Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on sleep in brain health

LIVE: Thursday 2nd May 2024, 18:00-19:30 (CEST)

Quality sleep is essential for health. But what happens to our brains when sleep patterns are disturbed? Join our experts to explore the interplay between sleep disruption and neurological diseases, and the questions that you need to be asking your patients to help you prevent the harmful effects of sleep deprivation.
ADVANCED SEARCH
Log in
Top
European Radiology
Published in: European Radiology 1/2010

01-01-2010 | Gastrointestinal

Preoperative T staging of gastric carcinoma obtained by MDCT vessel probe reconstructions and correlations with histological findings

Authors: M. Moschetta, A. A. Stabile Ianora, A. Anglani, A. Marzullo, A. Scardapane, G. Angelelli

Published in: European Radiology | Issue 1/2010

Login to get access

Abstract

This study aims to evaluate the diagnostic accuracy of 16-row multidetector CT (MDCT) and vessel probe reconstructions in the T staging of gastric carcinoma. Fifty-three patients (39 men, 14 women, mean age 57.5) with an endoscopic diagnosis of gastric adenocarcinoma underwent CT examination. A hypotonic drug was administered, and the gastric walls were distended by the ingestion of 400–600 ml of water. A biphasic technique with 40-s and 70-s delay was used after endovenous contrast material injection. All patients underwent surgery, and preoperative and histological stagings were compared. The diagnostic accuracy of T staging was 68% for axial images and 94% for VP reconstructions. In the T1, T2, T3 and T4 parameter evaluation, diagnostic accuracy values were 87%, 73.5%, 81% and 96%, respectively, for axial images and 96%, 96%, 98% and 100%, respectively for VP reconstructions. MDCT is an accurate technique for the preoperative staging of gastric cancer. The VP reconstructions obtained by isotropic data can evaluate the T parameter with a higher accuracy.
Literature
1.
Kim JH, Eun HW, Choi JH et al (2007) Diagnostic performance of virtual gastroscopy using MDCT in early gastric cancer compared with 2D axial CT: focusing on interobserver variation. Am J Roentgenol 189:299–305CrossRef
2.
Habermann CR, Weiss F, Riecken R et al (2004) Preoperative staging of gastric adenocarcinoma: comparison of helical CT and endoscopic US. Radiology 230:465–71CrossRefPubMed
3.
Stabile Ianora AA, Pedote P, Scardapane A et al (2003) Preoperative staging of gastric carcinoma with multi detector spiral CT. Radiol Med 106:467–480PubMed
4.
Chen CY, Hsu JS, Wu DC et al (2007) Gastric cancer: preoperative local staging with 3D multi-detector row CT—correlation with surgical and histopathologic results. Radiology 242:472–482CrossRefPubMed
5.
Ahn HS, Lee HJ, Yoo MW et al (2009) Diagnostic accuracy of T and N stages with endoscopy, stomach protocol CT, and endoscopic ultrasonography in early gastric cancer. J Surg Oncol 99:20–27CrossRefPubMed
6.
Kwee RM, Kwee TC (2007) Imaging in local staging of gastric cancer: a systematic review. J Clin Oncol 25:2107–2116CrossRefPubMed
7.
Kumano S, Murakami T, Kim T et al (2005) T staging of gastric cancer: role of multi-detector row CT. Radiology 237:961–966CrossRefPubMed
8.
Wei WZ, Yu JP, Li J et al (2005) Evaluation of contrast-enhanced helical hydro-CT in staging gastric cancer. World J Gastroenterol 11:4592–4595PubMed
9.
Bhandari S, Shim CS, Kim JH et al (2004) Usefulness of three-dimensional, multidetector row CT (virtual gastroscopy and multiplanar reconstruction) in the evaluation of gastric cancer: a comparison with conventional endoscopy, EUS and histopathology. Gastrointest Endosc 59:619–626CrossRefPubMed
10.
Lee DH, Ko YT, Park SJ et al (2001) Comparison of hydro-US and spiral CT in the staging of gastric cancer. Clin Imaging 25:181–186CrossRefPubMed
11.
Greene FLPD, Fleming ID et al (2002) AJCC Manual of staging of cancer, 6th edn. Springer-Verlag, New York
12.
Kim AY, Kim HJ, Ha HK (2005) Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging 30:465–472CrossRefPubMed
13.
Stabile Ianora AA, Wolowiec A, Francioso G et al (2001) Benign and malignant gastric ulcer: CT findings. Radiol Med 102:32–36PubMed
14.
