GI Tract Printer-ready protocol

Esophagus: Stage esophageal cancer

Specific Anatomic Region

Esophagus

Application

Stage Esophageal Cancer

Author

Horton HM, Fishman EK

Reference Source

Spiral CT of the Esophagus and Stomach (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998)

Scanner Used

Siemens Somatom Plus-4

Injection Rate

2-3 cc/sec

Contrast Volume and Type

120 cc of Omnipaque-350

Area Scanned

From supraclavicular zone thru liver

Scan Delay

40 seconds

Length of Spiral (time)

35-40 sec

Slice Thickness

5mm

Table Speed/Pitch

8mm/sec or 1.6 pitch

Reconstruction Interval

5mm

3D Technique Used

None needed

Comment:
1. EsophaCat is useful for opacification of the esophagus.
2. Key areas of difficulty are the EG jxn and the celiac axis.

1A 1B Case 1: carcinoma of the esophagus with adenopathy
2A 2B Case 2: potentially resectable carcinoma of the esophagus
3A 3B Case 3: carcinoma of the esophagus with TE fistulae
4A 4B Case 4: esophageal varices.
5A 5B Case 5: esophageal varices