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International Journal of Applied Research
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ISSN Print: 2394-7500, ISSN Online: 2394-5869, CODEN: IJARPF

IMPACT FACTOR (RJIF): 8.4

International Journal of Applied Research

Vol. 2, Issue 9, Part F (2016)

Role of multidetector CT esophagography in patients with esophageal carcinoma

Author(s)
Premananda Pattanaik, Salil Kumar Parida, Satya Sundar G Mohapatra and Perwez Alam Khan
Abstract
Multi-detector computed tomography (CT) is a new prospect in the imaging of the gastrointestinal tract. It allows the imaging of the entire esophagus with high-quality multiplanar reformation and 3D reconstruction. Most precisely the preoperative staging of esophageal carcinoma appears to be the main indication for MDCT. So here in our study our objective is to evaluate the feasibility, comfortability and diagnostic ability of MDCTE in esophageal carcinoma and to compare the findings of MDCTE with barium swallow and upper gastrointestinal endoscopy. For that we included 70 patients, who were endoscopically diagnosed as carcinoma. MDCT Esophagography was performed on 40-slice CT scanner after overnight fast along with all the necessary processing and evaluation were carried out. The endoscopic biopsy results revealed about squamous cell carcinoma in 55 patients (79%) and adenocarcinoma in 15 patients (21%). Most common location of the lesion was middle third of thoracic esophagus, seen in 28 patients (40%). On imaging, we found T4 disease was present in 28 (40%), T3 disease in 33 (47%) and T1/T2 disease in 9 (13%) patients. Overall quality of MDCTE was diagnostic in 63 (90%) patients. The volume rendered images were equal or superior to barium esophagogram in defining the longitudinal extent of the disease in 90% (63/70) of patients. Kappa correlation between MDCTE and barium esophagogram for length of the lesion was found 91.3% and between MDCTE and conventional endoscopy for morphology was 63%. This results which we obtained are better than barium esophagogram in most patients. So it can be a one-stop modality for accurate definition of longitudinal extent of the disease as well as staging in patients of esophageal carcinoma.
Pages: 412-417  |  367 Views  2 Downloads
How to cite this article:
Premananda Pattanaik, Salil Kumar Parida, Satya Sundar G Mohapatra, Perwez Alam Khan. Role of multidetector CT esophagography in patients with esophageal carcinoma. Int J Appl Res 2016;2(9):412-417.
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