalez, D., Cunningham, D., Wilson, S. H., Peckitt, C., Tabernero, J., . . . Chau, I. (2013). TP53 status may predict benefit from cetuximab in high-risk, locally advanced rectal cancer: Results of the EXPERT-C trial. EUROPEAN JOURNAL OF CANCER, 49, S4. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000209470600012&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Chand, M., & Brown, G. (2013). Pre-operative staging of rectal cancer: MRI or ultrasound?. Seminars in Colon and Rectal Surgery, 24(3), 114-118. doi:10.1053/j.scrs.2013.03.002
van de Velde, C. J. H., Aristei, C., Boelens, P. G., Beets-Tan, R. G. H., Blomqvist, L., Borras, J. M., . . . Valentini, V. (2013). EURECCA colorectal: Multidisciplinary Mission statement on better care for patients with colon and rectal cancer in Europe. EUROPEAN JOURNAL OF CANCER, 49(13), 2784-2790. doi:10.1016/j.ejca.2013.04.032
Bhangu, A., Brown, G., Nicholls, R. J., Wong, J., Darzi, A., & Tekkis, P. (2013). Survival Outcome of Local Excision versus Radical Resection of Colon or Rectal Carcinoma A Surveillance, Epidemiology, and End Results (SEER) Population-Based Study. ANNALS OF SURGERY, 258(4), 563-571. doi:10.1097/SLA.0b013e3182a4e85a
Nougaret, S., Reinhold, C., Mikhael, H. W., Rouanet, P., Bibeau, F., & Brown, G. (2013). The Use of MR Imaging in Treatment Planning for Patients with Rectal Carcinoma: Have You Checked the “DISTANCE”?. RADIOLOGY, 268(2), 329-343. doi:10.1148/radiol.13121361
Dighe, S., Blake, H., Jeyadevan, N., Castellano, I., Koh, D. -M., Orton, M., . . . Brown, G. (2013). Perfusion CT Vascular Parameters Do Not Correlate with Immunohistochemically Derived Microvessel Density Count in Colorectal Tumors. RADIOLOGY, 268(2), 400-410. doi:10.1148/radiol.13112460
Bott, R., Chand, M., Bhoday, J., Swift, R. I., & Brown, G. (2013). MRI-detected EMVI (Mremvi) should be considered in addition to histopathological EMVI status with regards to treatment decisions in rectal cancer. In BRITISH JOURNAL OF SURGERY Vol. 100 (pp. 130-131). Glasgow, SCOTLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000326083400392&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Bhangu, A., Beynon, J., Brown, G., Chang, G., Das, P., Desai, A., . . . Woodhouse, C. (2013). Consensus statement on the multidisciplinary management of patients with recurrent and primary rectal cancer beyond total mesorectal excision planes. BRITISH JOURNAL OF SURGERY, 100(8), E1-E33. doi:10.1002/bjs.9192
Patel, U. B., & Brown, G. (2013). MRI-based assessment of tumor regression in rectal cancer. Current Colorectal Cancer Reports, 9(2), 136-145. doi:10.1007/s11888-013-0169-2
Bott, R. K., Chand, M., Nash, G. F., Swift, R. I., & Brown, G. (2013). The role of MRI in treatment planning for rectal cancer – a review. Current Cancer Therapy Reviews, 9(2), 111-116. doi:10.2174/1573394711309020003
Costa-Silva, L., & Brown, G. (2013). Magnetic Resonance Imaging of Rectal Cancer. MAGNETIC RESONANCE IMAGING CLINICS OF NORTH AMERICA, 21(2), 385-+. doi:10.1016/j.mric.2013.01.006
Bhangu, A., Fitzgerald, E., Brown, G., & Tekkis, P. (2012). Indications and outcomes of abdominosacral resection for locally advanced primary and recurrent rectal cancer. BRITISH JOURNAL OF SURGERY, 99, 106-107. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000306123100325&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Slesser, A. A. P., Simillis, C., Goldin, R., Brown, G., Mudan, S., & Tekkis, P. P. (2013). A meta-analysis comparing simultaneous versus delayed resections in patients with synchronous colorectal liver metastases. SURGICAL ONCOLOGY-OXFORD, 22(1), 36-47. doi:10.1016/j.suronc.2012.11.002
Bhangu, A., Ali, S. M., Cunningham, D., Brown, G., & Tekkis, P. (2013). Comparison of long-term survival outcome of operative vs nonoperative management of recurrent rectal cancer. COLORECTAL DISEASE, 15(2), 156-163. doi:10.1111/j.1463-1318.2012.03123.x
Slesser, A. A. P., Georgiou, P., Brown, G., Mudan, S., Goldin, R., & Tekkis, P. (2013). The tumour biology of synchronous and metachronous colorectal liver metastases: a systematic review. CLINICAL & EXPERIMENTAL METASTASIS, 30(4), 457-470. doi:10.1007/s10585-012-9551-8
Morton, U. K. D., Seymour, M., Magill, L., Handley, K., Brown, G., Ferry, D., . . . Gray, R. (2012). Feasibility of preoperative chemotherapy for locally advanced, operable colon cancer: the pilot phase of a randomised controlled trial. LANCET ONCOLOGY, 13(11), 1152-1160. doi:10.1016/S1470-2045(12)70348-0
Dighe, S., Castellano, E., Blake, H., Jeyadevan, N., Koh, M. U., Orten, M., . . . Brown, G. (2012). Perfusion CT to assess angiogenesis in colon cancer: technical limitations and practical challenges. BRITISH JOURNAL OF RADIOLOGY, 85(1018), E814-E825. doi:10.1259/bjr/19855447
Bhangu, A., Brown, G., Akmal, M., & Tekkis, P. (2012). Outcome of abdominosacral resection for locally advanced primary and recurrent rectal cancer. BRITISH JOURNAL OF SURGERY, 99(10), 1453-1461. doi:10.1002/bjs.8881
Patel, U. B., Blomqvist, L. K., Taylor, F., George, C., Guthrie, A., Bees, N., & Brown, G. (2012). MRI After Treatment of Locally Advanced Rectal Cancer: How to Report Tumor Response-The MERCURY Experience. AMERICAN JOURNAL OF ROENTGENOLOGY, 199(4), W486-W495. doi:10.2214/AJR.11.8210
Chand, M., Bhoday, J., Brown, G., Moran, B., & Parvaiz, A. (2012). Laparoscopic surgery for rectal cancer. JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, 105(10), 429-435. doi:10.1258/jrsm.2012.120070
Georgiou, P. A., Tekkis, P. P., Constantinides, V. A., Patel, U., Goldin, R. D., Darzi, A. W., . . . Brown, G. (2013). Diagnostic accuracy and value of magnetic resonance imaging (MRI) in planning exenterative pelvic surgery for advanced colorectal cancer. EUROPEAN JOURNAL OF CANCER, 49(1), 72-81. doi:10.1016/j.ejca.2012.06.025
Slesser, A. A. P., Bhangu, A., Brown, G., Mudan, S., & Tekkis, P. P. (2013). The management of rectal cancer with synchronous liver metastases: a modern surgical dilemma. TECHNIQUES IN COLOPROCTOLOGY, 17(1), 1-12. doi:10.1007/s10151-012-0888-4
2012
Hunter, C., Brown, G., Temple, L., Abulafi, M., & Arnaout, A. (2012). Magnetic resonance imaging assisted tumour block selection in colorectal cancer. VIRCHOWS ARCHIV, 461, S179. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000310364801512&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Patel, U. B., Brown, G., Rutten, H., West, N., Sebag-Montefiore, D., Glynne-Jones, R., . . . Quirke, P. (2012). Comparison of Magnetic Resonance Imaging and Histopathological Response to Chemoradiotherapy in Locally Advanced Rectal Cancer. ANNALS OF SURGICAL ONCOLOGY, 19(9), 2842-2852. doi:10.1245/s10434-012-2309-3
Shihab, O. C., Heald, R. J., Holm, T., How, P. D., Brown, G., Quirke, P., & Moran, B. J. (2012). A pictorial description of extralevator abdominoperineal excision for low rectal cancer. COLORECTAL DISEASE, 14(10), E655-E660. doi:10.1111/j.1463-1318.2012.03181.x
Al-Sukhni, E., Milot, L., Fruitman, M., Beyene, J., Victor, J. C., Schmocker, S., . . . Kennedy, E. (2012). Diagnostic Accuracy of MRI for Assessment of T Category, Lymph Node Metastases, and Circumferential Resection Margin Involvement in Patients with Rectal Cancer: A Systematic Review and Meta-analysis. ANNALS OF SURGICAL ONCOLOGY, 19(7), 2212-2223. doi:10.1245/s10434-011-2210-5
How, P., Evans, J., Moran, B., Swift, I., & Brown, G. (2012). Preoperative MRI sphincter morphology and anal manometry: can they be markers of functional outcome following anterior resection for rectal cancer?. COLORECTAL DISEASE, 14(6), E339-E345. doi:10.1111/j.1463-1318.2012.02942.x
Dewdney, A., Chau, I., Capdevila, J., Glimelius, B., Cervantes-Ruiperez, A., Tait, D. M., . . . Cunningham, D. (2012). The impact of TP53 mutation on high-risk rectal cancer patients treated within the EXPERT-C trial, a randomized phase II study of neoadjuvant oxaliplatin/capecitabine (CAPOX) and chemoradiation (CRT) with or without cetuximab.. In JOURNAL OF CLINICAL ONCOLOGY Vol. 30 (pp. 1 page). Chicago, IL: AMER SOC CLINICAL ONCOLOGY. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000318009804716&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Fernandez-Martos, C., Estevan, R., Salud, A., Pericay, C., Gallen, M., Sierra, E., . . . Brown, G. (2012). Neoadjuvant capecitabine, oxliplatin, and bevacizumab (CAPOX-B) in intermediate-risk rectal cancer (RC) patients defined by magnetic resonance (MR): GEMCAD 0801 trial.. In JOURNAL OF CLINICAL ONCOLOGY Vol. 30 (pp. 1 page). Chicago, IL: AMER SOC CLINICAL ONCOLOGY. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000318009803825&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Brown, G., Bharat Patel, U., Santos Cores, J., Gil Garcia, M. I., Ramon Ayuso, J., Puchades Roman, I., . . . Fernandez-Martos, C. (2012). Comparison of magnetic resonance imaging and histopathological response to neoadjuvant chemotherapy in locally advanced rectal cancer: The GEMCAD 0801 trial.. In JOURNAL OF CLINICAL ONCOLOGY Vol. 30 (pp. 1 page). Chicago, IL: AMER SOC CLINICAL ONCOLOGY. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000318009802738&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Bhangu, A., Ali, M., Cunningham, D., Brown, G., & Tekkis, P. P. (2012). Comparison of long-term survival outcomes of operative versus nonoperative management of recurrent rectal cancer. In JOURNAL OF CLINICAL ONCOLOGY Vol. 30 (pp. 1 page). Chicago, IL: AMER SOC CLINICAL ONCOLOGY. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000318009800867&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Dewdney, A., Cunningham, D., Tabernero, J., Capdevila, J., Glimelius, B., Cervantes, A., . . . Chau, I. (2012). Multicenter Randomized Phase II Clinical Trial Comparing Neoadjuvant Oxaliplatin, Capecitabine, and Preoperative Radiotherapy With or Without Cetuximab Followed by Total Mesorectal Excision in Patients With High-Risk Rectal Cancer (EXPERT-C). JOURNAL OF CLINICAL ONCOLOGY, 30(14), 1620-1627. doi:10.1200/JCO.2011.39.6036
