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Restaging

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In patients who receive neoadjuvant treatment, response evaluation can be challenging due to the difficulties in distinguishing between malignant and fibrotic changes. Visualizing and assessing complete remission or downsizing of the tumor after neoadjuvant treatment, may alter the surgical planning in highly selected cases the surgical planning. Complete remission after (chemo)radiation cannot be predicted reliably with non‐invasive imaging techniques, because of the spatial limitations to detecting microscopic tumor residue [17]. Even magnetic resonance imaging (MRI) can result in false positive predictions. Addition of diffusion‐weighted imaging (DWI) to standard MRI makes detection more accurate. Overall, an experienced radiologist with considerable expertise is an essential part of the complex cancer MDTM [18–20].

Surgical Management of Advanced Pelvic Cancer

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