Esophageal cancer staging with endoscopic MR imaging: Pilot study

被引:29
作者
Dave, UR
Williams, AD
Wilson, JA
Amin, Z
Gilderdale, DJ
Larkman, DJ
Thursz, MR
Taylor-Robinson, SD
deSouza, NM
机构
[1] Hammersmith Hosp Trust, Robert Steiner MRI Unit, London W12 0HS, England
[2] Hammersmith Hosp Trust, Dept Gastroenterol, London W12 0HS, England
[3] Hammersmith Hosp Trust, Dept Anesthesia, London W12 0HS, England
[4] Univ London Imperial Coll Sci Technol & Med, Div Med, London SW7 2AZ, England
[5] Chelsea & Westminster Hosp, Dept Radiol, London, England
关键词
esophagus; MR; neoplasms; head and neck neoplasms; staging; 71.32; 71.33; magnetic resonance (MR); endoscopic; ultrasound; (US);
D O I
10.1148/radiol.2301021047
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
The authors defined esophageal anatomy and evaluated esophageal cancer staging in a pilot group by comparing endoscopic magnetic resonance (MR) imaging results with pathologic and endoscopic ultrasonographic (US) results when available. A porcine esophagus, one volunteer, and 23 patients suspected of having esophageal cancer were imaged at 0.5 T. MR imaging was successful in 21 patients. Eight of these patients underwent esophagectomy (one after chemotherapy, which invalidated comparison with MR imaging; another did not undergo lymphadenectomy) and one underwent laparoscopy and nodal staging only; eight underwent US. When verified with pathologic staging, endoscopic MR imaging was accurate in six of seven patients (T stage) and five of six patients (N stage; nodal areas too obscured by artifact for comparison in one case). MR imaging and US results concurred in seven of eight (T stage) and five of eight (N stage) patients. No complications were observed. Endoscopic MR imaging is safe and probably comparable to endoscopic US, but with a tendency to overstage the disease. (C) RSNA, 2003.
引用
收藏
页码:281 / 286
页数:6
相关论文
共 21 条
[1]  
Allum WH, 1998, BRIT J SURG, V85, P1
[2]   Role of computerized tomography in the staging of gastrointestinal neoplasms [J].
Angelelli, G ;
Ianora, AAS ;
Scardapane, A ;
Pedote, P ;
Memeo, M ;
Rotondo, A .
SEMINARS IN SURGICAL ONCOLOGY, 2001, 20 (02) :109-121
[3]   RISING INCIDENCE OF ADENOCARCINOMA OF THE ESOPHAGUS AND GASTRIC CARDIA [J].
BLOT, WJ ;
DEVESA, SS ;
KNELLER, RW ;
FRAUMENI, JF .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 265 (10) :1287-1289
[4]   Endosonography for preoperative staging of specific nodal groups associated with esophageal cancer [J].
Chandawarkar, RY ;
Kakegawa, T ;
Fujita, H ;
Yamana, H ;
Toh, Y ;
Fujitoh, H .
WORLD JOURNAL OF SURGERY, 1996, 20 (06) :700-702
[5]   High resolution magnetic resonance imaging of the anal sphincter using a dedicated endoanal coil - Comparison of magnetic resonance imaging with surgical findings [J].
deSouza, NM ;
Hall, AS ;
Puni, R ;
Gilderdale, DJ ;
Young, IR ;
Kmiot, WA .
DISEASES OF THE COLON & RECTUM, 1996, 39 (08) :926-934
[6]   A solid reusable endorectal receiver coil for magnetic resonance imaging of the prostate: Design, use, and comparison with an inflatable endorectal coil [J].
deSouza, NM ;
Gilderdale, DJ ;
Puni, R ;
Coutts, GA ;
Young, IR .
JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING, 1996, 6 (05) :801-804
[7]   Magnetic resonance imaging during upper GI endoscopy: Technical considerations and clinical feasibility [J].
deSouza, NM ;
Gibbons, AH ;
Coutts, GA ;
Hall, AS ;
Puni, R ;
Calam, J ;
Young, IR .
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, 1995, 4 (5-6) :277-281
[8]   High-resolution MR imaging of stage I cervical neoplasia with a dedicated transvaginal coil: MR features and correlation of imaging and pathologic findings [J].
deSouza, NM ;
Scoones, D ;
Krausz, T ;
Gilderdale, DJ ;
Soutter, WP .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1996, 166 (03) :553-559
[9]   Survival of patients with oesophageal and gastric cancers in Europe [J].
Faivre, J ;
Forman, D ;
Estève, J ;
Gatta, G .
EUROPEAN JOURNAL OF CANCER, 1998, 34 (14) :2167-2175
[10]   An inductively-coupled, detachable receiver coil system for use with magnetic resonance compatible endoscopes [J].
Gilderdale, DJ ;
Williams, AD ;
Dave, U ;
deSouza, NM .
JOURNAL OF MAGNETIC RESONANCE IMAGING, 2003, 18 (01) :131-135