3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging?
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...
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| Veröffentlicht in: | European radiology 2006-02, Vol.16 (2), p.414-421 |
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| creator | Panebianco, V Grazhdani, H Iafrate, F Petroni, M Anzidei, M Laghi, A Passariello, R |
| description | 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. |
| doi_str_mv | 10.1007/s00330-005-2851-5 |
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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.</description><identifier>ISSN: 0938-7994</identifier><identifier>EISSN: 1432-1084</identifier><identifier>DOI: 10.1007/s00330-005-2851-5</identifier><identifier>PMID: 16041528</identifier><language>eng</language><publisher>Germany: Springer Nature B.V</publisher><subject>Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Aged ; Cancer ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Computed tomography ; Contrast Media - administration & dosage ; Endoscopy ; Esophageal cancer ; Esophageal carcinoma ; Esophageal Neoplasms - pathology ; Esophageal Neoplasms - surgery ; Esophageal Stenosis - pathology ; Esophageal Stenosis - surgery ; Esophagoscopy ; Esophagus ; Female ; Humans ; Image Processing, Computer-Assisted - methods ; Image reconstruction ; Imaging, Three-Dimensional - methods ; Iopamidol - analogs & derivatives ; Lymph nodes ; Lymphatic Metastasis - pathology ; Male ; Medical imaging ; Middle Aged ; Observational studies ; Parameter sensitivity ; Reconstructive surgery ; Sensitivity and Specificity ; Tomography, Spiral Computed - methods ; User-Computer Interface</subject><ispartof>European radiology, 2006-02, Vol.16 (2), p.414-421</ispartof><rights>Springer-Verlag 2005.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-c0f878a5e49c287726fe6f7be5f8a0c93e6ec038e04504ed69e61f493e7d42fc3</citedby><cites>FETCH-LOGICAL-c358t-c0f878a5e49c287726fe6f7be5f8a0c93e6ec038e04504ed69e61f493e7d42fc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16041528$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Panebianco, V</creatorcontrib><creatorcontrib>Grazhdani, H</creatorcontrib><creatorcontrib>Iafrate, F</creatorcontrib><creatorcontrib>Petroni, M</creatorcontrib><creatorcontrib>Anzidei, M</creatorcontrib><creatorcontrib>Laghi, A</creatorcontrib><creatorcontrib>Passariello, R</creatorcontrib><title>3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging?</title><title>European radiology</title><addtitle>Eur Radiol</addtitle><description>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.</description><subject>Adenocarcinoma - pathology</subject><subject>Adenocarcinoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Cancer</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Computed tomography</subject><subject>Contrast Media - administration & dosage</subject><subject>Endoscopy</subject><subject>Esophageal cancer</subject><subject>Esophageal carcinoma</subject><subject>Esophageal Neoplasms - pathology</subject><subject>Esophageal Neoplasms - surgery</subject><subject>Esophageal Stenosis - pathology</subject><subject>Esophageal Stenosis - surgery</subject><subject>Esophagoscopy</subject><subject>Esophagus</subject><subject>Female</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted - methods</subject><subject>Image reconstruction</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Iopamidol - analogs & derivatives</subject><subject>Lymph nodes</subject><subject>Lymphatic Metastasis - pathology</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Middle Aged</subject><subject>Observational studies</subject><subject>Parameter sensitivity</subject><subject>Reconstructive surgery</subject><subject>Sensitivity and Specificity</subject><subject>Tomography, Spiral Computed - methods</subject><subject>User-Computer Interface</subject><issn>0938-7994</issn><issn>1432-1084</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1rFEEQhhtRzCb6A3IJDYK3idXT315E1nwI0VzWc9PbW72ZMDO9Ts0K_vt03AXBi6eC4nlfqngYOxdwKQDsBwKQEhoA3bROi0a_YAuhZNsIcOolW4CXrrHeqxN2SvQIAF4o-5qdCANK6NYt2Fp-4csV301lLqn0vBv5_IA8EiHRgOPMS_6zQSq7h7jF2PMRy66PNHeJ90hdGekjT3Hk3cy7oTb9Qr76_o3THLfduP30hr3KsSd8e5xn7Mf11Wp529zd33xdfr5rktRubhJkZ13UqHxqnbWtyWiyXaPOLkLyEg0mkA5BaVC4MR6NyKru7Ua1Ockz9v7QW0_4uUeaw9BRwr6P9eA9BQvGg9Pqv6DwSnlroYLv_gEfy34a6xNBitY4o4RrKyUOVJoK0YQ57KZuiNPvICA8ewoHT6F6Cs-egq6Zi2Pzfj3g5m_iKEY-AeisjLA</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Panebianco, V</creator><creator>Grazhdani, H</creator><creator>Iafrate, F</creator><creator>Petroni, M</creator><creator>Anzidei, M</creator><creator>Laghi, A</creator><creator>Passariello, R</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200602</creationdate><title>3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging?</title><author>Panebianco, V ; Grazhdani, H ; Iafrate, F ; Petroni, M ; Anzidei, M ; Laghi, A ; Passariello, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c358t-c0f878a5e49c287726fe6f7be5f8a0c93e6ec038e04504ed69e61f493e7d42fc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adenocarcinoma - 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methods</topic><topic>User-Computer Interface</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Panebianco, V</creatorcontrib><creatorcontrib>Grazhdani, H</creatorcontrib><creatorcontrib>Iafrate, F</creatorcontrib><creatorcontrib>Petroni, M</creatorcontrib><creatorcontrib>Anzidei, M</creatorcontrib><creatorcontrib>Laghi, A</creatorcontrib><creatorcontrib>Passariello, R</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Panebianco, V</au><au>Grazhdani, H</au><au>Iafrate, F</au><au>Petroni, M</au><au>Anzidei, M</au><au>Laghi, A</au><au>Passariello, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging?</atitle><jtitle>European radiology</jtitle><addtitle>Eur Radiol</addtitle><date>2006-02</date><risdate>2006</risdate><volume>16</volume><issue>2</issue><spage>414</spage><epage>421</epage><pages>414-421</pages><issn>0938-7994</issn><eissn>1432-1084</eissn><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.</abstract><cop>Germany</cop><pub>Springer Nature B.V</pub><pmid>16041528</pmid><doi>10.1007/s00330-005-2851-5</doi><tpages>8</tpages></addata></record> |
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| subjects | Adenocarcinoma - pathology Adenocarcinoma - surgery Adult Aged Cancer Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Computed tomography Contrast Media - administration & dosage Endoscopy Esophageal cancer Esophageal carcinoma Esophageal Neoplasms - pathology Esophageal Neoplasms - surgery Esophageal Stenosis - pathology Esophageal Stenosis - surgery Esophagoscopy Esophagus Female Humans Image Processing, Computer-Assisted - methods Image reconstruction Imaging, Three-Dimensional - methods Iopamidol - analogs & derivatives Lymph nodes Lymphatic Metastasis - pathology Male Medical imaging Middle Aged Observational studies Parameter sensitivity Reconstructive surgery Sensitivity and Specificity Tomography, Spiral Computed - methods User-Computer Interface |
| title | 3D CT protocol in the assessment of the esophageal neoplastic lesions: can it improve TNM staging? |
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