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The Efficiency of MRI in the Diagnostic of Esophageal Cancer in Comparison with CT and Endoscopic Ultrasound

https://doi.org/10.37174/2587-7593-2024-7-4-74-85

Abstract

Relevance: Esophageal cancer is the eighth most common cancer in the world. Improving the algorithm for visualization of esophageal cancer through the use of modern magnetic resonance imaging (MRI) techniques along with traditionally used methods of radiological diagnostic methods (endoussis, MSCT, PET/CT), is an important purpose of choosing the optimal way of treatment for various categories of patients.
Purpose: To determine the possibilities of MRI in comparison with other methods (CT and Endoscopic Ultrasound) in the diagnosis of esophageal cancer.
Material and methods: 125 people with suspected esophageal cancer were examined. All patients underwent MRI, 121 (96.8 %) of which also underwent esophageal CT, and 82 (65.6 %) EUS. All cases were histologically verified.
Statistics: Categorial data processing was carried out using statistical techniques: frequency tables, conjugacy tables, χ2 criteria or Fisher’s exact criteria (in the case of a small sample number). The differences were considered statistically significant at values of p < 0.05.
The results: Mostly the use of an optimized MRI protocol in the diagnosis of esophageal tumors demonstrated predominantly high sensitivity, specificity and accuracy in determining T and N criteria (72.8 %, 89.3 % and 85.7 % for the T-criterion, 70.4 %, 87.3 % and 83.9 % for the N-criterion, respectively) in comparison with CT methods (57.0 %, 83.7 % and 77 % for the T-test, and 73.6 %, 88.7 % and 85.6 % for the N-test, respectively) and endo-ultrasound (75.6 %, 83.3 % and 85.2 % for the T-test, 67.1 %, 86.7 % and 81.1 % for the N-test, respectively).
Conclusion: The use of an optimized MRI protocol in determining the T and N criteria for esophageal cancer when compared with other modalities of radiation diagnosis showed: significant advantages of MRI in determining the T and N criteria compared with CT, moderate compared with endo-ultrasound for the T criterion, and comparable for the N criterion. The data obtained indicate the prospects for in-depth study and implementation of MR esophageal examination in clinical practice.

About the Authors

N. I. Mutovkina
N. N. Petrov National Medical Research Center of Oncology
Russian Federation

 Natalia I. Mutovkina 

 68 Leningradskaya str., village Pesochny, St. Petersburg, 197758, Russia 


Competing Interests:

Conflict of interests. Not declared



V. M. Cheremisin
St. Petersburg State University
Russian Federation

7-9, Universitetskaya nab., St. Petersburg, 199034, Russia 


Competing Interests:

Conflict of interests. Not declared



I. G. Kamyshanskaya
City Mariinsky Hospital; St. Petersburg State University
Russian Federation

56, Liteyny Ave., St. Petersburg, 191014, Russia

7-9, Universitetskaya nab., St. Petersburg, 199034, Russia 


Competing Interests:

Conflict of interests. Not declared



A. V. Mishchenko
N. N. Petrov National Medical Research Center of Oncology; St. Petersburg State University; Russian Medical Academia of Continues Education
Russian Federation

 68 Leningradskaya str., village Pesochny, St. Petersburg, 197758, Russia 

7-9, Universitetskaya nab., St. Petersburg, 199034, Russia

bld. 1 2/1 Barricadnaya str., Moscow, 123242, Russia 


Competing Interests:

Conflict of interests. Not declared



A. V. Zakharova
City multidisciplinary hospital No. 2
Russian Federation

 5, Uchebny lane, St. Petersburg 194354, Russia 


Competing Interests:

Conflict of interests. Not declared



P. Yu. Grishko
N. N. Petrov National Medical Research Center of Oncology
Russian Federation

 68 Leningradskaya str., village Pesochny, St. Petersburg, 197758, Russia 


Competing Interests:

Conflict of interests. Not declared



S. L. Trofimov
N. N. Petrov National Medical Research Center of Oncology
Russian Federation

 68 Leningradskaya str., village Pesochny, St. Petersburg, 197758, Russia 


Competing Interests:

Conflict of interests. Not declared



A. N. Sidorova
N. N. Petrov National Medical Research Center of Oncology
Russian Federation

 68 Leningradskaya str., village Pesochny, St. Petersburg, 197758, Russia 


Competing Interests:

Conflict of interests. Not declared



N. V. Marchenko
St. Petersburg State Pediatric Medical University
Russian Federation

2, Litovskaya str., St. Petersburg, 194100, Russia 


Competing Interests:

Conflict of interests. Not declared



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For citations:


Mutovkina N.I., Cheremisin V.M., Kamyshanskaya I.G., Mishchenko A.V., Zakharova A.V., Grishko P.Yu., Trofimov S.L., Sidorova A.N., Marchenko N.V. The Efficiency of MRI in the Diagnostic of Esophageal Cancer in Comparison with CT and Endoscopic Ultrasound. Journal of oncology: diagnostic radiology and radiotherapy. 2024;7(4):74-85. (In Russ.) https://doi.org/10.37174/2587-7593-2024-7-4-74-85

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