Upper GI 2016

T staging - MDCT

Initial Staging • T stage - based on wall thickness and outline •Limited soft tissue contrast •Poor for early tumours

pT2

pT3

T Stage Wall thickness Wall Contour

>3mm, <5mm Smooth

T2

5-15mm

Irregular

T3

pT4

>15mm

Contact with adjacent structure

T4

T Staging Accuracy - 74%*

* Davies, A. R., D. A. Deans, et al. (2006). Dis Esophagus 19 (6): 496-503