Table 1. Examples of CTS and PET-CT report findings and categorisation of changes in MDT decision making.
Example CTS report | Example PET-CT report | Influence on MDT decision making |
---|---|---|
Distal oesophageal thickening, extension into gastroesophageal junction, no mediastinal involvement, no metastasis |
Oesophageal carcinoma, no lymphadenopathy, no distant metastasis |
No change in recommendation: PET-CT confirmed findings of the CTS |
Distal oesophageal tumour, small volume lymphadenopathy in the chest and abdomen of uncertain significance |
Single small circumferential distal oesophageal tumour |
Change in recommendation: PET-CT showed no metastases where the CTS raised this possibility |
Junctional tumour, no evidence of lymphadenopathy or disseminated disease |
There are bone metastasis and contiguous nodal disease at upper oesophagus |
Change in recommendation: PET-CT showed metastases where the CTS did not |
Gastro-oesophageal junctional tumour with locoregional lymphadenopathy but no metastatic disease | Large gastro-oesophageal carcinoma, FDG avid mass projecting from lower lobe of caecum, which could represent malignancy | Change in recommendation: PET-CT prompted additional staging investigations |
Abbreviations: CTS=computerised tomography; FDG=fluorodeoxyglucose; MDT=multi-disciplinary team; PET-CT=positron emission tomography-computed tomography.