Dighe, S., Swift, I., Magill, L., Handley, K., Gray, R., Quirke, P., . . . Brown, G. (2012). Accuracy of radiological staging in identifying high-risk colon cancer patients suitable for neoadjuvant chemotherapy: a multicentre experience. COLORECTAL DISEASE, 14(4), 438-444. doi:10.1111/j.1463-1318.2011.02638.x
Starling, N., Hawkes, E. A., Chau, I., Watkins, D., Thomas, J., Webb, J., . . . Cunningham, D. (2012). A dose escalation study of gemcitabine plus oxaliplatin in combination with imatinib for gemcitabine-refractory advanced pancreatic adenocarcinoma. ANNALS OF ONCOLOGY, 23(4), 942-947. doi:10.1093/annonc/mdr317
Brown, G., Evans, J., Tait, D., Swift, I., Tekkis, P., Wotherspoon, A., & Chau, I. (2012). Timing of Surgery Following Preoperative Therapy in Rectal Cancer: There Is No Need for a Prospective Randomized Trial Reply. DISEASES OF THE COLON & RECTUM, 55(3), E31-E32. doi:10.1097/DCR.0b013e31823f86dd
West, N., Hemmings, G. J., Richman, S. D., Taylor, M., Chambers, P., Magill, L., . . . Quirke, P. (2012). KRAS and BRAF Mutational Status can be Accurately Determined on Diagnostic Tissue Biopsies: An Analysis of Matched Biopsy and Resection Material from Patients with Colon Cancer in the NCRI FOxTROT trial. In JOURNAL OF PATHOLOGY Vol. 226 (pp. S4). Dept Cellular Pathol, London, ENGLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000300669800010&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
West, N., Tinkler-Hundal, E., Handley, K., Magill, L., Lancaster, D., Seymour, M., . . . Quirke, P. (2012). Histopathological Downstaging of Colon Cancer Following Six Weeks of Pre-operative Chemotherapy: Early Results of the NCRI FOxTROT Trial. In JOURNAL OF PATHOLOGY Vol. 226 (pp. S23). Dept Cellular Pathol, London, ENGLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000300669800083&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Bhangu, A., Ali, S. M., Darzi, A., Brown, G., & Tekkis, P. (2012). Meta-analysis of survival based on resection margin status following surgery for recurrent rectal cancer. COLORECTAL DISEASE, 14(12), 1457-1466. doi:10.1111/j.1463-1318.2012.03005.x
Yu, S. K., Brown, G., & Tait, D. M. (2012). Use of MRI-defined tumor distance from the anal verge to predict tumor response to neoadjuvant chemoradiotherapy in locally advanced rectal cancer.. J Clin Oncol, 30(4_suppl), 573. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27983202
Currie, A. C., Evans, J., Smith, N. J., Brown, G., Abulafi, A. M., & Swift, R. I. (2012). The impact of the two-week wait referral pathway on rectal cancer survival. COLORECTAL DISEASE, 14(7), 848-853. doi:10.1111/j.1463-1318.2011.02829.x
Brown, G. (2012). Specialist multidisciplinary team working in the treatment of cancer Improves survival, possibly through enabling bolder treatment. BMJ-BRITISH MEDICAL JOURNAL, 344, 2 pages. doi:10.1136/bmj.e2780
Tam, H. H., Collins, D. J., Wallace, T., Brown, G., Riddell, A., & Koh, D. -M. (2012). Segmental liver hyperintensity in malignant biliary obstruction on diffusion weighted MRI: associated MRI findings and relationship with serum alanine aminotransferase levels. BRITISH JOURNAL OF RADIOLOGY, 85(1009), 22-28. doi:10.1259/bjr/24852804
Bhangu, A., Slesser, A., Brown, G., & Tekkis, P. (2012). Indications and outcomes of pelvic exenteration for locally advanced primary and recurrent rectal cancer. In BRITISH JOURNAL OF SURGERY Vol. 99 (pp. 70-71). Liverpool, ENGLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000306123100208&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Bhangu, A., Ali, M., Cunningham, D., Brown, G., & Tekkis, P. (2012). Comparison of long-term survival outcomes of operative versus non-operative management of recurrent rectal cancer. In BRITISH JOURNAL OF SURGERY Vol. 99 (pp. 95). Liverpool, ENGLAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000306123100284&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
2011
Hunter, C. J., Garant, A., Vuong, T., Artho, G., Lisbona, R., Tekkis, P., . . . Brown, G. (2012). Adverse Features on Rectal MRI Identify a High-risk Group that May Benefit from More Intensive Preoperative Staging and Treatment. ANNALS OF SURGICAL ONCOLOGY, 19(4), 1199-1205. doi:10.1245/s10434-011-2036-1
Pedersen, B. G., Moran, B., Brown, G., Blomqvist, L., Fenger-Gron, M., & Laurberg, S. (2011). Reproducibility of Depth of Extramural Tumor Spread and Distance to Circumferential Resection Margin at Rectal MRI: Enhancement of Clinical Guidelines for Neoadjuvant Therapy. AMERICAN JOURNAL OF ROENTGENOLOGY, 197(6), 1360-1366. doi:10.2214/AJR.11.6508
Shihab, O. C., Taylor, F., Bees, N., Blake, H., Jeyadevan, N., Bleehen, R., . . . Brown, G. (2011). Relevance of magnetic resonance imaging-detected pelvic sidewall lymph node involvement in rectal cancer. BRITISH JOURNAL OF SURGERY, 98(12), 1798-1804. doi:10.1002/bjs.7662
Shihab, O. C., Taylor, F., Salerno, G., Heald, R. J., Quirke, P., Moran, B. J., & Brown, G. (2011). MRI Predictive Factors for Long-Term Outcomes of Low Rectal Tumours. ANNALS OF SURGICAL ONCOLOGY, 18(12), 3278-3284. doi:10.1245/s10434-011-1776-2
Chand, M., & Brown, G. (2012). What are the relevant imaging factors to optimize treatment decisions?. In Multidisciplinary Management of Rectal Cancer: Questions and Answers (Vol. 9783642250057, pp. 27-39). doi:10.1007/978-3-642-25005-7_4
Evans, J., Tait, D., Swift, I., Pennert, K., Tekkis, P., Wotherspoon, A., . . . Brown, G. (2011). Timing of Surgery Following Preoperative Therapy in Rectal Cancer: The Need for a Prospective Randomized Trial?. DISEASES OF THE COLON & RECTUM, 54(10), 1251-1259. doi:10.1097/DCR.0b013e3182281f4b
Chua, S., Georgiou, P., Brown, G., Cook, G., Drake, B., Antoniou, A., & Tekkis, P. (2011). The added value of combined 18F-FDG PET-MRI in the preoperative assessment of local tumour invasion in recurrent and locally advanced primary rectal cancer using pelvic compartmental analysis. EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 38, S194. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000208619400368&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
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Shihab, O. C., How, P., West, N., George, C., Patel, U., Quirke, P., . . . Brown, G. (2011). Can a Novel MRI Staging System for Low Rectal Cancer Aid Surgical Planning?. DISEASES OF THE COLON & RECTUM, 54(10), 1260-1264. doi:10.1097/DCR.0b013e31822abd78
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Wong, R., Cunningham, D., Barbachano, Y., Saffery, C., Valle, J., Hickish, T., . . . Chau, I. (2011). A multicentre study of capecitabine, oxaliplatin plus bevacizumab as perioperative treatment of patients with poor-risk colorectal liver-only metastases not selected for upfront resection. ANNALS OF ONCOLOGY, 22(9), 2042-2048. doi:10.1093/annonc/mdq714
Patel, U. B., Taylor, F., Blomqvist, L., George, C., Evans, H., Tekkis, P., . . . Brown, G. (2011). Magnetic Resonance Imaging-Detected Tumor Response for Locally Advanced Rectal Cancer Predicts Survival Outcomes: MERCURY Experience. JOURNAL OF CLINICAL ONCOLOGY, 29(28), 3753-3760. doi:10.1200/JCO.2011.34.9068
Evans, J., Patel, U., & Brown, G. (2011). Rectal Cancer: Primary Staging and Assessment After Chemoradiotherapy. SEMINARS IN RADIATION ONCOLOGY, 21(3), 169-177. doi:10.1016/j.semradonc.2011.02.002
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Glimelius, B., Beets-Tan, R., Blomqvist, L., Brown, G., Nagtegaal, I., Pahlman, L., . . . van de Velde, C. (2011). Mesorectal Fascia Instead of Circumferential Resection Margin in Preoperative Staging of Rectal Cancer. JOURNAL OF CLINICAL ONCOLOGY, 29(16), 2142-2143. doi:10.1200/JCO.2010.34.4473
How, P., Shihab, O., Tekkis, P., Brown, G., Quirke, P., Heald, R., & Moran, B. (2011). A systematic review of cancer related patient outcomes after anterior resection and abdominoperineal excision for rectal cancer in the total mesorectal excision era. SURGICAL ONCOLOGY-OXFORD, 20(4), E149-E155. doi:10.1016/j.suronc.2011.05.001
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Dewdney, A., Capdevila, J., Glimelius, B., Cervantes, A., Tait, D. M., Brown, G., . . . Cunningham, D. (2011). EXPERT-C: A randomized, phase II European multicenter trial of neoadjuvant capecitabine plus oxaliplatin chemotherapy (CAPOX) and chemoradiation (CRT) with or without cetuximab followed by total mesorectal excision (TME) in patients with MRI-defined, high-risk rectal cancer.. J Clin Oncol, 29(15_suppl), 3513. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/28020332
Dewdney, A., Capdevila, J., Glimelius, B., Cervantes, A., Tait, D. M., Brown, G., . . . Cunningham, D. (2011). EXPERT-C: A randomized, phase II European multicenter trial of neoadjuvant capecitabine plus oxaliplatin chemotherapy (CAPOX) and chemoradiation (CRT) with or without cetuximab followed by total mesorectal excision (TME) in patients with MRI-defined, high-risk rectal cancer. JOURNAL OF CLINICAL ONCOLOGY, 29(15), 1 page. doi:10.1200/jco.2011.29.15_suppl.3513
Taylor, F. G. M., Quirke, P., Heald, R. J., Moran, B., Blomqvist, L., Swift, I., . . . Brown, G. (2011). One millimetre is the safe cut-off for magnetic resonance imaging prediction of surgical margin status in rectal cancer. BRITISH JOURNAL OF SURGERY, 98(6), 872-879. doi:10.1002/bjs.7458
Taylor, F. G. M., Quirke, P., Heald, R. J., Moran, B., Blomqvist, L., Swift, I., . . . MERCURY study group. (2011). Preoperative high-resolution magnetic resonance imaging can identify good prognosis stage I, II, and III rectal cancer best managed by surgery alone: a prospective, multicenter, European study.. Ann Surg, 253(4), 711-719. doi:10.1097/SLA.0b013e31820b8d52
