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Abstract SUMMARY AND CONCLUSION Colorectal cancer is a major cause of morbidity and mortality throughout the world. It accounts for over 9% of all cancer incidences. It is the third most common cancer worldwide and the fourth most common cause of death. Imaging in colorectal cancer plays a crucial role in optimizing radiotherapy target definition to avoid adjacent vital structures. The modalities utilized for the evaluation of rectal carcinoma range from digital rectal examination, X-rays, barium enemas, transrectal ultrasounds, and colonoscopies. Due to the limitations of the above mentioned techniques/procedures extent of intra-abdominal spread cannot be assessed. Recently, few reports have shown that computed tomography (CT) staging in rectal cancer is quite accurate in estimating the extent of disease and helpful in planning the treatment of rectal cancer. CT is used for staging of rectal carcinomas before treatment, staging recurrent disease, and for detecting the presence of distant metastases after surgery. Multidetector computed tomography (MDCT), an advancement of CT technology, can acquire multiple simultaneous slices in a single breath-hold. Its advantages include faster scanning time, better spatial resolution, lesser motion artefacts and volume imaging. Volume imaging allows for the acquisition of either thinner or thicker sections from the same raw data, thus improving three-dimensional reconstructions and multiplanar reformation capability. Therefore, we aim to assess the accuracy of MDCT in staging of colorectal cancer. In the present prospective study, we included 30 patients with pathologically proven colorectal cancer. All patients were from those attending to Radio-diagnosis, Oncology & General Surgery Departments of Tanta University Hospital. The mean age of the included patients was 49.1 ±14.2 years, more than 60% of the patients were older than 50 years old. We |