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Rectal cancer is categorized into categories based on tumor height measurements. Tumor height is used to guide initial treatment and determines the eligibility for clinical trials. To determine the concordance between tumor heights measured by MRI and by clinical exam. This was an IRB-approved retrospective analysis of MRI and clinical measurements of tumor height. This was conducted at a single university center that was accredited by the Commission on Cancer National Accreditation Program for Rectal Cancer. Ninety-five patients who we