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EUS is the most

accurate T-staging

investigation (e.g.

accuracy of up to

95% for T3 and T4

disease)

CT makes a very

useful contribution to

the T-stage,

especially in

recognising T3

disease and alerting

to possible T4

involvement (e.g.

accuracy of 85% for

mediastinal

invasion )

PET does not have

any major role in T-

staging (e.g.

sensitivity of <50%

for T1).

Role is in N and M

staging