Prospective Study
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 28, 2018; 24(36): 4197-4207
Published online Sep 28, 2018. doi: 10.3748/wjg.v24.i36.4197
Low-dose spectral insufflation computed tomography protocol preoperatively optimized for T stage esophageal cancer - preliminary research experience
Yue Zhou, Dan Liu, Ping Hou, Kai-Ji Zha, Feng Wang, Kun Zhou, Wei He, Jian-Bo Gao
Yue Zhou, Ping Hou, Kai-Ji Zha, Jian-Bo Gao, Department of Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China
Dan Liu, Department of Gastroenterology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China
Feng Wang, Wei He, Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China
Kun Zhou, Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan Province, China
Author contributions: Gao JB and Zhou Y designed the research; Zhou Y, Hou P, Zha KJ, Liu D, Zhou K and He W performed the research and data analysis; Zhou Y, Hou P and Zha KJ contributed to the statistical analysis; Liu D, Zhou K and He W collected the data and assigned the forms; Zhou Y and Gao JB wrote the paper.
Supported by Scientific and Technological Support Plan Projects of China, No. 2007BAI05B05; and Medical Science and Technology Project of Henan Province, No. 201602012.
Institutional review board statement: The study was reviewed and approved by the institutional review boards of the First Affiliated Hospital of Zhengzhou University.
Conflict-of-interest statement: The authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jian-Bo Gao, MD, PhD, Professor, Department of Radiology, The First Affiliated Hospital of Zhengzhou University, No. 1 East Jianshe Road, Zhengzhou 450052, Henan Province, China. cjr_gaojianbo@163.com
Telephone: +86-371-67966890 Fax: +86-371-66970906
Received: June 25, 2018
Peer-review started: July 2, 2018
First decision: July 17, 2018
Revised: July 28, 2018
Accepted: August 24, 2018
Article in press: August 24, 2018
Published online: September 28, 2018
Core Tip

Core tip: Esophageal insufflation computed tomography (EICT) is a method of insufflating air into the stomach before computed tomography examination, which fully expands the esophageal lumen. The optimal monochromatic energy level clearly displays esophageal lesions and surrounding adipose infiltration by means of effectively improving the image quality and resolution. Our study demonstrates that EICT combined with GSI assist technology contributes to better performance in the differential diagnosis between the T1/2 vs T3 stages and the T3 vs T4 stages in medullary esophageal cancer.