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GTV definition: imaging

CT scan

PET & PET CT

+

information from other imaging modalities

Esophagography:

intra-luminal tumor, early tumors, CC extension, under-estimates GTV,

no co-registration

, 2D treatment

EUS & EUS-FNA

:

T wall infiltration; adjacent N+,

no co-registration

Endoscopy

(esophagoscopy, bronchoscopy):

T extension, bronchus invasion,

no co-registration

Fiore D – Radiol Med – 2006

Plukker JThM – Best Pract Res Clin Gastroenterol – 2006

GTV delineation