Preoperative staging of rectal cancer with MRI: correlation with pathologic staging

[INTRODUCTION] An accurate preoperative rectal cancer staging is crucial to the correct management of the disease. Despite great controversy around this issue, pelvic magnetic resonance (RM) is said to be the imagiologic standard modality. This work aimed to evaluate magnetic resonance accuracy in preoperative rectal cancer staging comparing with the anatomopathological results. METHODS We calculated sensibility, specificity, positive (VP positive) and negative (VP negative) predictive values for each T and N. We evaluated the concordance between both methods of staging using the Cohen weighted K (Kw), and through ROC curves, we evaluated magnetic resonance accuracy in rectal cancer staging. RESULTS 41 patients met the inclusion criteria. We achieved an efficacy of 43.9% for T and 61% for N staging. The respective sensibility, specificity, positive and negative predictive values are 33.3%, 94.7%, 33.3% and 94.7% for T1; 62.5%, 32%, 37.0% and 57.1% for T2; 31.8%, 79%, 63.6% and 50% for T3 and 27.8%, 87%, 62.5% and 60.6% for N. We obtained a poor concordance for T and N staging and the anatomopathological results. The ROC curves indicated that magnetic resonance is ineffective in rectal cancer staging. CONCLUSION Magnetic resonance has a moderate efficacy in rectal cancer staging and the major difficulty is in differentiating T2 and T3.

Sistemas de aproveitamento de águas pluviais em habitações unifamiliares: funcionamento hidráulico de um sistema de drenagem sifónica

Rainwater harvesting systems allow the usage of properly collected, treated and supplied rainwater for domestic use in situations without good water quality requirement. To be sustainable, a rainwater harvesting system must be truly ecological, economically viable, socially fair and culturally diverse. The key element for this system is the first-flush device, which allows the deviation of the first rains which carry a significant load of pollutants and are not suitable even for non potable use. This article develops a theoretical and experimental study on a rainwater harvesting system for use in a single family dwelling. The main goal is to describe the hydraulic operation of syphonic drainage systems by the incorporation of a first-flush device in a laboratory installed rainwater harvesting system.

Aplicação de celulases e xilanases na reciclagem de fibras de papel

Tese de Doutoramento em Engenharia Química e Biológica (área de conhecimento em Engenharia Enzimática e das Fermentações)

Transanal total mesorectal excision: a pure NOTES approach for selected patients.

Transanal total mesorectal excision: a pure NOTES approach for selected patients.

Síntese de derivados de adenina e guanina

Tese de Doutoramento em Ciências (Especialidade em Química)

Avaliação da eficiência de projetos de reabilitação ambiental de áreas mineiras abandonadas: o caso da área mineira de Covas

Dissertação de mestrado em Geociências (área de especialização em Valorização de Recursos Geológicos)

Estimation of statistical cure from cancer using population-based data

Dissertação de mestrado em Estatística