Hunter, C., Garant, A., Vuong, T., Artho, G., Lisbona, R., Abulafi, M., & Brown, G. (2011). Potential therapeutic impact of routine pre-operative staging with FDG-PET/CT in high and low risk rectal cancer. In BRITISH JOURNAL OF SURGERY Vol. 98 (pp. 36). Royal Coll Surgery, Dublin, IRELAND: WILEY-BLACKWELL. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000290664500120&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Pedersen, B. G., Blomqvist, L., Brown, G., Fenger-Gron, M., Moran, B., & Laurberg, S. (2011). Postgraduate Multidisciplinary Development Program: Impact on the Interpretation of Pelvic MRI in Patients With Rectal Cancer: A Clinical Audit in West Denmark. DISEASES OF THE COLON & RECTUM, 54(3), 328-334. doi:10.1007/DCR.0b013e3182031e83
Georgiou, P. A., Tekkis, P. P., Patel, U., Antoniou, A., Darzi, A. W., Cunningham, D., . . . Brown, G. (2011). The added value of diffusion-weighted magnetic resonance imaging (DW-MRI) in the local staging of advanced colorectal pelvic cancer.. J Clin Oncol, 29(4_suppl), 378. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27985528
Georgiou, P. A., Tekkis, P. P., Patel, U., Antoniou, A., Darzi, A. W., Cunningham, D., . . . Brown, G. (2011). The added value of diffusion-weighted magnetic resonance imaging (DW-MRI) in the local staging of advanced colorectal pelvic cancer. JOURNAL OF CLINICAL ONCOLOGY, 29(4), 1 page. doi:10.1200/jco.2011.29.4_suppl.378
Hunter, C. J., Scurr, E., Jeyadevan, N., Collins, D. J., Abulafi, M., Tekkis, P. P., . . . Brown, G. (2011). Optimising magnetic resonance imaging for preoperative staging and surgical planning in colon cancer at 1.5 tesla and 3.0 tesla.. J Clin Oncol, 29(4_suppl), 395. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27985624
Hunter, C. J., Scurr, E., Jeyadevan, N., Collins, D. J., Abulafi, M., Tekkis, P. P., . . . Brown, G. (2011). Optimising magnetic resonance imaging for preoperative staging and surgical planning in colon cancer at 1.5 tesla and 3.0 tesla. JOURNAL OF CLINICAL ONCOLOGY, 29(4), 1 page. doi:10.1200/jco.2011.29.4_suppl.395
Dewdney, A., Cunningham, D., Tabernero, J., Glimelius, B., Cervantes, A., Tait, D. M., . . . Chau, I. (2011). EXPERT-C: A randomized phase II European multicenter trial of neoadjuvant chemotherapy (capecitabine/oxaliplatin) and chemoradiation (CRT) with or without cetuximab followed by total mesorectal excision (TME) in patients with MRI-defined high-risk rectal cancer.. J Clin Oncol, 29(4_suppl), 360. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27985488
Dewdney, A., Cunningham, D., Tabernero, J., Glimelius, B., Cervantes, A., Tait, D. M., . . . Chau, I. (2011). EXPERT-C: A randomized phase II European multicenter trial of neoadjuvant chemotherapy (capecitabine/oxaliplatin) and chemoradiation (CRT) with or without cetuximab followed by total mesorectal excision (TME) in patients with MRI-defined high-risk rectal cancer. JOURNAL OF CLINICAL ONCOLOGY, 29(4), 1 page. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000208847100358&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Tekkis, P. P., Georgiou, P. A., Constantinides, V. A., Patel, U., Antoniou, A., Goldin, R. D., . . . Brown, G. (2011). Diagnostic accuracy and value of magnetic resonance imaging (MRI) in planning exenterative pelvic surgery for advanced colorectal pelvic cancer.. J Clin Oncol, 29(4_suppl), 370. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27985511
Tekkis, P. P., Georgiou, P. A., Constantinides, V. A., Patel, U., Antoniou, A., Goldin, R. D., . . . Brown, G. (2011). Diagnostic accuracy and value of magnetic resonance imaging (MRI) in planning exenterative pelvic surgery for advanced colorectal pelvic cancer. JOURNAL OF CLINICAL ONCOLOGY, 29(4), 1 page. doi:10.1200/jco.2011.29.4_suppl.370
Yu, S. K., Brown, G., Heald, R. J., Chua, S., Cook, G., Barbachano, Y., . . . Tait, D. M. (2011). Deferral of rectal surgery following a continued response to preoperative chemoradiotherapy (Watch and Wait) study: A phase II multicenter study in the United Kingdom.. J Clin Oncol, 29(4_suppl), 489. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/27985501
Taylor, F. G. M., Quirke, P., Heald, R. J., Moran, B., Blomqvist, L., Swift, I., . . . Brown, G. (2011). Preoperative High-resolution Magnetic Resonance Imaging Can Identify Good Prognosis Stage I, II, and III Rectal Cancer Best Managed by Surgery Alone A Prospective, Multicenter, European Study. ANNALS OF SURGERY, 253(4), 711-719. doi:10.1097/SLA.0b013e31820b8d52
Georgiou, P. A., Tekkis, P. P., & Brown, G. (2011). Pelvic colorectal recurrence: crucial role of radiologists in oncologic and surgical treatment options.. Cancer Imaging, 11 Spec No A, S103-S111. doi:10.1102/1470-7330.2011.9025
2010
Shihab, O. C., Quirke, P., Heald, R. J., Moran, B. J., & Brown, G. (2010). Magnetic resonance imaging-detected lymph nodes close to the mesorectal fascia are rarely a cause of margin involvement after total mesorectal excision. BRITISH JOURNAL OF SURGERY, 97(9), 1431-1436. doi:10.1002/bjs.7116
Dighe, S., Purkayastha, S., Swift, I., Tekkis, P. P., Darzi, A., A’Hern, R., & Brown, G. (2010). Diagnostic precision of CT in local staging of colon cancers: a meta-analysis. CLINICAL RADIOLOGY, 65(9), 708-719. doi:10.1016/j.crad.2010.01.024
Dighe, S., Blake, H., Koh, M. -D., Swift, I., Arnaout, A., Temple, L., . . . Brown, G. (2010). Accuracy of multidetector computed tomography in identifying poor prognostic factors in colonic cancer. BRITISH JOURNAL OF SURGERY, 97(9), 1407-1415. doi:10.1002/bjs.7096
Koh, D. -M., George, C., Temple, L., Collins, D. J., Toomey, P., Raja, A., . . . Brown, G. (2010). Diagnostic Accuracy of Nodal Enhancement Pattern of Rectal Cancer at MRI Enhanced With Ultrasmall Superparamagnetic Iron Oxide: Findings in Pathologically Matched Mesorectal Lymph Nodes. AMERICAN JOURNAL OF ROENTGENOLOGY, 194(6), W505-W513. doi:10.2214/AJR.08.1819
Fernandez-Martos, C., Safont, M., Feliu, J., Pericay, C., Gallen, M., Vera, R., . . . Brown, G. (2010). Induction chemotherapy with or without chemoradiation in intermediate-risk rectal cancer patients defined by magnetic resonance imaging (MRI): A GEMCAD study. JOURNAL OF CLINICAL ONCOLOGY, 28(15), 1 page. doi:10.1200/jco.2010.28.15_suppl.tps196
Gray, R. G., Morton, D., Brown, G., Ferry, D. R., Magill, L., Quirke, P., . . . Warren, B. (2010). FOxTROT: Randomized phase II study of neoadjuvant chemotherapy with or without an anti-EGFR monoclonal antibody for locally advanced, operable colon cancer. JOURNAL OF CLINICAL ONCOLOGY, 28(15), 1 page. doi:10.1200/jco.2010.28.15_suppl.tps192
Chua, Y. J., Barbachano, Y., Cunningham, D., Oates, J. R., Brown, G., Wotherspoon, A., . . . Chau, I. (2010). Neoadjuvant capecitabine and oxaliplatin before chemoradiotherapy and total mesorectal excision in MRI-defined poor-risk rectal cancer: a phase 2 trial. LANCET ONCOLOGY, 11(3), 241-248. doi:10.1016/S1470-2045(09)70381-X
Georgiou, P., Tan, E., Gouvas, N., Antoniou, A., Brown, G., nicholls, R. J., & Tekkis, P. (2010). Lateral pelvic lymph-node dissection: still an option for cure Reply. LANCET ONCOLOGY, 11(2), 114-115. doi:10.1016/S1470-2045(10)70015-2
Watkins, D. J., Chau, I., Cunningham, D., Mudan, S. S., Karanjia, N., Brown, G., . . . Gillbanks, A. (2010). Defining patient outcomes in stage IV colorectal cancer: a prospective study with baseline stratification according to disease resectability status. BRITISH JOURNAL OF CANCER, 102(2), 255-261. doi:10.1038/sj.bjc.6605508
Taylor, F., Mangat, N., Swift, I. R., & Brown, G. (2010). Proforma-based reporting in rectal cancer.. Cancer Imaging, 10 Spec no A, S142-S150. doi:10.1102/1470-7330.2010.9092
Shihab, O. C., Brown, G., Daniels, I. R., Heald, R. J., Quirke, P., & Moran, B. J. (2010). Patients With Low Rectal Cancer Treated by Abdominoperineal Excision Have Worse Tumors and Higher Involved Margin Rates Compared With Patients Treated by Anterior Resection. DISEASES OF THE COLON & RECTUM, 53(1), 53-56. doi:10.1007/DCR.0b013e3181c70465
2009
Shihab, O. C., Heald, R. J., Rullier, E., Brown, G., Holm, T., Quirke, P., & Moran, B. J. (2009). Defining the surgical planes on MRI improves surgery for cancer of the low rectum. LANCET ONCOLOGY, 10(12), 1207-1211. doi:10.1016/S1470-2045(09)70084-1
Starling, N., Watkins, D., Cunningham, D., Thomas, J., Webb, J., Brown, G., . . . Chau, I. (2009). Dose Finding and Early Efficacy Study of Gemcitabine Plus Capecitabine in Combination With Bevacizumab Plus Erlotinib in Advanced Pancreatic Cancer. JOURNAL OF CLINICAL ONCOLOGY, 27(33), 5499-5505. doi:10.1200/JCO.2008.21.5384
Georgiou, P., Tan, E., Gouvas, N., Antoniou, A., Brown, G., Nicholls, R. J., & Tekkis, P. (2009). Extended lymphadenectomy versus conventional surgery for rectal cancer: a meta-analysis. LANCET ONCOLOGY, 10(11), 1053-1062. doi:10.1016/S1470-2045(09)70224-4
Leary, A., Assersohn, L., Cunningham, D., Norman, A. R., Chong, G., Brown, G., . . . Oates, J. (2009). A phase II trial evaluating capecitabine and irinotecan as second line treatment in patients with oesophago-gastric cancer who have progressed on, or within 3 months of platinum-based chemotherapy. CANCER CHEMOTHERAPY AND PHARMACOLOGY, 64(3), 455-462. doi:10.1007/s00280-008-0893-5
O’Neill, B. D. P., Salerno, G., Thomas, K., Tait, D. M., & Brown, G. (2009). MR vs CT imaging: low rectal cancer tumour delineation for three-dimensional conformal radiotherapy. BRITISH JOURNAL OF RADIOLOGY, 82(978), 509-513. doi:10.1259/bjr/60198873
Starling, N., Okines, A., Cunningham, D., Allum, W., Wotherspoon, A., Benson, M., . . . Chau, I. (2009). A phase II trial of preoperative chemotherapy with epirubicin, cisplatin and capecitabine for patients with localised gastro-oesophageal junctional adenocarcinoma. BRITISH JOURNAL OF CANCER, 100(11), 1725-1730. doi:10.1038/sj.bjc.6605070
