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3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging?

  • Gastrointestinal
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Abstract

The purpose of this prospective observational study was the evaluation of the usefulness of MPR reconstructions and virtual endoscopy in the study of the esophageal carcinoma. Thirty-nine patients with esophageal cancer proved by means of endoscopy, underwent preoperative TNM staging with dynamic CT of the chest and abdomen with the aid of 3D rendering. Twenty-six patients underwent surgery, and the CT results were compared with histopathologic findings. In staging the T parameter, the CT with 3D reconstructions and virtual endoscopy, showed a sensitivity of 92% and an accuracy of 88%. In staging lymph nodes, the sensitivity in our study was 85%, the specificity 58%, and the accuracy 69%. Our protocol of the study of the esophageal cancer with 3D CT and virtual endoscopy, demonstrated a high concordance with the surgical and pathologic findings. The 3D reconstructed images were very helpful to the surgeons regarding preoperative planning. We performed an observational enquiry, and although this was a small study, it has, however, confirmed that the 3D imaging of the esophagus represents a valuable advantage to conventional imaging. Further studies with a larger number of patients are needed to prove its superiority to traditional CT imaging of the esophagus.

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References

  1. Keto P, Suoranta H, Ihamaki T, Melartin E (1979) Double contrast examination of the stomach compared with endoscopy. Acta Radiol Diagn 20:762–768

    Google Scholar 

  2. Thoeni RF, Cello JP (1980) A critical look at the accuracy of endoscopy and double-contrast radiography of the upper gastrointestinal (UGI) tract in patients with substantial UGI hemorrhage. Radiology 135:305–308

    PubMed  Google Scholar 

  3. Holscher AH, Dittler HJ, Siwert JR (1994) Staging of squamous esophageal cancer: accuracy and value. World J Surg 18:312–320

    Article  PubMed  Google Scholar 

  4. Korst RJ, Altorki NK (2004) Imaging for esophageal tumors. Thorac Surg Clin 14(1):61–69

    Article  PubMed  Google Scholar 

  5. Laghi A, Panebianco V, Baeli I, Iannacone R, Iafrate F (2002) Esophagus and stomach. In: Caramella D, Bartolozzi C (eds) 3D image processing, techniques and clinical applications. Springer, Berlin Heidelberg New York

    Google Scholar 

  6. Maher MM, Kalra MK, Sahani DV, Perumpillichira JJ, Rizzo S, Saini S, Mueller PR (2004) Techniques, clinical applications and limitations of 3D reconstruction in CT of the abdomen. Korean J Radiol 5(1):55–67

    PubMed  Google Scholar 

  7. Weaver S, Blackshaw G, Lewis W, Edward P, Robert S, Thomas G, Allison M (2004) Comparison of special interest computed tomography, endosonography and histopathological stage of oesophageal cancer. Clin Radiol 59:499–504

    Article  PubMed  Google Scholar 

  8. Griffith JF, Kew J, Chan ACW et al (1999) 3D CT imaging of oesophageal carcinoma. Eur J Radiol 32:216–220

    Article  PubMed  Google Scholar 

  9. Wayman J, Chakraverty S, Griffin SM, Doyle GJ, Keir MJ, Simpson W (2001) Evaluation of local invasion by oesophageal carcinoma: a prospective study of prone computed tomography scanning. Postgrad Med J 77(905):181–184

    Article  PubMed  Google Scholar 

  10. Reinig JW, Stanley JH, Schabel SI (1983) CT evaluation of thickened esophageal walls. Am J Roentgenol 140(5):931–934

    Google Scholar 

  11. Khan MF, Herzog C, Maataoui A, Harth M, Abolmaali ND, Jacobi V, Vogl TJ (2004) Virtual endoscopy of the tracheo-bronchial system: sub-millimeter collimation with the 16-row multidetector scanner. Eur Radiol 14:1400–1405

    Article  PubMed  Google Scholar 

  12. Wayman J,Chakraverty S, Griffin SM, Doyle GJ, Keir MJ, Simpson W (2001) Evaluation of local invasion by esophageal carcinoma: prospective study of prone computed tomography scanning. Postgrad Med J 177:181–184

    Article  Google Scholar 

  13. Levine MS, Halvorsen RA (2000) Carcinoma of the esophagus. In: Gore LM, Levinve MS (eds) Textbook of gastrointestinal radiology. Saunders, Philadelphia, pp 403–433

    Google Scholar 

  14. Thompson WM (1997) Esophageal carcinoma. Abdom Imaging 22:138–142

    Article  PubMed  Google Scholar 

  15. Moss AA, Schnyder P, Thoeni RF et al (1981) Esophageal carcinoma: pretherapy staging by computed tomography. Am J Roentgenol 136:1051–1056

    Google Scholar 

  16. Pozzi Mucelli R (2000) TC e TC spirale nella pratica clinica. Naples, Idelson-Gnocchi

  17. Reining JW, Stanley JH, Schabel SI (1983) CT of thickened esophageal walls. Am J Rentgenol 140:931–934

    Google Scholar 

  18. Schmalfuss IM, Mancuso AA, Tart RP (2000) Postcricoid region and cervical esophagus: normal appearance at CT and MR imaging. Radiology 214:237–246

    PubMed  Google Scholar 

  19. Halber MD, Daffner RH, Thompson WM (1979) CT of the esophagus: I. normal appearance. Am J Roentgenol 133:1047–1050

    Google Scholar 

  20. Di Simone MP, Mattioli S, D’Ovidio F, Bassi F (2003) Three-dimensional CT imaging and virtual endoscopy for the placement of self-expandable stents in oesophageal and tracheobronchial neoplastic stenoses. Eur J Cardiothorac Surg 23(1):106–108

    PubMed  Google Scholar 

  21. Johnson P, Heath D (1996) Three dimensional CT: real-time interactive volume. Am J Roentgenol 167

    Google Scholar 

  22. Luca S, Elisabetta B, Leonardo C, Maurizio N (2000) Clinical applications of 2D and 3D CT imaging of the airways—a review. Eur J Radiol 34:9–25

    PubMed  Google Scholar 

  23. Rogers LF (1999) Bye-Bye Barium? Am J Roentgenol 172(5):1179

    Google Scholar 

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Authors and Affiliations

  1. Department of Radiological Sciences, University of Rome La Sapienza, Viale del Policlinico 155, 00161, Rome, Italy

    V. Panebianco, H. Grazhdani, F. Iafrate, M. Petroni, M. Anzidei, A. Laghi & R. Passariello

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  1. V. Panebianco
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  2. H. Grazhdani
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  3. F. Iafrate
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  4. M. Petroni
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  5. M. Anzidei
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  6. A. Laghi
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  7. R. Passariello
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Correspondence to V. Panebianco.

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Panebianco, V., Grazhdani, H., Iafrate, F. et al. 3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging?. Eur Radiol 16, 414–421 (2006). https://doi.org/10.1007/s00330-005-2851-5

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  • DOI: https://doi.org/10.1007/s00330-005-2851-5

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