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Rectal cancer is a significant health concern with substantial morbidity and mortality rates. Magnetic Resonance Imaging (MRI) plays a crucial role in the diagnosis and management of rectal cancer, providing detailed anatomical and functional information. However, traditional MRI techniques have limitations in prognosticating tumor behavior and treatment response. The study emphasizes the importance of emerging techniques such as Diffusion-Weighted Imaging (DWI), mrDEC scoring system, Dynamic Contrast-Enhanced MRI (DCE-MRI), Radiomics, and Machine Learning. By examining recent research and clinical trials, we aim to offer a comprehensive overview of the current landscape, challenges, and future directions associated with the incorporation of these MRI biomarkers in predicting outcomes for rectal cancer patients. This review paper aims to provide an overview of the emerging MRI biomarkers that hold the potential for prognostication of rectal cancer.
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