Salerno, G. V., Daniels, I. R., Moran, B. J., Heald, R. J., Thomas, K., & Brown, G. (2009). Magnetic Resonance Imaging Prediction of an Involved Surgical Resection Margin in Low Rectal Cancer. DISEASES OF THE COLON & RECTUM, 52(4), 632-639. doi:10.1007/DCR.0b013e3181a0a37e
Shihab, O. C., Moran, B. J., Heald, R. J., Quirke, P., & Brown, G. (2009). MRI staging of low rectal cancer. EUROPEAN RADIOLOGY, 19(3), 643-650. doi:10.1007/s00330-008-1184-6
Potter, K. C., Husband, J. E., Houghton, S. L., Thomas, K., & Brown, G. (2009). Diagnostic Accuracy of Serial CT/Magnetic Resonance Imaging Review vs. Positron Emission Tomography/CT in Colorectal Cancer Patients with Suspected and Known Recurrence. DISEASES OF THE COLON & RECTUM, 52(2), 253-259. doi:10.1007/DCR.0b013e31819d11e6
Koh, D. -M., Brown, G., & Collins, D. J. (2009). Nanoparticles in rectal cancer imaging. CANCER BIOMARKERS, 5(2), 89-98. doi:10.3233/CBM-2009-0544
2008
Dighe, S., Swift, I., & Brown, G. (2008). CT staging of colon cancer. CLINICAL RADIOLOGY, 63(12), 1372-1379. doi:10.1016/j.crad.2008.04.021
Taylor, F. G. M., Swift, R. I., Blomqvist, L., & Brown, G. (2008). A Systematic Approach to the Interpretation of Preoperative Staging MRI for Rectal Cancer. AMERICAN JOURNAL OF ROENTGENOLOGY, 191(6), 1827-1835. doi:10.2214/AJR.08.1004
Smith, N. J., Shihab, O., Arnaout, A., Swift, R. I., & Brown, G. (2008). MRI for Detection of Extramural Vascular Invasion in Rectal Cancer. AMERICAN JOURNAL OF ROENTGENOLOGY, 191(5), 1517-1522. doi:10.2214/AJR.08.1298
Salerno, G., Chandler, I., Wotherspoon, A., Thomas, K., Moran, B., & Brown, G. (2008). Sites of surgical waisting in the abdominoperineal specimen. BRITISH JOURNAL OF SURGERY, 95(9), 1147-1154. doi:10.1002/bjs.6231
Brown, G. (2008). MRI: STAGING AND RE-STAGING AFTER PREOPERATIVE TREATMENT, NEW CONTRAST AGENTS. In RADIOTHERAPY AND ONCOLOGY Vol. 88 (pp. S128). ELSEVIER IRELAND LTD. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000433281200354&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
ONeill, B., Tait, D., & Brown, G. (2008). ANASTOMOTIC LOCAL RECURRENCE OF RECTAL CANCER REMAINS AN IMPORTANT AND PREVENTABLE PATTERN OF FAILURE FOLLOWING TOTAL MESORECTAL EXCISION: LESSONS FOR RADIOTHERAPISTS. In RADIOTHERAPY AND ONCOLOGY Vol. 88 (pp. S87). ELSEVIER IRELAND LTD. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000433281200248&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Kong, G., Jackson, C., Koh, D. M., Lewington, V., Sharma, B., Brown, G., . . . Cook, G. J. R. (2008). The use of F-18-FDG PET/CT in colorectal liver metastases-comparison with CT and liver MRI. EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 35(7), 1323-1329. doi:10.1007/s00259-008-0743-z
Koh, D. -M., Chau, I., Tait, D., Wotherspoon, A., Cunningham, D., & Brown, G. (2008). Evaluating mesorectal lymph nodes in rectal cancer before and after neoadjuvant chemoradiation using thin-section T2-weighted magnetic resonance imaging. INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 71(2), 456-461. doi:10.1016/j.ijrobp.2007.10.016
Koh, D. M., Brown, G., Riddell, A. M., Scurr, E., Collins, D. J., Allen, S. D., . . . Husband, J. E. (2008). Detection of colorectal hepatic metastases using MnDPDP MR imaging and diffusion-weighted imaging (DWI) alone and in combination. EUROPEAN RADIOLOGY, 18(5), 903-910. doi:10.1007/s00330-007-0847-z
Moran, B., Brown, G., Cunningham, D., Daniels, I., Heald, R., Quirke, P., & Sebag-Montefiore, D. (2008). Clarifying the TNM staging of rectal cancer in the context of modern imaging and neo-adjuvant treatment: ‘y”u’ and ‘p’ need ‘mr’ and ‘ct’. COLORECTAL DISEASE, 10(3), 242-243. doi:10.1111/j.1463-1318.2007.01260.x
Smith, N. J., Barbachano, Y., Norman, A. R., Swift, R. I., Abulafi, A. M., & Brown, G. (2008). Prognostic significance of magnetic resonance imaging-detected extramural vascular invasion in rectal cancer. BRITISH JOURNAL OF SURGERY, 95(2), 229-236. doi:10.1002/bjs.5917
Koh, D. M., Dzik-Jurasz, A., O’Neill, B., Tait, D., Husband, J. E., & Brown, G. (2008). Pelvic phased-array MR imaging of anal carcinoma before and after chemoradiation. BRITISH JOURNAL OF RADIOLOGY, 81(962), 91-98. doi:10.1259/bjr/96187638
Park, S. H. (2008). Degree of error of thin-section MR in measuring extramural depth of tumor invasion in patients with rectal cancer.. Radiology, 246(2), 647. doi:10.1148/radiol.2462070843
Brown, G., & Norman, A. R. (2008). Degree of error of thin-section MR in measuring extramural depth of tumor invasion in patients with rectal cancer – Response. RADIOLOGY, 246(2), 648. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000252796300049&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Koh, D. -M., Smith, N. J., Swift, R. I., & Brown, G. (2008). The Relationship Between MR Demonstration of Extramural Venous Invasion and Nodal Disease in Rectal Cancer.. Clin Med Oncol, 2, 267-273. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21892288
O’Neill, B., Brown, G., Wotherspoon, A., Burton, S., Norman, A., & Tait, D. (2008). Successful downstaging of high rectal and recto-sigmoid cancer by neo-adjuvant chemo-radiotherapy.. Clin Med Oncol, 2, 135-144. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21892276
Brown, G. (2008). Staging rectal cancer: endoscopic ultrasound and pelvic MRI.. Cancer Imaging, 8 Spec No A, S43-S45. doi:10.1102/1470-7330.2008.9008
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O’Neill, B. D. P., Tait, D. M., & Brown, G. (2008). Anastomotic local recurrence of rectal cancer remains an important and preventable pattern of failure following total mesorectal excision: Lessons for radiotherapists. In INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS Vol. 72 (pp. S246). Boston, MA: ELSEVIER SCIENCE INC. doi:10.1016/j.ijrobp.2008.06.635
Burton, S., Brown, G., Bees, N., Norman, A., Biedrzycki, O., Arnaout, A., . . . Swift, R. I. (2008). Accuracy of CT prediction of poor prognostic features in colonic cancer. BRITISH JOURNAL OF RADIOLOGY, 81(961), 10-19. doi:10.1259/bjr/19492531
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O’Neill, B. D. P., Brown, G., Cunningham, D., Heald, R. J., & Tait, D. M. (2007). Chemoradiotherapy alone for rectal cancer: A word of caution – Reply. LANCET ONCOLOGY, 8(10), 862-863. doi:10.1016/S1470-2045(07)70293-0
O’Neill, B., Chaldecott, R., Brown, G., Sharma, R. A., Norman, A., Scurr, E., . . . Tait, D. M. (2007). Optimisation of radiotherapy planning for rectal cancer: a comparison of supine CT and MRI defined target and normal tissue dose volume data. In EJC SUPPLEMENTS Vol. 5 (pp. 258). Barcelona, SPAIN: PERGAMON-ELSEVIER SCIENCE LTD. doi:10.1016/S1359-6349(07)71001-7
Brown, G. (2007). Imaging of liver metastases (CT scan, MRI, PET scan). EJC SUPPLEMENTS, 5(5), 297-300. doi:10.1016/S1359-6349(07)70056-3
O’Neill, B. D. P., Brown, G., Heald, R. J., Cunningham, D., & Tait, D. M. (2007). Non-operative treatment after neoadjuvant chemoradiotherapy for rectal cancer. LANCET ONCOLOGY, 8(7), 625-633. doi:10.1016/S1470-2045(07)70202-4
Watkins, D. J., Jackson, C., Chua, Y., Chong, G., Norman, A. R., Brown, G., . . . Cunningham, D. (2007). A prospective study of oxaliplatin and capecitabine (CapOx) in metastatic colorectal cancer (MCRC) with baseline stratification according to resectability status. In JOURNAL OF CLINICAL ONCOLOGY Vol. 25 (pp. 2 pages). AMER SOC CLINICAL ONCOLOGY. Retrieved from http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000455043700678&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
Salerno, G., Daniels, I. R., Brown, G., Norman, A. R., Moran, B. J., & Heald, R. J. (2007). Variations in pelvic dimensions do not predict the risk of circumferential resection margin (CRM) involvement in rectal cancer. WORLD JOURNAL OF SURGERY, 31(6), 1313-1320. doi:10.1007/s00268-007-9007-5
Smith, N. J., Bees, N., Barbachano, Y., Norman, A. R., Swift, R. I., & Brown, G. (2007). Preoperative computed tomography staging of nonmetastatic colon cancer predicts outcome: implications for clinical trials. BRITISH JOURNAL OF CANCER, 96(7), 1030-1036. doi:10.1038/sj.bjc.6603646
Fowler, J. M., Beagley, C. E., Blomqvist, L., Brown, G., Daniels, I. R., Heald, R. J., . . . Sebag-Montefiore, D. (2007). Extramural depth of tumor invasion at thin-section MR in patients with rectal cancer: Results of the MERCURY Study. RADIOLOGY, 243(1), 132-139. doi:10.1148/radiol.2431051825
Riddell, A. M., Allum, W. H., Thompson, J. N., Wotherspoon, A. C., Richardson, C., & Brown, G. (2007). The appearances of oesophageal carcinoma demonstrated on high-resolution, T2-weighted MRI, with histopathological correlation. EUROPEAN RADIOLOGY, 17(2), 391-399. doi:10.1007/s00330-006-0363-6
Koh, D. -M., Brown, G., Meer, Z., Norman, A. R., & Husband, J. E. (2007). Diagnostic accuracy of rim and segmental MRI enhancement of colorectal hepatic metastasis after administration of mangafodipir trisodium. AMERICAN JOURNAL OF ROENTGENOLOGY, 188(2), W154-W161. doi:10.2214/AJR.05.1421
Starling, N., & Brown, G. (2007). Patterns of recurrence following therapy for rectal cancer. In Colorectal Cancer (pp. 233-247). doi:10.1017/CBO9780511902468.013
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BROWN, G., WARREN, M., WILLIAMS, J. E., ADAM, E. J., & COLES, J. A. (1993). CRANIAL COMPUTED-TOMOGRAPHY OF ELDERLY PATIENTS – AN EVALUATION OF ITS USE IN ACUTE NEUROLOGICAL PRESENTATIONS. AGE AND AGEING, 22(4), 240-243. doi:10.1093/ageing/22.4.240
BROWN, G., & HUSBAND, J. E. (1993). MEDIASTINAL WIDENING – A VALUABLE RADIOGRAPHIC SIGN OF SUPERIOR VENA-CAVA THROMBOSIS. CLINICAL RADIOLOGY, 47(6), 415-420. doi:10.1016/S0009-9260(05)81063-3
ะะ ะข ัะฐะบะฐ ะฟััะผะพะน ะบะธัะบะธ
5 ัะตะฒัะฐะปั 2020
ะัะพะดะฐะฝะพ!
