PMID- 9381100
OWN - NLM
STAT- MEDLINE
DCOM- 19971113
LR  - 20061115
IS  - 0036-7672 (Print)
IS  - 0036-7672 (Linking)
VI  - 127
IP  - 36
DP  - 1997 Sep 6
TI  - [Initial experiences with magnetic resonance endoscopy].
PG  - 1482-8
AB  - BACKGROUND: In contrast to endorectal surface coils used to assess pelvic tumors, 
      the magnetic resonance endoscope (MR) has all the features of a standard 
      endoscope. In ex-vivo imaging of the porcine gastrointestinal tract, endoscopic 
      MR demonstrates distinct histological layers of the gastrointestinal wall. The 
      aim of this study was to assess the feasibility and the accuracy of endoscopic MR 
      in local staging of patients with esophageal and rectal cancer. METHODS: From 
      April to August 1996, 12 patients (5 female and 7 male, mean age 63 [range 44-84] 
      years) with histologically proven esophageal (n = 6) and rectal (n = 6) cancer 
      prospectively underwent endoscopic ultrasound (EUS) followed by endoscopic MR. 
      The two radiologists reviewing the endoscopic MR images were blinded to the EUS 
      results. Assessment of T and N stages was compared to EUS and histology. RESULTS: 
      Endoscopic MR was well tolerated in all patients and there were no complications. 
      Image quality was sufficient in 75%. Endoscopic MR T-staging correlated with EUS 
      and histology in 7/12 and 5/7 patients respectively. Discordance was due to 
      overstaging by endoscopic MR. N-staging correlated with EUS and histology in 
      10/12 and 6/8 cases respectively. Non-correlation was due to a number of false 
      negative results at endoscopic MR. CONCLUSION: These early results demonstrate 
      endoscopic MR to be feasible and to produce comparable local staging to EUS in 
      patients with esophageal and rectal cancer. The ultimate goal will be to combine 
      endoscopic MR with body coil MR imaging (for the assessment of distant 
      metastases) in order to provide "one-step staging" for the entire evaluation of 
      gastrointestinal tumors.
FAU - Kulling, D
AU  - Kulling D
AD  - Department of Gastroenterology; Medical University of South Carolina, Charleston 
      29425, USA.
FAU - Feldman, D R
AU  - Feldman DR
FAU - Kay, C L
AU  - Kay CL
FAU - Hoffman, B J
AU  - Hoffman BJ
FAU - Cotton, P B
AU  - Cotton PB
FAU - Hawes, R H
AU  - Hawes RH
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Erste Erfahrungen mit dem Magnetresonanz-Endoskop.
PL  - Switzerland
TA  - Schweiz Med Wochenschr
JT  - Schweizerische medizinische Wochenschrift
JID - 0404401
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - *Endoscopes, Gastrointestinal
MH  - Endosonography/instrumentation
MH  - Equipment Design
MH  - Esophageal Neoplasms/*pathology
MH  - Esophagus/pathology
MH  - Feasibility Studies
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Imaging/*instrumentation
MH  - Male
MH  - Middle Aged
MH  - Neoplasm Staging
MH  - Prospective Studies
MH  - Rectal Neoplasms/*pathology
MH  - Rectum/pathology
EDAT- 1998/02/12 00:00
MHDA- 1998/02/12 00:01
CRDT- 1998/02/12 00:00
PHST- 1998/02/12 00:00 [pubmed]
PHST- 1998/02/12 00:01 [medline]
PHST- 1998/02/12 00:00 [entrez]
PST - ppublish
SO  - Schweiz Med Wochenschr. 1997 Sep 6;127(36):1482-8.