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Clinical Article
Study on the diagnostic efficacy of combined MRI sequences contrast MDCT in T staging of esophageal squamous cell carcinoma
LIN Shengfa  SU Liqing  PENG Ying  SHEN Yanfu  LI Tian  MA Mingping 

Cite this article as: Lin SF, Su LQ, Peng Y, et al. Study on the diagnostic efficacy of combined MRI sequences contrast MDCT in T staging of esophageal squamous cell carcinoma[J]. Chin J Magn Reson Imaging, 2022, 13(4): 43-48. DOI:10.12015/issn.1674-8034.2022.04.008.


[Abstract] Objective To compare the diagnostic efficacy between combined MRI sequences and multi detector-row computed tomography (MDCT) in T staging of esophageal squamous cell carcinoma, so as to provide a reference basis for clinical accurate T staging.Materials and Methods Ninty patients with esophageal squamous cell carcinoma confirmed by biopsy in our hospital were prospectively collected. All of them had complete combined MRI sequences (high-resolution T2-TSE-BLADE sequence, high-resolution T1-STAR-VIBE-FS delayed enhancement sequence) and MDCT enhancement examination data. The evaluation was performed separately under double-blind by two attending radiologists, and the Kappa consistency test was used to evaluate the consistency of the T staging of the two subjects. The sensitivity, specificity and Yoden index of the above two T-staging methods were calculated according to the gold standard of postoperative pathology; the consistency of combined MRI sequences, single-mode sequence and MDCT staging were analyzed by Kappa consistency test according to the pathological criteria.Results Postoperative pathological T staging: 22 patients (24.44%) in T1 stage, 22 patients (24.44%) in T2 stage, 34 patients (37.78%) in T3 stage and 12 patients (13.33%) in T4a stage. The Kappa values of the consistency test of the two T staging methods for the two subjects were 0.97 and 0.86, respectively. The results of this study: (1) The sensitivity, specificity and Youden index of the combined MRI sequences for T1-T3 stages are higher than those of MDCT; (2) The two staging methods have low sensitivity, high specificity, and low Youden index for T4a; (3) The Kappa values from high to low were combined MRI sequences (0.91), T1-STAR-VIBE-FS (0.81), T2-TSE-BLADE (0.78) and MDCT (0.71).Conclusions Combined MRI sequences are better than MDCT for T staging of esophageal squamous cell carcinoma.
[Keywords] esophageal squamous cell carcinoma;magnetic resonance imaging;multi detector-row computed tomography;T staging;diagnostic efficacy

LIN Shengfa1   SU Liqing2   PENG Ying1   SHEN Yanfu1   LI Tian1   MA Mingping1*  

1 Shengli Clinical Medical College of Fujian Medical University, Department of Radiology of Fujian Provincial Hospital, Fuzhou 350001, China

2 Oncology Clinical Medical College of Fujian Medical University, Department of Radiology of Fujian Cancer Hospital, Fuzhou 350011, China

Ma MP, E-mail: 15859043670@163.com

Conflicts of interest   None.

Received  2022-01-04
Accepted  2022-03-21
DOI: 10.12015/issn.1674-8034.2022.04.008
Cite this article as: Lin SF, Su LQ, Peng Y, et al. Study on the diagnostic efficacy of combined MRI sequences contrast MDCT in T staging of esophageal squamous cell carcinoma[J]. Chin J Magn Reson Imaging, 2022, 13(4): 43-48.DOI:10.12015/issn.1674-8034.2022.04.008

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