ะะดัะตั: ะะพะฑัะพัะปะพะฑะพะดัะบะฐั 5, ะะพัะบะฒะฐ (ะฟะพัะปะต ัะตะณะธัััะฐัะธะธ ะฒั ะฟะพะปััะธัะต email ั ะฟะพะดัะพะฑะฝะพะน ะธะฝัะพัะผะฐัะธะตะน ะพ ะผะตััะต ะฟัะพะฒะตะดะตะฝะธั)
ะะพะบัะพั ะกะฒะตัะปะฐะฝะฐ ะะฐะปััะฝะธะบะพะฒะฐ, ััะฐััะธะน ะฟัะตะฟะพะดะฐะฒะฐัะตะปั Imperial College London, ะบ.ะผ.ะฝ., ะฒัะฐั-ัะตะฝัะณะตะฝะพะปะพะณ The Royal Marsden Hospital ั 2013 ะณะพะดะฐ, ัะฐะฑะพัะฐััะธะน ะฟะพะด ััะบะพะฒะพะดััะฒะพะผ ะัะพั. ะะถะธะฝั ะัะฐัะฝ, ะฝะฐ ะฟัะธะผะตัะต ะบะปะธะฝะธัะตัะบะธั
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ะฐัะฟะตะบัะพะฒ ะธ ะผะตัะพะดะพะฒ ะะ -ะดะธะฐะณะฝะพััะธะบะธ ัะฐะบะฐ ะฟััะผะพะน ะบะธัะบะธ. ะฃะฝะธะบะฐะปัะฝะพััั ะัััะฐ ะทะฐะบะปััะฐะตััั ะฒ ะฒะพะทะผะพะถะฝะพััะธ ััะฐััะฝะธะบะพะฒ ัะฐะผะพััะพััะตะปัะฝะพ ัะฐะทะพะฑัะฐัั ัะตะฐะปัะฝัะต ะบะปะธะฝะธัะตัะบะธะต ัะปััะฐะธ ะฝะฐ ะธะฝะดะธะฒะธะดัะฐะปัะฝัั
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ะฟะพะด ััะบะพะฒะพะดััะฒะพะผ ะดะพะบัะพัะฐ ะะฐะปััะฝะธะบะพะฒะพะน, ะทะฐะดะฐัั ะฒะพะฟัะพัั ะธ ะฟะพะปััะธัั ะดะตัะฐะปัะฝัะต ะฟะพััะฝะตะฝะธั. ะฃัะฐััะฝะธะบะพะฒ ัะฐะบะถะต ะถะดะตั ะฟััะผะพะต ะฒะธะดะตะพ ะฒะบะปััะตะฝะธะต ะธะท ะะพะฝะดะพะฝะฐ, ะฒะพ ะฒัะตะผั ะบะพัะพัะพะณะพ ะัะพั.
ะะถะธะฝะฐ ะัะฐัะฝ ัะฐััะบะฐะถะตั ะพ ัะพะฒัะตะผะตะฝะฝัั
ะผะตัะพะดะฐั
ัััะฐัะธัะธะบะฐัะธะธ ะฟะฐัะธะตะฝัะพะฒ ะธ ะฟะพะดั
ะพะดะฐั
ะฒ ะปะตัะตะฝะธะธ ัะฐะบะฐ ะฟััะผะพะน ะบะธัะบะธ ะฒ ะทะฐะฒะธัะธะผะพััะธ ะพั ััะฐะดะธะธ ะทะฐะฑะพะปะตะฒะฐะฝะธั. ะ ัะตัะตะฝะธะต ะดะฝั ะฑัะด
ัั ะฟะพะดัะพะฑะฝะพ ัะฐะทะพะฑัะฐะฝั ะฒะพะฟัะพัั ะดะธะฐะณะฝะพััะธะบะธ, ััะฐะดะธัะพะฒะฐะฝะธั ะธ ะพัะตะฝะบะธ ัััะตะบัะธะฒะฝะพััะธ ะปะตัะตะฝะธั ะผะตััะฝะพ-ัะฐัะฟัะพัััะฐะฝะตะฝะฝัั
ัะพัะผ ัะฐะบะฐ, ะพะฟัะตะดะตะปะตะฝะธั ัะตะทะตะบัะฐะฑะตะปัะฝะพััะธ ะธ ะดะธะฐะณะฝะพััะธะบะธ ัะตัะธะดะธะฒะพะฒ. ะะพ ะพะบะพะฝัะฐะฝะธั ะบัััะฐ ัะปััะฐัะตะปะตะน ะฟะพะปััะฐั ัะปะตะบััะพะฝะฝัะน ะฑัะบะปะตั ัะพ ะฒัะตะผะธ ะฟัะตะทะตะฝัะฐัะธัะผะธ ะธ ะฝะฐะธะฑะพะปะตะต ะธะฝัะพัะผะฐัะธะฒะฝัะผะธ ะบะปะธะฝะธัะตัะบะธะผะธ ัะปััะฐัะผะธ. ะขะฐะบะถะต ะฟะพะปะตะทะฝัะผ ะฑะพะฝััะพะผ ะดะปั ัะปััะฐัะตะปะตะน ะบัััะฐ ะฑัะดะตั ะฟะพะปััะตะฝะธะต ัะตััะธัะธะบะฐัะฐ ะัะธัะฐะฝัะบะพะณะพ ะะพัะพะปะตะฒัะบะพะณะพ ะะพะปะปะตะดะถะฐ ะ ะตะฝัะณะตะฝะพะปะพะณะพะฒ (The Royal College of Radiologists).
ะฟัะธ ะฟะพะดะดะตัะถะบะต ยซะ ะพััะธะนัะบะพะณะพ ะพะฑัะตััะฒะฐ ัะฟะตัะธะฐะปะธััะพะฒ ะฟะพ ะบะพะปะพัะตะบัะฐะปัะฝะพะผั ัะฐะบัยป ะธ ยซะะะะฆ ะพะฝะบะพะปะพะณะธะธ ะธะผ.ะ.ะ.ะะปะพั ะธะฝะฐยป
Due to open
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Closed to recruitment
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Meetings
Monday 22nd September 2025
Friday 15th
March 2024
Achieving Successful Frontline Clinical Research in a DGH
Celebrating 20 Years of Patient Focused Research at Croydon University Hospital
The DGH environment is a perfect space to do excellent clinical research. Please join us and be part of the collaboration to build a future in research together!
Wednesday 10th November 2021
Royal Society of Medicine, 1 Wimpole Street
PROGRAMME
09:00 – 09:30 Registration
09:30 – 09:40 Welcome Muti Abulafi, Ian Swift, London UK
09:40 – 09:50 Croydon Research and its benefits to the NHS Matthew Kershaw, Chief Executive, Croydon Health Services NHS Trust
09:45 – 10:00 Roll of honour: fellows, funders and supporters Gina Brown, London UK
10:00 – 11:10 Setting the standards: Croydon leading the way in colon cancer research
Highlighting the work of: Andrew Beggs; Shwetal Dighe; Vera Tudyka; Sarah Burton; Chris Hunter; Nigel D’Souza; Neil Smith; Nigel Day; Richard Booth
10:50 Expert Panel commentary with audience discussion and voting
11:10 – 11:35 Morning Coffee
11:35 – 12:45 Saving the rectum: precision imaging directing precision surgery
Highlighting the work of: Matt Tutton; Annabel Shaw; James Read; Rachel Carten
10:50 Expert Panel commentary with audience discussion and voting
12:45 – 13:30 Lunch
13:30 – 14:40 Discovering actual pathways of spread: challenging Dukes’ classification in bowel cancer
Highlighting the work of: Andrew Beggs; Neil Smith; Amy Lord; Fiona Taylor; Manish Chand; Nigel D’Souza; Mohammed Siddiqui
14:20 Expert Panel commentary with audience discussion and voting
14:40 – 15:00 Afternoon tea
15:00 – 15:45 Timing is everything: when and if to operate after radiotherapy
Highlighting the work of: Mark George; Jess Evans; Svetlana Balyasnikova; Fiona Taylor; Jemma Bhoday
15:40 Expert Panel commentary with audience discussion and voting
15:45 – 16:45 Is there still a place for frontline research in the DGH setting? Expert Panel commentary with audience discussion and voting
16:45 – 17:00 Closing Remarks Neil Mortensen, Oxford UK
Please fill in the form below to register your place
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MERCURY 3
Improving the Prognostic Accuracy of Staging Rectal Cancer using Magnetic Resonance Imaging (MRI) – Detected Tumour Deposits and Vascular Invasion (mrTDV) instead of Tumour Nodal Metastasis (mrTNM)
IRAS Number:โ348532
CPMS ID:โ64773
ClinicalTrials.gov ID:โNCT07054047
Trial Start Date: Apr-25โ
Recruitment End Date: Jul-26
Trial End date: Jul-31
A retrospective and prospective cohort study, MERCURY 3 aims to improve the prognostic accuracy of preoperative staging in patients diagnosed with rectal cancer.
This study seeks to prove that a different staging system of mrTDV which assesses tumour deposits (TDs) and tumour spread into veins (EMVI) will improve the quality of care of patients diagnosed with rectal cancer compared with the current practice of using TNM. We will do this by proving that the prognosis from using mrTDV is much more reliable and accurate than the current mrTNM.
We aim to prove that when radiologists look for Tumour Deposits or EMVI (mrTDV staging) on MRI scans, this improves the accuracy of how we document cancer behaviour when patients are first diagnosed and therefore oncologists and surgeons can use the information to plan the right kinds of treatment before surgery takes place.
REGISTRATION
If you do not receive confirmation of your registration and payment details after 2 working days, please email gina.brown@rmh.nhs.uk
If you wish to enquire about complimentary registration please email caroline.martin@rmh.nhs.uk
PRESERVE Patient Portal
“What is there to lose? As with many things in life, it is a matter of weighing up the risk, and with the type of monitoring regime in place โ scans and endoscopy โ the risk is low and there is still the fall-back option of having the second procedure.” R.M.
Many patients with early growths in the rectum (back passage) can have a safe removal of the growth through the back passage, and can avoid major abdominal surgery. However, the majority of patients are not offered this type of surgery because there has been difficulty in the past in being able to identify who can safely undergo this type of surgery.
We have found a new way of looking at MRI (magnetic resonance imaging) scans that can help us to improve how we find patients that could avoid major surgery and instead have the growth removed through the back passage. This procedure is known as โlocal excisionโ.
In the PRESERVE Trial we want to increase the number of operations that can be performed using local excision, by using this new MRI scan reporting system.
“It would help talking to other patients also going through this journey.” K.W.
Below are other websites that may be useful to you at different times during your journey.
Pelican Cancer Foundation www.pelicancancer.org/
Charity which drives innovation and development in bowel (colorectal), bladder, prostate and liver cancer treatment through research and education, and advancing precision surgery and treatment. So โ our message is different. Our focus is on surgery, which provides the best outcomes and is often neglected.
Bowel Cancer UK bowelcanceruk.org.uk
Leading UK charity for bowel cancer patients, working to raise awareness of symptoms, promote early diagnosis and encourage open access to treatment choice for those affected by bowel cancer.
Healthtalk.org healthtalk.org/peoples-experiences/cancer/colorectal-cancer/topics
Healthtalk.org comes from a unique partnership between a charity calledย DIPExย andย The Health Experiences Research Groupย or โHERGโ at The University of Oxfordโs Nuffieldย Department of Primary Healthcare Sciences. ย It provides free, reliable information about health issues, by sharing people’s real-life experiences.
Macmillan Cancer Support macmillan.org.uk/information-and-support/bowel-cancer
UK charity providing practical advice and support in all areas of life for people diagnosed with cancer including financial and emotional support.
PRESERVE
Pre-therapeutic MRI assessment of Early-Stage Rectal Cancer and Significant Rectal Polyps to avoid major resectional surgery

IRAS Number:โ256736
CPMS ID:โ41403
ClinicalTrials.gov ID:โNCT04103372
Trial Start Date: โFeb-24
Recruitment End Date: Dec-26
Trial End date:โApr-32
When patients are diagnosed with rectal (bowel) cancer radiology doctors read MRI scans to describe how deeply the cancer invades into the bowel wall – this is the โstageโ of the cancer. Almost 1/3 of screen detected rectal cancers are limited to the bowel wall without nodal spread yet many patients with Early Rectal Cancer (ERC) are currently over-treated, as demonstrated below.

Current management of ERC – based on a recent study (Detering et al (2020))[1] , data from the UK national NBOCA audit and local audit data from a typical NHS hospital
The main cause of over-treatment of ERC is over-staging of the MRI, which occurs due to lack of certainty or experience by radiology doctors. There is a tendency to over-estimate the stage of the cancer to err on the side of caution, but this leads to over-treatment. Patients then undergo major surgery or unnecessary radiotherapy when local excision surgery to preserve the patientโs rectum, and quality of life, would have been possible. As a consequence, only 10% of patients with ERC are currently staged accurately and offered local excision.
