Value of spectral detector CT for pretherapeutic, locoregional assessment of esophageal cancer.
Esophageal neoplasms
Medical oncology
Neoplasm staging
Tomography
X-Ray computed
Journal
European journal of radiology
ISSN: 1872-7727
Titre abrégé: Eur J Radiol
Pays: Ireland
ID NLM: 8106411
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
27
08
2020
revised:
01
11
2020
accepted:
14
11
2020
pubmed:
11
12
2020
medline:
15
4
2021
entrez:
10
12
2020
Statut:
ppublish
Résumé
To investigate the diagnostic value of spectral detector dual-energy CT-derived low-keV virtual monoenergetic images (VMI) and iodine overlays (IO) for locoregional, pretherapeutic assessment of esophageal cancer. 74 patients with biopsy-proven esophageal cancer who underwent pre-therapeutic, portal-venous-phase staging examinations of the chest and abdomen were retrospectively included. Quantitative image analysis was performed ROI-based within the tumor, healthy esophageal wall, peri-esophageal lymph nodes, azygos vein, aorta, liver, diaphragm, and mediastinal fat. Two radiologists evaluated delineation of the primary tumor and locoregional lymph nodes, assessment of the celiac trunk and diagnostic certainty regarding tumor infiltration in conventional images (CI), VMI from 40 to 70 keV and IO. Moreover, presence/absence of advanced tumor infiltration (T3/T4) was determined binary using all available images. VMI IO and VMI
Identifiants
pubmed: 33302024
pii: S0720-048X(20)30613-6
doi: 10.1016/j.ejrad.2020.109423
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
109423Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.