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DOI:10.2214/AJR.05.0559
AJR 2006; 187:1280-1287
© American Roentgen Ray Society


Clinical Observations

Potential of Surface-Coil MRI for Staging of Esophageal Cancer

Angela M. Riddell1, Julia Hillier2, Gina Brown1, D. Michael King1, Andrew C. Wotherspoon3, Jeremy N. Thompson4, David Cunningham5 and William H. Allum4

1 Department of Diagnostic Radiology, The Royal Marsden Hospital, Downs Road, Sutton, Surrey, London, United Kingdom, SM2 5PT.
2 Department of Radiology, The Chelsea and Westminster Hospital, London, United Kingdom.
3 Department of Histopathology, The Royal Marsden Hospital, London, United Kingdom.
4 Department of Surgery, The Royal Marsden Hospital, London, United Kingdom.
5 Department of Medical Oncology, The Royal Marsden Hospital, London, United Kingdom.

OBJECTIVE. The aim of this pilot study was to assess the feasibility of external surfacecoil MRI as a new method of imaging the esophagus and esophageal cancer.

CONCLUSION. The results for the 10 patients investigated indicate that by using a high-resolution axial T2-weighted sequence (small field of view, thin section images), MRI provides detailed imaging of the anatomic layers of the esophageal wall and tumor. Three independent radiologists found good correlation in the morphologic appearance and extent of tumor between MRI and matched histology sections. This study illustrates the potential of the technique as an alternative form of local staging for esophageal cancer.

Keywords: CT • esophageal cancer • esophagus • MRI • oncologic imaging • surface-coil MRI


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