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01-11-2011 | Gastrointestinal

Accuracy of hydro-multidetector row CT in the local T staging of oesophageal cancer compared to postoperative histopathological results

Authors: Ahmed Ba-Ssalamah, Wolfgang Matzek, Susanne Baroud, Nina Bastati, Johannes Zacherl, Sebastian F. Schoppmann, Michael Hejna, Fritz Wrba, Michael Weber, Christian J. Herold, Richard M. Gore

Published in: European Radiology | Issue 11/2011

Abstract

Objective

To evaluate the accuracy of multidetector computed tomography with water filling (Hydro-MDCT) in the T-staging of patients with oesophageal cancer.

Materials and methods

There were 131 consecutive patients who were preoperatively and prospectively examined in the prone position on arterial phase contrast-enhanced MDCT, after ingestion of 1,000–1,500 ml tap water and effervescent granules. Two readers staged the local tumour growth (T-staging) independently. They assessed tumour location, size, presence of stenosis, and morphology of the outer border of the oesophageal wall and perioesophageal fat planes on CT. CT findings were compared with histopathological results from resected specimens. Data were analyzed using the SPSS statistical package.

Results

Both readers obtained a high sensitivity of 95% and a high positive predictive value of 96%. Accurate local staging was achieved in 76.3% and 68.7% for readers 1 and 2, respectively. Inter-reader agreement was excellent (weighted κ value of 0.93 and un-weighted κ of 0.89).

Conclusion

Using the hydro-technique and applying specific assessment criteria, MDCT appears to be an accurate, non-invasive diagnostic tool for local tumour staging of oesophageal cancer.

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Title: Accuracy of hydro-multidetector row CT in the local T staging of oesophageal cancer compared to postoperative histopathological results
Authors: Ahmed Ba-Ssalamah
Wolfgang Matzek
Susanne Baroud
Nina Bastati
Johannes Zacherl
Sebastian F. Schoppmann
Michael Hejna
Fritz Wrba
Michael Weber
Christian J. Herold
Richard M. Gore
Publication date: 01-11-2011
Publisher: Springer-Verlag
Published in: European Radiology / Issue 11/2011
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-011-2187-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Accuracy of hydro-multidetector row CT in the local T staging of oesophageal cancer compared to postoperative histopathological results

Abstract

Objective

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

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