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01-02-2018 | Chest

Comparison between free-breathing radial VIBE on 3-T MRI and endoscopic ultrasound for preoperative T staging of resectable oesophageal cancer, with histopathological correlation

Authors: Jinrong Qu, Hongkai Zhang, Zhaoqi Wang, Fengguang Zhang, Hui Liu, Zhidan Ding, Yin Li, Jie Ma, Zhongxian Zhang, Shouning Zhang, Yafeng Dong, Lina Jiang, Wei Zhang, Robert Grimm, Berthold Kiefer, Ihab R. Kamel, Jianjun Qin, Hailiang Li

Published in: European Radiology | Issue 2/2018

Abstract

Objectives

To compare the T staging of resectable oesophageal cancer (OC) using radial VIBE (r-VIBE) and endoscopic ultrasound (EUS) with pathological confirmation of the T stage.

Methods

Forty-three patients with endoscopically proven OC and indeterminate T1/T2/T3/T4a stage by computed tomography (CT) and EUS were imaged on a 3-T magnetic resonance imaging (MRI) scanner. T stage was scored on MRI and EUS by two independent radiologists and one endoscopist, respectively, and compared with postoperative pathological findings. T staging agreement between r-VIBE and EUS with postoperative pathological T staging was analysed by a kappa test.

Results

EUS and pathological T staging showed agreement of 69.8% (30/43). Radial VIBE and pathological T staging agreement was 86.0% (37/43) and 90.7% (39/43) for readers 1 and 2, respectively. High accuracy for T1/T2 stage was obtained for both r-VIBE readers (90.5% and 100% for reader 1 and reader 2, respectively) and EUS reader (100%). For T3/T4, r-VIBE showed accuracy of 81.8% and 90.9% for reader 1 and reader 2, respectively, while for EUS, accuracy was only 68.2% compared with pathological T staging.

Conclusions

Contrast-enhanced r-VIBE is comparable to EUS in T staging of resectable OC with stage of T1/T2, and is superior to EUS in staging of T3/T4 lesions.

Key Points

• Radial VIBE may be useful in preoperative T staging of OC

• Accuracy of staging on r-VIBE is higher in T1/2 than in T3/4

• Accuracy of EUS was 100% and 68.2% for T1/T2 and T3/T4 stage

• Inter-reader agreement of T staging for r-VIBE was good

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Title: Comparison between free-breathing radial VIBE on 3-T MRI and endoscopic ultrasound for preoperative T staging of resectable oesophageal cancer, with histopathological correlation
Authors: Jinrong Qu
Hongkai Zhang
Zhaoqi Wang
Fengguang Zhang
Hui Liu
Zhidan Ding
Yin Li
Jie Ma
Zhongxian Zhang
Shouning Zhang
Yafeng Dong
Lina Jiang
Wei Zhang
Robert Grimm
Berthold Kiefer
Ihab R. Kamel
Jianjun Qin
Hailiang Li
Publication date: 01-02-2018
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 2/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-017-4963-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Comparison between free-breathing radial VIBE on 3-T MRI and endoscopic ultrasound for preoperative T staging of resectable oesophageal cancer, with histopathological correlation

Abstract

Objectives

Methods

Results

Conclusions

Key Points

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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