We have created and tested a more accurate staging system for ERC โ the PRESERVE MRI Specialised Reporting Tool (mrSRT). Our pilot work (Balyasnikova et al) showed this improved identification of ERC suitable for local excision, with 89% accuracy.
We will train radiologists in the PRESERVE mrSRT to prevent over-staging. By providing patients with accurate information about their cancer and stage this empowers patients to make informed decisions about their treatment, and in particular in avoiding major surgery. The mrSRT will lead to reduced health inequality, as it will reduce variability in reports and allow all patients access to high quality staging reports.
Balyasnikova, S., Read, J., Wotherspoon, A., Rasheed, S., Tekkis, P., Tait, D., . . . Brown, G. (2017). Diagnostic accuracy of high-resolution MRI as a method to predict potentially safe endoscopic and surgical planes in patients with early rectal cancer. BMJ OPEN GASTROENTEROLOGY, 4(1), 9 pages. doi:10.1136/bmjgast-2017-000151
Pan London Early Rectal Cancer Meeting
Ensuring patient choice and access to the PRESERVE Trial
1st November 2018, Royal Society of Medicine, London
“I made some choices; the outcomes are good. I remain positive.” K.W.

Multidisciplinary teams attended a day of lectures, expert panel discussions and break out sessions to establish a consistent pathway for early rectal cancer, increasing identification of patients suitable for local excision, and developing the management pathway for early rectal cancer as outlined in the Colorectal Cancer Guidelines (previously published Cancer Alliances in London) and commissioned NHS England service specification.

Mr Ken Webster, our Patient Representative on the PRESERVE trial, agreed to take part in a panel with Dr Diana Tait and Prof Gina Brown to discuss his experiences of being diagnosed with rectal cancer, the choices he was given at his consultation and how his life has changed through the treatment he has received. We were also able to receive comments from other patient representatives prior to the meeting that we were able to present to the audience.
“I am very pleased and relieved that the TEMs procedure was successful, thanks to the skill of the consultant and operating team. I’m happy that the TEMs procedure could be used rather than the more invasive procedure.” R.M.
Presentation slides
How to set up and maintain the SPECC early rectal cancer MDT Mr Francesco Di Fabio
Identification and pathway of lesions for organ-preserving local excision approach Dr Kevin Monahan
Endoscopic submucosal dissection of rectal lesions Dr Paul OโToole
TEM TAMIS patient selection Mr Chris Cunningham
TEM full-thickness techniques and TAMIS Mr Tony Miles
Improving precision of staging SPECC and early rectal lesions, and road-mapping for local excision Prof Gina Brown
PRESERVE Project launch Miss Annabel Shaw
Adjuvant therapy โ selective post-excision therapy in moderate and high risk cancers to enable organ preservation Dr Diana Tait
Assessment and onward guidance following local excision. Defining high, moderate and low risk cancers Prof Marco Novelli
Early Rectal Cancer Translational research opportunities Dr Katharina von Loga
Endoscopic submucosal dissection of rectal lesions Mr Amyn Haji
How to set up and access support for PRESERVE in your hospital Mr Graham Branagan
Delegates attended from: Amsterdam UMC; Basingstoke North Hampshire Hospital; Brighton and Sussex University Hospital NHS Trust; Chelsea & Westminster NHS Foundation Trust; Churchill Hospital, Oxford; Croydon University Hospital; East and North Herts NHS Trust; East Suffolk and North Essex Foundation Trust; Epsom and St Helier University Hospitals; Hampshire Hospitals NHS Trust; Imperial College Healthcare NHS Trust; King’s College Hospital NHS Foundation Trust; London North West University Healthcare NHS Trust; Oxford University Hospitals; RM Partners (London Cancer Alliance); Royal Liverpool and Broadgreen University Hospitals; Royal Marsden NHS Foundation Trust; Salisbury NHS Foundation Trust; St George’s University Hospitals NHS Foundation Trust; St Mark’s Hospital; University College London Hospitals NHS Foundation Trust; University Hospitals of North Midlands
Reporting Proformas
The following proformasย are in Word format
Please feel free to copy and paste into your RIS systems as proforma voice recognition shortcuts
Baseline MRI Rectal Staging Assessment
Beyond TME compartment staging
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Please join us for our 6th International Colorectal Symposium
Our objectives for the day are:
- To give updates on all our trials
- For trial delivery teams to discuss and get support in delivering our trials
- For funders and investigators to meet and network
- For invited patients and public to join in a session to discuss how to improve our engagement and inclusivity
- To help research supervisors and research fellows with career development
Hope to see you there!
โIt was the most exciting and thought-provoking meeting that I have ever attendedโ
โI do enjoy these meetings which are extremely informative and what I find most stimulating is the focus on future research. You are to be congratulated for organising these meetings and I am delighted to take partโ
โI really enjoyed the discussions and the whole format of the dayโ
โThanks for allowing me to attend the Symposium on rectal cancer, which was really outstanding in underscoring the many needs we have in this field. I enjoyed it very muchโ
โSounds fantasticโ
โInspiring talks and very interesting discussions, great meetingโ
โThank you for such an outstanding meeting, one of the best – a very inspiring day!โ
โI know how good these meetings areโ
โThank you for the symposium yesterday. I returned on the train last night with renewed enthusiasm and a desire to try and improve our service.โ
โI am sure that it will be as entertaining and thought provoking as everโ
Beyond TME Origins
Investigating the origins of pelvic recurrence in colorectal cancer
IRAS Number:โ136843
CPMS ID:โ17065
ClinicalTrials.gov ID:โNCT02292641
Trial Start Date: โSept-14
Recruitment End Date: Dec-26
Trial End date: Dec-31
We are trying to find out where, why and how patients get recurrent bowel cancer in their pelvis. We also want to find out which treatments can help. In this study we are introducing a new format for reporting MRIs which provides more detailed information about the recurrence which will improve management of your recurrence and therefore outcome. We will also compare this new structured report with the original scans of the original tumour which will help us understand how this recurrence happened. We hope that by understanding how these recurrences occur we can prevent them from occurring in the future.
A prospective and retrospective cohort study, Beyond TME Origins aims to improve surgical and treatment planning using an imaging assessment proforma of advanced and recurrent colorectal cancers. This involves the implementation of imaging assessment proformas describing anatomic pelvic compartments and aetiology of disease recurrence for treatment planning.
All patients with recurrent colorectal cancer in the pelvis are eligible. The original primary tumour staging scans and resected surgical specimen needs to be available. Patientsโ recurrence will be staged using our proposed MRI classification. We will be assessing the original primary staging scans and histopathology to learn about risk factors for recurrence. We will record treatment for the recurrence, and patients will be followed up for three years.
The Beyond TME trial is open to new sites.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
TRIGGER
Magnetic Resonance Tumour Regression Grade (mrTRG) as a Novel Biomarker to Stratify Management of Good and Poor Responders to Radiotherapy: A Rectal Cancer Multicentre Randomised Control Trial to avoid surgery with โwatch and waitโ or intensify treatment according to mrTRG
Non-CTIMP trial protocol
IRAS Number:โ156408
CPMS ID:โ20576
ClinicalTrials.gov ID:โNCT02704520
Trial Start Date: โMar-16
Recruitment End Date: Dec-26
Trial End date: Dec-36
After patients receive preoperative treatment for locally advanced rectal cancer, MRI scans are performed. Currently the MRI scan reading is not used to make decisions about further treatment plans. This trial will test if viewing the MRI scans in a different way, that we have developed and will teach to other radiologist, it is possible to assess how the tumour has responded to treatment. This technique is called the โmrTRGโ (MRI Tumour Regression Grade). We plan to offer watch and wait according to the mrTRG.
The only phase III clinical trial in the UK offering watch and wait, the TRIGGER trial aims to validate mrTRG as an imaging biomarker for the stratified management of patients with locally advanced rectal cancer. The โgood respondersโ (mrTRG1&2) often have no evidence of tumour and it may be possible to avoid surgery in this group and so maintaining QoL while not impacting survival rates. The โpoor respondersโ (mrTRG3-5) are at high risk of poor oncological outcomes and this knowledge is useful in planning ongoing treatment and surveillance. TRIGGER is now a non-cTIMP trial as the protocol does not specify chemotherapy or IMP treatments. Decisions about the use of chemotherapy will be based upon local MDT discussions as is normal practice and national policy and the trial CRFs will capture these decisions and whether more treatment is given to patients or not. TRIGGER does not mandate or recommend the use of any treatments: specifically it does not suggest the use of investigational medicinal products. If any centre wishes to use IMPs this would be in the context of separate trial protocols and would not preclude entry into TRIGGER.
Open to patients undergoing any pre-operative treatment for locally advanced rectal cancer, TRIGGER is the only phase III clinical trial in the UK offering watch and wait. All patients will have post treatment MRI scans routinely performed, no change from the MERCURY trials high resolution MRI protocol is required. Patients will be randomised to either the control arm for management according to national guidelines – conventional MDT, clinical assessment post-treatment planning using the baseline MRI. Patients in the interventional arm will have their post treatment MRI scans read by a radiologist trained and supported to reliably report the mrTRG grade and have their management directed accordingly – โGood responseโ (mrTRG 1&2) โ watch and wait (avoidance of surgery) offered. โPoor responseโ (mrTRG 3-5) โ local colorectal MDT is informed and uses information to discuss and agree next steps in treatment and surveillance. Patients are followed up for five years with QoL questionnaires completed at registration, 3 and 5 years.
The TRIGGER trial is open to new sites.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
SOPRANO
Study Of PRoliferation and Apoptosis in rectal caNcer as predictive and prognostic biOmarkers: a histopathologyย and imaging analysis (SOPRANO)
Treatment for rectal cancer involves a course of chemo and radiotherapy (CRT) followed by major abdominal surgery to remove the tumour. After MRI scans performed after CRT have shown that up to 40% of patients will have an extremely good response to treatment with no visible residual tumour. Clinicians question the value of major surgery and its associated complications for a cancer that has effectively โdisappearedโ. However, by not operating on patients, are we leaving viable cancer cells behind and putting patients at risk of recurrence? What is needed is a marker that will predict and measure a patientโs response to CRT at a cellular level, in order to confirm and validate the MRI findings.
The DNA in a cancer cell is damaged. A healthy cell would โself-destructโ, a process known as apoptosis. However, cancer cells evade apoptosis and replicate in an uncontrolled manner leading to growth of the tumour. CRT works by causing cancer cells to undergo apoptosis. We believe we can use apoptosis as a marker for the cell โdeathโ seen after CRT. The SOPRANO trial will use a special stain for โdead cellsโ and count the number of cells with DNA damage. This will give an apoptotic index and should directly equate to a patients response to CRT. This together with the MRI findings would enable us to give patients a more accurate picture of how their tumour is likely to behave in the future and whether or not they would require an operation or further drug treatment. SOPRANO will also measure proliferation, which is a marker of continued cancer growth and will add to the biological basis for our treatment decisions.
The SOPRANOย trial isย now closed toย recruitment.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
MINSTREL
Mri IN STaging REctal polyp planes (MINSTREL)
Website: http://minstrelstudy.co.uk/
Patients undergoing TEMS can benefit from reduced mortality, impotence, hospi-tal stay and avoiding a stoma that may be associated with pelvic surgery. Currently few of the patients eligible for TEMS are offered it for a variety of reasons that include uncertainties about the risk of leaving residual tumour and the increased risk of subsequent recurrence of cancer within the pelvis. Currently guidelines state there is no role for imaging in assessing the malignant polyp.
We hope to prospectively test our hypothesis that an MRI scan can accurately gauge depth of tumour spread in an unselected group of benign and malignant tumours measuring be-tween 20mm and 50mm in size. We will identify eligible patients awaiting surgery / poly-pectomy and if they consent to our pilot study they will undergo an MRI to assess their tumour which assesses safety at all levels of the rectal wall. Should MRI prove sensitive and specific then we hope to change national guidelines to mandate MRI to standardise assessment and thereby increase the appropriate use of TEMS in the UK.
