Prospective comparison of the perceived preoperative computed tomographic, endosonographic and histopathological stage of oesophageal cancer related to body mass indices.
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| Title: | Prospective comparison of the perceived preoperative computed tomographic, endosonographic and histopathological stage of oesophageal cancer related to body mass indices. |
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| Authors: | Twine CP (AUTHOR), Roberts SA (AUTHOR), Barry JD (AUTHOR), Oliphant H (AUTHOR), Morgan MA (AUTHOR), Blackshaw GR (AUTHOR), Lewis WG (AUTHOR), Twine, Christopher P1 (AUTHOR), Roberts, S Ashley (AUTHOR), Barry, Jonathan D (AUTHOR), Oliphant, Huw (AUTHOR), Morgan, Matthew A (AUTHOR), Blackshaw, Guy R J (AUTHOR), Lewis, Wyn G (AUTHOR) |
| Source: | European Radiology. Apr2009, Vol. 19 Issue 4, p935-940. 6p. |
| Abstract: | Pre-morbid weight loss and low body mass index (BMI) have been reported to be associated with decreased odds of misclassification of the defined stage of oesophageal cancer by endoluminal ultrasound (EUS). The aim of this study was to assess the strengths of agreement between the perceived preoperative radiological T and N stage compared with the final histopathological stage related to four categories of BMI (low <20, normal 20-24.9, high 25-30, and obese >30 kg/m(2)). One hundred sixty-six patients with oesophageal carcinoma were studied. Strength of agreement between the CT and EUS stages and histopathological stage was determined by the weighted kappa statistic (Kw). Kw for EUS T stage related to increasing BMI category was 0.840 (P = 0.0001) to 0.620 (P = 0.001), compared with 0.415 (P = 0.018) to 0.260 (P = 0.011) for CT. Kw for EUS N stage related to increasing BMI category was 0.438 (P = 0.067) to 0.513 (P = 0.010), compared with 0.143 (P = 0.584) to 0.582 (P = 0.030) for CT. EUS was good at predicting tumour infiltration irrespective of BMI when compared with CT, while CT N staging accuracy improved with higher BMIs. Multidisciplinary teams should be aware of these limitations when planning treatment strategies. [ABSTRACT FROM AUTHOR] |
| Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Engineering Source |
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| Header | DbId: egs DbLabel: Engineering Source An: 105219999 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Prospective comparison of the perceived preoperative computed tomographic, endosonographic and histopathological stage of oesophageal cancer related to body mass indices. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Twine+CP%22">Twine CP</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roberts+SA%22">Roberts SA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barry+JD%22">Barry JD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oliphant+H%22">Oliphant H</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morgan+MA%22">Morgan MA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Blackshaw+GR%22">Blackshaw GR</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewis+WG%22">Lewis WG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Twine%2C+Christopher+P%22">Twine, Christopher P</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roberts%2C+S+Ashley%22">Roberts, S Ashley</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Barry%2C+Jonathan+D%22">Barry, Jonathan D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Oliphant%2C+Huw%22">Oliphant, Huw</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morgan%2C+Matthew+A%22">Morgan, Matthew A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Blackshaw%2C+Guy+R+J%22">Blackshaw, Guy R J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lewis%2C+Wyn+G%22">Lewis, Wyn G</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22European+Radiology%22">European Radiology</searchLink>. Apr2009, Vol. 19 Issue 4, p935-940. 6p. – Name: Abstract Label: Abstract Group: Ab Data: Pre-morbid weight loss and low body mass index (BMI) have been reported to be associated with decreased odds of misclassification of the defined stage of oesophageal cancer by endoluminal ultrasound (EUS). The aim of this study was to assess the strengths of agreement between the perceived preoperative radiological T and N stage compared with the final histopathological stage related to four categories of BMI (low <20, normal 20-24.9, high 25-30, and obese >30 kg/m(2)). One hundred sixty-six patients with oesophageal carcinoma were studied. Strength of agreement between the CT and EUS stages and histopathological stage was determined by the weighted kappa statistic (Kw). Kw for EUS T stage related to increasing BMI category was 0.840 (P = 0.0001) to 0.620 (P = 0.001), compared with 0.415 (P = 0.018) to 0.260 (P = 0.011) for CT. Kw for EUS N stage related to increasing BMI category was 0.438 (P = 0.067) to 0.513 (P = 0.010), compared with 0.143 (P = 0.584) to 0.582 (P = 0.030) for CT. EUS was good at predicting tumour infiltration irrespective of BMI when compared with CT, while CT N staging accuracy improved with higher BMIs. Multidisciplinary teams should be aware of these limitations when planning treatment strategies. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of European Radiology is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00330-008-1208-2 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 935 Titles: – TitleFull: Prospective comparison of the perceived preoperative computed tomographic, endosonographic and histopathological stage of oesophageal cancer related to body mass indices. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Twine CP – PersonEntity: Name: NameFull: Roberts SA – PersonEntity: Name: NameFull: Barry JD – PersonEntity: Name: NameFull: Oliphant H – PersonEntity: Name: NameFull: Morgan MA – PersonEntity: Name: NameFull: Blackshaw GR – PersonEntity: Name: NameFull: Lewis WG – PersonEntity: Name: NameFull: Twine, Christopher P – PersonEntity: Name: NameFull: Roberts, S Ashley – PersonEntity: Name: NameFull: Barry, Jonathan D – PersonEntity: Name: NameFull: Oliphant, Huw – PersonEntity: Name: NameFull: Morgan, Matthew A – PersonEntity: Name: NameFull: Blackshaw, Guy R J – PersonEntity: Name: NameFull: Lewis, Wyn G IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2009 Type: published Y: 2009 Identifiers: – Type: issn-print Value: 09387994 Numbering: – Type: volume Value: 19 – Type: issue Value: 4 Titles: – TitleFull: European Radiology Type: main |
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