P20: DOES PRE-OP MRI FOLLOWING NEOADJUVANT LONG COURSE CHEMO-RADIOTHERAPY IN RECTAL CANCER AFFECT R0 RESECTION RATE?

Abstract Introduction Neoadjuvant long course chemo-radiotherapy (LCCR) is the standard of care for locally advanced rectal cancer. In June 2013 this institution implemented preoperative MRI post LCCR in an attempt to improve R0 resection rate. The aims projects were audit compliance with new policy and assess whether it had impact on Method All patients who underwent after between February 2017 their clinical notes audited ‘all have undergone should receive imaging rectum unless clinically contraindicated’. To effectiveness intervention rate received was compared those not period January 2008 2017. data entered stored onto a larger departmental database so that could be used future other projects. Result 33 out 88 (37.5%) eligible prior although further two CT scan. pre-operative 88% 89% did (p=1). Conclusion following 37.5%. Whilst shows significant room improvement, collected regarding makes no difference Take-home message Pre-op does