The MINSTRELย trial is open to new sites.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
6 vs 12
Optimum timing for surgery after pre-operative radiotherapy
In rectal cancer, radiotherapy is frequently given prior to surgery to enable complete removal and reduce recurrence. Uncertainty remains regarding the timing of surgery and a delay to 12-14 weeks has been hypothesised as advantageous.
The 6vs12 trial is a multicentre randomised clinical trial. Individuals diagnosed with rectal cancer of T3 stage and above will be identified at colorectal MDT and offered randomisation between surgery at 6-8 or 12-14 weeks following completion of radiotherapy. PET/CT, pelvic MRI and final histopathology will be used to determine the response to radiotherapy. The degree of down-staging and tumour regression at 6-8 versus 12-14 weeks will then be compared.
The 6 vs 12 trial is now closed to recruitment.
You can view and download a pdf copy of the protocol here.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
IMPRESS
Improving radical treatment through MRI evaluation of pelvic sigmoid cancers
IRAS Number:โ137312
CPMS ID:โ17006
ClinicalTrials.gov ID:โNCT02222844
Trial Start Date: โAug-14
Recruitment End Date: Dec-26
Trial End date: Dec-29
We want to test whether the information from an MRI gives more accurate information than a CT scan about tumours in the sigmoid colon. This trial will also enable us to find out whether having an MRI scan prior to surgery could improve the treatment choices offered to patients.
A randomised phase II multicentre trial, IMPRESS will determine whether the use of MRI imaging in staging sigmoid cancers results in a change to the treatment plan by identifying more high risk tumours compared to those patients who were staged using CT imaging. The proposed intervention will be additional radiological and pathological assessment and the reporting of supplementary diagnostic information which would not otherwise have been available. This may affect treatment according to local MDT protocols and also affect the provision of prognostic information to patients in subsequent discussions.
Patients with suspected or proven sigmoid colon adenocarcinoma, eligible for curative treatment whose MRI can be reviewed prior to surgery and has no decision regarding radical treatment are eligible. Patient are randomised to the control arm which the standard care of preoperative CT imaging and subsequent discussion by the Multidisciplinary Team or the interventional arm which has the additional use of MRI imaging and subsequent discussion by the Multidisciplinary Team. Patients are followed up at 1 and 3 years together with QoL questionnaires.
The IMPRESS trial is open to new sites.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.

Working together to improve rectal preservation rates in patients with early rectal cancer
All members of the colorectal MDT and research portfolio teams are welcome, including clinicians, nurses, coordinators, managers and any healthcare professional who attends
The Royal Society of Medicine
1 Wimpole Street
London W1G 0AE
Registration is now closed
Please email c.martin1@imperial.ac.uk for further information
Deferral of Surgery
The Timing and Deferral of Rectal Surgery Following a Continuedย Complete Response to Pre-operative Chemoradiotherapy
There has been growing interest in selecting, pre-operatively, those rectal cancer patients who are likely to achieve pathological complete response (pCR) following pre-operative chemoradiotherapy. This is of particular importance for patients with low rectal cancers who would otherwise require an Abdomino-perineal resection and a permanent stoma.
In those patients with an optimal response on MRI, a โscarโ replaces the site of disease, rep-resented by a focal area of low-signal intensity on T2-weighted MR. The precise cellular composition of such an area of low signal intensity cannot be known, and a single MRI scan cannot diagnose complete response. However, if surgery is deferred, then the โscarโ may be monitored with serial imaging, clinical examination and CEA to exclude any change. By adopting this approach, the time interval to maximal tumour debulking can be established and identification of true ‘complete responders’ may be made (sustained radiological and clinical complete response for at least 1 year after CRT).
The Deferral of Surgery Trial is a single-centre interventional study. Patients follow a schedule of imaging, endoscopy and clinic appointments over a 10 year period. If a tumour re-grows, patients are quickly referred for surgery. The aim of the study is to show that the percentage of patients who can successfully avoid surgery is at least 10%.
The Deferral of Surgeryย trial is now closedย toย recruitment.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
SERENADE
Screening for synchronous metastases in colorectal cancer with DW-MRI
IRAS Number:โ135981
CPMS ID:โ17059
ClinicalTrials.gov ID:โNCT02246634
Trial Start Date: โAug-14
Recruitment End Date: Dec-26
Trial End date: Aug-31
It has recently been suggested that limited MRI of the liver can identify most spread to the liver. We therefore wish to test whether an additional quick MRI scan of the liver at regular intervals for patients with bowel cancer can identify spread to the liver better than the current standard of only a CT scan.
A phase II multicentre, interventional study, SERENADE will determine if additional staging at diagnosis with liver DW-MRI will diagnose more synchronous metastases than CT alone in patients with high risk colorectal cancer. Liver metastases found on the additional DW-MRI scans will be discussed at MDT and treated according to local policy.
Eligible patients with high risk colorectal malignancy (T3/4, spread greater than 5mm, EMVI positive) will have additional surveillance of breath hold T1, T2 and DW-MRIs (no IV contrast) post surgery six monthly for three years.
Findings of liver MRIs as reported by radiology PI will be shared with their local MDT who make decisions as appropriate, including the management of any identified liver metastases, according to local protocol.
The SERENADE trial is open to new sites.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
Sigmoid WISE
The Sigmoid WISE study
We wish to investigate the โwaistโ in the distal sigmoid mesentery and define the sigmoid. Identification of the level in the distal sigmoid colon and where โwaistingโ occurs will enable us to stage tumours at this level as high-risk on pre-operative imaging. Definition of the sigmoid colon by anatomical landmarks using MRI will differentiate upper rectal and sigmoid colon tumours to improve management.
Hypothesis
- There is a narrowing of the upper rectum and the sigmoid mesentery and that this may increase the risk of an incomplete resection.
- MRI imaging can be used to define the upper extent of the rectum and the beginning of the sigmoid.
Aims
- To determine whether there is a level at which the โwaistingโ occurs in the recto-sigmoid mesentery and the variability present within the population
- To compare anatomical landmarks of the rectosigmoid junction on MRI and histopathology
- To determine differences in measurements on MRI with CT and histopathology of:
- the distance of the rectum from the anal verge
- the length of the โrectosigmoid junctionโ
- the dimensions of the mesorectum and mesocolon.
The WISE trial isย open for recruitment
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
ctDNA
Circulating tumour DNA (ctDNA) in patients with colorectal cancer and the relationship to imaging features of extramural venous invasion
IRAS Number:โ136894
CPMS ID:โ19730
ClinicalTrials.gov ID:โNCT02579278
Trial Start Date: โOct-15
Recruitment End Date: Dec-26
Trial End date: Nov-29
Extramural venous invasion (EMVI) is the spread of microscopic tumour cells into the veins around the tumour. When people develop cancer, microscopic cells and fragments of DNA can be released into the blood circulation. This could be one way that cancers recur in the future. We hope to identify differences within the blood in certain types of rectal cancer which will help us improve future treatments.
A multicentre observational study, ctDNA aims to provide the evidence base for metatstatic disease being caused by vascular methods of spread by determining if there is a link between EMVI status and ctDNA.
This study does not involve randomization or treatment. Eligible patients have colorectal adenocarcinoma with no metastases eligible for curative surgery. A pre operative staging scan must have been completed within 6 weeks prior to surgery. Two x 20ml blood samples will be taken from each patient, one prior to and one during or within 24hrs after surgery. Patients are annually followed up to 3 years.
The ctDNA trial is open to new sites.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
Professor Gina Brown MBBS MD MRCP FRCR FASCRS (Hon)

Professor of Gastrointestinal Cancer Imaging
Imperial College London
email:ย gina.brown@imperial.ac.uk
My research in colorectal cancer staging has set the national and global benchmarks for imaging assessment of colon and rectal cancer patients before and during treatment . These improved staging methods have reduced local and distant failure in high risk patients whilst avoiding overtreatment of low risk patients and has resulted MRI based strategies being incorporated into several guidelines such as peer review measures, UK NICE and guidelines.
I graduated from Kingโs College Hospital School of Medicine, London in 1988, and my research career began at the University of Wales, Cardiff in 1997 with my investigating and establishing optimal MRI techniques for staging and assessment of primary rectal cancer.ย
I defined other markers of tumour aggression venous invasion and peritoneal ulceration not previously assessed by imaging techniques, and showed that MRI has significant clinical and cost benefits over traditional methods of staging and published the importance of multidisciplinary team discussion of imaging in preventing recurrence.ย These have now become a global standard of care for the primary evaluation of rectal cancers.
In 2009 I identified factors predicting positive-margins in low rectal cancer as I had previously showed patients undergoing abdominoperineal excision have worse outcomes from higher involved margin rates.ย I developed a staging model describing the anatomical and surgical planes for low rectal cancer for planning radical surgery and the type of chemoradiotherapy given.ย I initiated investigation of imaging prognostic factors in colon and rectal tumours with outcome data. ย I initiated and led a large prospective multicentre observational study (MERCURY); subsequent analysis of the data showed that MRI scans could be used to predict those patients with a high risk of positive margins in low rectal cancer and this also correlated with survival outcomes.
I developed and published a staging model describing the anatomical and surgical planes of low rectal cancer so that future outcomes for high risk patients could be improved through imaging derived selective planning of radical surgery and chemoradiotherapy.
I also developed an MRI compartmental classification scheme to improve radiology reporting in patients with very advanced pelvic cancer to reduce incomplete resection rates validated in the Beyond TME trial.ย Analysis of final results (2019) show high local cure rates for very advanced cancers.
In 2015 I developed an MRI methodology to assess tumour regression and predict patients that can be safely operated on after chemoradiotherapy. This was validated as a prognostic and predictive biomarker and will enable the preoperative stratification of patients to further intensive therapy or less radical treatment (e.g. watch and wait). 2021 results show that over 40% of UK patients treated for advanced bowel cancer randomised in the trial successfully avoided surgery. This has never previously been achieved by an imaging intervention.
I have built on my research in rectal cancer to develop and validate a CT prognostic staging system for high risk colon cancer showing the potential benefits of preoperatively treating high risk colon tumours and I have published on the advantages of preoperatively treating high risk colon tumours.ย I have recently validated a new staging system that is superior to TNM for assessing colon cancers using CT based T substaging tumours using measured extramural spread, tumour deposits and EMVI.ย ย
In 2019, I published an MRI method to identify the junction of the sigmoid mesocolon (ie, the โsigmoid take-offโ) was tested and shown to help classify tumours into rectal, rectosigmoid, or sigmoid based on location relative to the take-off.โA global Delphi expert panel supported this approach which is now being implemented in several countries to improve consistency.โ
In 2020 I advanced methods to identify previously unseen and poorly understood pathways of spread of colorectal cancer in vivo. I characterised tumour deposits and venous invasion on imaging (40% prevalence) and showed greater significance for cancer outcomes than lymph nodes.
I have successfully supervised 21 PhD and MD students and I have trained and mentored Specialist GI Cancer Radiologists in Barcelona.ย I have held meet the professor and workshops at ASCO,ASCRS,(2009, 2011, 2016), Melbourne (biannually 2008 to date), Laparoscopic surgery course. Strasbourg, National Danish TME and low rectal courses 2009-2011, FICARE 2009, 2011 Brazil, , European Congress of Radiology (2019, 2020), GI ESMO (2022, 2023).
Formal radiology training is embedded in many of the trials for which I am CI and I run dedicated teaching workshops for radiologists, surgeons and oncologists which are internationally attended.โI have collaborated with international research groups at Ontario Cancer Care (linking in with MERCURY study, the RCR CASPAR initiative, and the Beyond TME collaboration). Sao Paolo, McGill Universities Hospitals and the MD Anderson.ย I have been invited as the Radiology Faculty Expert for colorectal cancer quality improvement initiatives in Denmark and Norway, training several hundred multidisciplinary clinicians in colorectal cancer management Through my links with the Pelican Cancer Foundation, I have been the radiology faculty lead in many international outreach educational courses including the Dutch colorectal group, and MDT group, Israel..
