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

  • Gastrointestinal
  • Published:
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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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Authors and Affiliations

  1. Department of Radiology, Medical University of Vienna, Waehringer Guertel 18–20, 1090, Vienna, Austria

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

  2. Department of Surgery, Medical University of Vienna, Vienna, Austria

    Johannes Zacherl & Sebastian F. Schoppmann

  3. Department of Oncology, Medical University of Vienna, Vienna, Austria

    Michael Hejna

  4. Department of Pathology, Medical University of Vienna, Vienna, Austria

    Fritz Wrba

  5. Department of Radiology, University of Chicago Pritzker School of Medicine, Chicago, IL, USA

    Richard M. Gore

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  1. Ahmed Ba-Ssalamah
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  2. Wolfgang Matzek
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Correspondence to Ahmed Ba-Ssalamah.

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Ba-Ssalamah, A., Matzek, W., Baroud, S. et al. Accuracy of hydro-multidetector row CT in the local T staging of oesophageal cancer compared to postoperative histopathological results. Eur Radiol 21, 2326–2335 (2011). https://doi.org/10.1007/s00330-011-2187-2

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  • DOI: https://doi.org/10.1007/s00330-011-2187-2

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