“…This is consistent with previous data showing failure to achieve complete response results in poorer survival, irrespective of whether complete response was assessed clinically (Glynne-Jones, Sebag-Monte ore et al 2017)), by PET(Adusumilli, Elsayed et al 2022) or MRI(Adusumilli, Elsayed et al 2022). Whilst variable incidence of complete response (61.3-88%)(Glynne-Jones, Sebag-Monte ore et al 2017),(Adusumilli, Elsayed et al 2022),(Martin, Schreckenbach et al 2022),(Vendrely, Lemanski et al 2023) is reported, assessed by both clinical and imaging methods, our mrCR rate is comparable to other studies(Glynne-Jones, Sebag-Monte ore et al 2017),(Martin, Schreckenbach et al 2022), so reassuring for the data validity. Our ndings support the use of MRI as the method of assessing for complete response, identifying similar incidence of endoluminal complete response as reported by ACT II but with the bene t of being able to assess for extramural disease.…”