I have contributed to the NHS workforce development through teaching on large scale national training initiatives funded through the Department of Health: the National TME Multidisciplinary Team Development Programme (2003-6), teaching the role of high resolution MRI in staging to 180 MDT teams; I was Faculty lead in Radiology for the Low Rectal Cancer National Development programme (National Cancer Action Team), (2010/2013) for improving outcomes in patients with low rectal cancers (147 colorectal MDTs and 151 NHS trusts); Invited faculty lead in Imaging of Significant Polyps and Early Colorectal Cancer national SPECC programme and the IMPACT initiative for improving MDT decision making and cancer care. I am Imaging Lead for the National Cancer Intelligence Network to improve cancer reporting standards and datasets in NHS cancer care and I was Imaging Lead for the first UK-wide NHS initiatives to improve Bowel Cancer care: National TME MDT development I was an invited expert and co-author of pan-European consensus guidelines for optimal treatment of colorectal cancer, EURECCA colorectal (2014). Author of imaging standards for the latest European (ESMO) 2017 Oncology guidelines for the management of rectal cancer. Invited to expert panel for ASCO Neoadjuvant Therapy Guideline for Rectal Cancer 2023. I am the Imaging Representative on ACPGBI Council – embedding imaging into surgical quality improvement initiatives.
I have mentored junior colleagues and supported my contemporaries throughout my career as it is important to me not just to promote academic success but support anyone who feels unable to discuss their career path with senior colleagues.ย I give space and time to reassure colleagues that there is no single route or pathway to success, as I share my own journey of embedding research into my daily working practice.ย I actively invite opinion in my teaching, collaborations and daily working as I am acutely aware that, in particular, there is a cultural/female reticence to speak up.ย I have found that colleagues quite often just donโt know where to start and I am always happy to be a sounding board to help them develop in confidence and purpose.ย I am open about the challenges I have faced in my career as it is important for me to develop mutually supportive working communities, and to help others do the same.
MARVEL
Molecular pAthologic and MRI investigation of the prognostic and predictive importance of extramural VEnous invasion in rectaL Cancer
Very little is known about the long-term outcomes and response to CRT on MRI detected ex-tramural venous invasion (mrEMVI). Although mrEMVI is accepted as a marker of poor prog-nosis, whether it has a predictive value and should be specifically treated is not known.
Molecular and genetic profiling provides us with an opportunity to understand the underlying mechanisms which govern clinical behaviour in rectal cancer. It offers the ability to compare the molecular profiles of different subtypes of rectal cancer such as mrEMVI-positive and – negative tumours and whether any changes are observed following CRT. This can then be cor-related with clinical behaviour over the medium and long-term with regards to local recur-rence, distant metastases and overall survival.
MARVEL is a multicentre, observational study that collects data and tissue from patients with rectal adenocarcinoma who have had pre-operative chemoradiotherapy.
Primary endpoint:ย Difference in Relapse Free Survival (RFS) between EMVI positive and negative (on pre-treatment MRI) patients, measured from date of surgery.
The MARVELย trial is now closed to recruitment.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
MERCURY II
Low Rectal Cancer Study
With better staging and documentation of the tumours and radial/ circumferential margins (pathologically) preoperatively, a reduction in margin positivity rates can be achieved.
The Low Rectal Cancer Study (short title MERCURY II) is a multicentre observational study of patients with low rectal adenocarcinoma.
The main hypothesis is that accurate MRI staging pre-operatively will allow the correct patients to receive neo-adjuvant chemoradiotherapy (CRT), and also pre-warn the surgeons if the resection margins appear threatened so that the operation can be modified to take this into account, leading to a reduction in margin (CRM) positivity .
The cohort was divided into two analysis populations, phase I, which includes all patients recruited up to and including December 1st 2011, and phase II, including all patients recruited subsequently to March 3rd 2013. Recruitment is now closed and follow-up is due to continue until March 2018.
The MERCURY IIย trial is now closed to recruitment.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
COMET
Concordance in MRI and Pathology Diagnosis of Extranodal Tumour Deposits
IRAS Number:โ217627
CPMS ID:โ35640
ClinicalTrials.gov ID:โNCT03303547
Trial Start Date: โOct-17
Recruitment End Date: Dec-26
Trial End date: Dec-31
We are studying how imaging can be used to improve the accuracy of how a tumour is classified. This will give us a better understanding of how different tumours behave. We will perform the standard imaging tests and patients will have same operation. The only difference is how the bowel specimen is processed in the laboratory. We will take photographs of the bowel after it has been cut into slices and match this up with the scans.
A prospective interventional multi-centre study, COMET aims to prove the accuracy of imaging diagnosis of extranodal tumour deposits (TD) and their adverse effect on prognosis of colorectal cancers. The proposed intervention will be additional radiological and pathological assessment and the reporting of supplementary diagnostic information which would not otherwise have been available. This may affect treatment according to local MDT protocols and also affect the provision of prognostic information to patients in subsequent discussions.
Any patient with a suspected primary adenocarcinoma of the colon, sigmoid or rectum undergoing surgery are eligible. The date of surgery must be known prior to registration. This trial aims to determine if image mapping techniques can improve the concordance between imaging and pathology detection of tumour deposits. Lymph nodes and tumour deposits will be identified on pre-operative scans and mapped by radiologists then shared with pathologists prior to processing the resected specimen. Patients will be managed at their local hospital with standard follow-up. Patients will be followed up for 5 years.
The COMET trial is open for recruitment.
Please fill in the form below if you would like further information or have any questions about any aspect of the trial.
Rectal MRI virtual handson workshops
Research driven evidence based understanding of colorectal cancer for the benefit of patients
Audience: radiologists, surgeons and oncologists
The workshop will provide you with essential knowledge for MDT working and MRI assessment in different clinical scenarios with details revision of anatomy and interpretation criteria with hands on workstation practice for assessing rectal cancer cases and pelvic anatomy and how this is applied to treatment planning to optimise patient care through your MDTs.
Registration fee: ยฃ695
DATES
Monday 12th, Tuesday 13th January 2026 SOLD OUT
Monday 11th, Tuesday 12th May 2026 SOLD OUT
Monday 14th, Tuesday 15th September 2026 SOLD OUT
Monday 23rd, Tuesday 24th November 2026
How is the course run?
We have replicated the real world handson workshop online so there are the same periods of self study, lectures, worked examples, discussions and self assessments as before. The only difference is that we rely more on you to be fully engaged.
We expect you to complete staging of all cases and assessments that we set throughout the course and to submit your answers via our voting app. By doing this Gina can understand how best to tailor her teaching to you. Although she can’t physically stand behind you, through screen sharing she can answer individual questions but in a way that benefits the group. Everyone will be given the opportunity to present case examples in real time so that Gina can pass on practical tips as to how stage in a methodical way when presenting at an MDT. Because of this approach we do not record the lectures – this is a truly handson course!
We aim for you to leave the course not with a list of correct answers to a specific set of cases, but with a set of practical tools that you can use in your MDTs and rectal cancer reporting.
We are able to organise and run a bespoke course for your institution or network – please click here for more information.
What do I need to attend?
Hardware
External mouse – All programmes will run on a standard computer but you will need a mouse with a scroll button to use the PACS software successfully. A touchpad will not suffice.
Webcam – we are trying to recreate a ‘real world’ workshop as much as possible and so it is important that during lectures and discussions following self study periods that Gina and your fellow delegates are able see you
Software
You will receive links to all of the software in advance of the course so you can make sure you are able to fully participate.
Zoom – what else? Please practice saying ‘Can you see my screen? ‘ and ‘You’re on mute’…
Cimar – Virtual PACS for course teaching and self study. You will be asked to share your screen so please launch this on the same computer as Zoom.
Slido – online voting app used to record assessment answers – we recommend you use this on your phone or another computer so that you don’t have to keep swapping windows
Click below to register for the next course on 23rd and 24th November 2026
DRIVEN
A multicentre retrospective analysis of pre-operative prognostic biomarkers in resected right compared with left colon cancer and the influence of operative approach on survival
IRAS Number:โ287131
CPMS ID:โ
ClinicalTrials.gov ID:โ
Trial Start Date: โNov-20
Recruitment End Date: Dec-26
Trial End date: Dec-27
A retrospective, non-interventional tissue study using archival materials collected through a patientโs routine care, DRIVEN aims to validate the ctTDV staging system as a prognostic biomarker for use in all colon cancers.
The ctTDV system evaluates the depth of tumour invasion, presence or absence of tumour deposits and/or extramural venous invasion. If DRIVEN is successful in validating ctTDV, this could be used to stratify treatment for patients with right colon cancer with the aim of improving patient outcomes and reducing the disparity in overall survival between those with right sided and left sided colon cancer. Further retrospective tissue analysis on colonoscopic biopsy samples with assessment of other known prognostic biomarkers including the immune score and tumour budding will establish whether or not these too have a role, alone, or in combination with the ctTDV staging system in personalising treatment for patientโs with right colon cancer.
Patients who underwent surgery at hospitals who perform CME surgery and hospitals who perform Non-CME surgery with curative intent colon cancer between January 2010 and December 2019 are eligible. As DRIVEN is a retrospective study, there are no time dependent schedules for CRF completion or tissue submission.
EVIDENCE
EMVI as a determinant of metastasis in colorectal cancer
IRAS Number:โ288231
CPMS ID:โ55248
ClinicalTrials.gov ID:โ
Trial Start Date: โOct-20
Recruitment End Date: Dec-26
Trial End date: Dec-28
A retrospective ,non-interventional tissue study using archival materials collected through a patientโs routine care, EVIDENCE aims to demonstrate that distant metastases in colorectal cancer are related to EMVI and tumour deposits, not lymph nodes.
We will test whether the vascular route of spread (as evidenced through EMVI and tumour deposits) is more important than lymph nodes in the development of metastatic disease. We will compare the subclonal origins of primary colorectal cancers, EMVI, tumour deposits, lymph nodes and distant metastases by reconstructing phylogenetic trees. A proof for a vascular route of spread rather than lymph nodes would lead to a paradigm shift in future decision making at national and international level.
Patients who have undergone a primary resection of their colon or rectum as well as a resection of a distant metastases are eligible. As EVIDENCE is a retrospective study, there are no time dependent schedules for CRF completion or tissue submission.
Bespoke Rectal MRI virtual handson workshops
We are able to tailor our online rectal MRI workshops for MDT team members (surgeons, radiation oncologists and radiologists) who wish to integrate MRI assessment into their decision-making processes to optimise treatment options for their patients.
We can offer both one and two day formats for the course.
Please submit the form below to start the discussion.
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Second Opinion Referral
We are able to provide a second opinion on colon and rectal cancer.
This includes assessment of the primary tumour and arranging multi-specialty review of your case.
Please fill in the form below with your details.
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About us

Professor Gina Brown MBBS, MD, MRCP, FRCR, FASCRS (Hon)
โProfessor of GI Radiology and Consultant Radiologist
Imperial College London
email: gina.brown@imperial.ac.uk
Miss Caroline Martin, GI Imaging Research and Education Programmes Manager
email: c.martin1@imperial.ac.uk
Mrs Syvella Ellis, Trial Manager,
email: syvella.ellis@imperial.ac.uk
Contact
Please use the form below to contact us.
You are able to register on our courses by going to the ‘Our Courses’ option in the menu, selecting the courseย you wish to register for and filling in the form on that page.
You are able to ask for information about a specific clinical trial we are running by going to the ‘Clinical Trials’ option in the menu, finding the trial you wish to know more about and filling out the form on that page.
If you have not received a reply within 3 working days please email gina.brown@imperial.ac.uk
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