CINTHIA DENISE ORTEGA

Médica e Doutora pela Faculdade de Medicina da Universidade de São Paulo
Coordenadora do grupo de Imagem Gastrointestinal do Hospital das Clínicas da Faculdade de Medicina da USP
Médica Radiologista do Hospital Israelita Albert Einstein e da Nova Medicina Diagnóstica
Coordenadora do grupo de Imagem Gastrointestinal do Hospital das Clínicas da Faculdade de Medicina da USP
Médica Radiologista do Hospital Israelita Albert Einstein e da Nova Medicina Diagnóstica
Check the activity agenda
Sunday, September 03, 2025
Room 06 – Einstein Morumbi Education and Research Center – Realistic Simulation Center, 2nd Basement Level
Imaging in Coloproctology Course
08:00-17:30
COURSE: COURSE ON IMAGING IN COLOPROCTOLOGY - CASE-BASED RECTAL CANCER
Early lesions – radiological evaluation, understaging vs. overstaging , indications for local resection or upfront surgery
Advanced tumors – neoadjuvant treatment options, indications and contraindications
Assessment of response to treatment
Break
T4b: role of MRI in planning multivisceral resection (including lower rectum)
Systemic staging in high-risk tumors. Risk of local recurrence and metastatic disease
Break
Early low tumors – decision making for organ preservation
Near complete response, management and assessment of response with discrepancy between MRI and endoscopy
Assessment of response after immunotherapy
Regression after complete clinical response and risk of metastasis
Break
Mid-rectum tumors with free fascia
Management of T4a tumors
Assessment of lateral pelvic lymph nodes and indications for upfront resection and post-neoadjuvant therapy
Speaker: Maria Ignez Freitas Melro Braghiroli (SP)
Speaker: Aley Talans (SP)
Speaker: Carolina Pereira Abud (SP)
Speaker: Caroline Lorenzoni Ghezzi (RS)
Speaker: Cinthia Denise Ortega (SP)
Speaker: Felipe Ribeiro Ferreira (SP)
Speaker: Fernanda Lopez Mazzucato (SP)
Speaker: Tiago Oliveira Morita (SE)
Early lesions – radiological evaluation, understaging vs. overstaging , indications for local resection or upfront surgery
Advanced tumors – neoadjuvant treatment options, indications and contraindications
Assessment of response to treatment
Break
T4b: role of MRI in planning multivisceral resection (including lower rectum)
Systemic staging in high-risk tumors. Risk of local recurrence and metastatic disease
Break
Early low tumors – decision making for organ preservation
Near complete response, management and assessment of response with discrepancy between MRI and endoscopy
Assessment of response after immunotherapy
Regression after complete clinical response and risk of metastasis
Break
Mid-rectum tumors with free fascia
Management of T4a tumors
Assessment of lateral pelvic lymph nodes and indications for upfront resection and post-neoadjuvant therapy
Wednesday, September 04, 2025
Angelita Habr-Gama Golden Hall
14:00-15:30
SESSION: RECTAL CANCER - POST-TREATMENT DECISIONS
Case presentation: almost complete response
Watch and wait: how long to wait?
Local resection is the best choice
Total mesorectal excision: safer
What can and cannot MRI help in assessing response?
Complete response with resodual adenoma: what now?
ctDNA and response assessment
Discussion
Moderator: Tiago Leal Ghezzi (RS)
Debater: Pedro Carlos Basílio (RJ)
Case presentation: almost complete response
Speaker: Gustavo Leandro Rossi (Argentina)
Watch and wait: how long to wait?
Speaker: Andre D’hoore (Belgium)
Local resection is the best choice
Speaker: Julio Garcia-aguilar (United States)
Total mesorectal excision: safer
Speaker: Rodrigo Gomes da Silva (MG)
What can and cannot MRI help in assessing response?
Speaker: Cinthia Denise Ortega (SP)
Complete response with resodual adenoma: what now?
Speaker: Guilherme Pagin São Julião (SP)
ctDNA and response assessment
Speaker: Julio Garcia-aguilar (United States)
Discussion