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1 MBBS, MCPS, M Phil, MD, Professor, Department of Radiology &Imaging Jalalabad Ragib-Rabeya Medical College, Sylhet, Bangladesh 2 MD Resident, Department of Radiology &Imaging,Sylhet MAG Osmani Medical College, Sylhet, Bangladesh 3 MBBS, MCPS, Consultant, (Obst. & Gynae), Delta Health Care Ltd., Dhaka, Bangladesh 4 MBBS, DA, FCPS, MS (Urology), Professor & Head, Department of Urology, Sylhet Womens Medical College, Sylhet, Banglades 5 MBBS, M Phil (Radiotherapy), Associate Professor of Oncology,North East Cancer Hospital, Sylhet, Bangladesh *Corresponding Author Dr Shah Muhammad Mustaquim Billah Abstract Objective: In this study our main goal is to evaluate efficacy of MRI in Preoperative Staging of Carcinoma of Rectum. Method: This prospective observational study was done in the Jalalabad Ragib-Rabeya Medical College, Sylhet from June 2015 to May 2019. A total of 82 consecutive patients who were selected after confirmation with histopathological examination as rectal carcinoma. Results: During the study, 7.32% (n = 6) of the tumors are classified as T1, 65.9% (n = 54) are staged as T2 and 26.8% (n = 22) as T3 staged by MR .The value of Kw for staging was calculated, in order to determine the correlation between MR versus anatomopathological staging; there is poor agreement between the two forms of staging. Conclusion: From our study we can conclude that, preoperative staging of carcinoma rectum remains a topic of great concern. The MR imaging can be a valuable technique for preoperative staging of carcinoma rectum in the therapeutic management. Further study is needed for better outcome.

Efficacy of MRI in Preoperative Staging of Carcinoma of Rectum: Correlation with Surgical and Histopathological Findings