Novel imaging techniques in staging oesophageal cancer

被引:30
作者
Foley, Kieran [1 ]
Findlay, John [2 ,3 ]
Goh, Vicky [4 ,5 ]
机构
[1] Cardiff Univ, Div Canc & Genet, Sch Med, Cardiff, S Glam, Wales
[2] Oxford Univ Hosp NHS Fdn Trust, Oxford OesophagoGastr Ctr, Churchill Hosp, Oxford, England
[3] Univ Oxford, Dept Oncol, Old Rd Campus Res Bldg,Roosevelt Dr, Oxford, England
[4] Guys & St Thomas NHS Fdn Trust, Dept Radiol, London, England
[5] Kings Coll London, Sch Biomed Engn & Imaging Sci, London, England
关键词
Oesophageal cancer; TNM; Staging; Response; Prognosis; Computed tomography; Endoscopic ultrasound; Positron-emission tomography; Magnetic resonance imaging; POSITRON-EMISSION-TOMOGRAPHY; SQUAMOUS-CELL CARCINOMA; PREDICTING PATHOLOGICAL RESPONSE; RESECTION MARGIN INVOLVEMENT; METABOLIC NODAL RESPONSE; ENDOSCOPIC ULTRASOUND; NEOADJUVANT CHEMOTHERAPY; PROGNOSTIC-SIGNIFICANCE; COMPUTED-TOMOGRAPHY; TEXTURE ANALYSIS;
D O I
10.1016/j.bpg.2018.11.009
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The survival of oesophageal cancer is poor as most patients present with advanced disease. Radiological staging of oesophageal cancer is complex but is fundamental to clinical management. Accurate staging investigations are vitally important to guide treatment decisions and optimise patient outcomes. A combination of baseline computed tomography (CT), endoscopic ultrasound (EUS) and positron emission tomography (PET) are currently used for initial treatment decisions. The potential value of these imaging modalities to re-stage disease, monitor response and alter treatment is currently being investigated. This review presents an essential update on the accuracy of oesophageal cancer staging investigations, their use in re-staging after neo-adjuvant therapy and introduces evolving imaging techniques, including novel biomarkers that have clinical potential in oesophageal cancer. Crown Copyright (C) 2018 Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:17 / 25
页数:9
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