Fukuya T, Honda H, Kaneko K et al (1997) Efficacy of helical CT in T staging of gastric cancer. J Comput Assist Tomogr 21:73–81CrossRefPubMed
15.
Kim HJ, Kim AY, Oh ST et al (2005) Gastric cancer staging at multi-detector row CT gastrography: comparison of transverse and volumetric CT scanning. Radiology 236:879–885CrossRefPubMed
16.
Takao M, Fukuda T, Iwanaga S et al (1998) Gastric cancer: evaluation of triphasic spiral CT and radiologic-pathological correlation. J Comput Assist Tomogr 22:288–294CrossRefPubMed
17.
D’Elia F, Zingarelli A, Palli D et al (2000) Hydro-dynamic CT preoperative staging of gastric cancer: correlation with pathological findings. A prospective study of 107 cases. Eur Radiol 10:1877–1885
18.
Kim YN, Choi D, Kim SH et al (2009) Gastric cancer staging at isotropic MDCT including coronal and sagittal MPR images: endoscopically diagnosed early vs. advanced gastric cancer. Abdom Imaging 34:26–34
19.
Arocena MG, Barturen A, Bujanda L et al (2006) MRI and endoscopic ultrasonography in the staging of gastric cancer. Rev Esp Enferm Dig 98:582–590PubMedCrossRef
20.
Sohn KM, Lee JM, Lee SY et al (2000) Comparing MR imaging and CT in the staging of gastric carcinoma. Am J Roentgenol 174:1551–1557
21.
22.
Caletti G, Ferrari A, Brocchi E et al (1993) Accuracy of endoscopic ultrasonography in the diagnosis and staging of gastric cancer and lymphoma. Surgery 113:14–27PubMed
23.
Tsendsuren T, Jun SM, Mian XH (2006) Usefulness of endoscopic ultrasonography in preoperative TNM staging of gastric cancer. World J Gastroenterol 12:43–47PubMed
24.
Blackshaw GR, Stephens MR, Lewis WG et al (2005) Progressive CT system technology and experience improve the perceived preoperative stage of gastric cancer. Gastric Cancer 8:29–34CrossRefPubMed
25.
Shimizu K, Ito K, Matsunaga N et al (2005) Diagnosis of gastric cancer with MDCT using the water-filling method and multiplanar reconstruction: CT-histologic correlation. Am J Roentgenol 185:1152–1158CrossRef
26.
Kadowaki K, Murakami T, Yoshioka H et al (2000) Helical CT imaging of gastric cancer: normal wall appearance and the potential for staging. Radiat Med 18:47–54PubMed
27.
Minami M, Kawauchi N, Itai Y et al (1992) Gastric tumors: radiologic-pathologic correlation and accuracy of T staging with dynamic CT. Radiology 185:173–178PubMed
28.
Yang DM, Kim HC, Jin W et al (2007) 64 multidetector-row computed tomography for preoperative evaluation of gastric cancer: histological correlation. J Comput Assist Tomogr 31:98–103CrossRefPubMed
29.
Tunaci M (2002) Carcinoma of stomach and duodenum: radiologic diagnosis and staging. Eur J Radiol 42:181–192CrossRefPubMed
30.
Lee JH, Jeong YK, Kim DH et al (2007) Two-phase helical CT for detection of early gastric carcinoma: importance of the mucosal phase for analysis of the abnormal mucosal layer. J Comput Assist Tomogr 24:777–782CrossRef
31.
Rossi M, Broglia L, Arata FM et al (1997) The diagnostic accuracy and reproducibility of computed tomography with water distention and induced hypotonia in the preoperative staging of gastric tumors. Radiol Med 94:486–491PubMed
32.
Chen CY, Wu DC, Kang WY et al (2006) Staging of gastric cancer with 16-channel MDCT. Abdom Imaging 31:514–520CrossRefPubMed
33.
Shirakawa T, Fukuda K, Tada S (1996) New method for evaluation of perigastric invasion of gastric cancer by right lateral position CT. Eur Radiol 6:358–361CrossRefPubMed
Metadata
Title
Preoperative T staging of gastric carcinoma obtained by MDCT vessel probe reconstructions and correlations with histological findings
Authors
M. Moschetta
A. A. Stabile Ianora
A. Anglani
A. Marzullo
A. Scardapane
G. Angelelli
Publication date
01-01-2010
Publisher
Springer-Verlag
Published in
European Radiology / Issue 1/2010
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-009-1482-7

Other articles of this Issue 1/2010

European Radiology 1/2010 Go to the issue

Neuro

Intra- and interhemispheric variations of diffusivity in subcortical white matter in normal human brain

Reply

Reply to letter to the editor: Assessment of the spatial pattern of colorectal tumour perfusion estimated at perfusion CT using two-dimensional fractal analysis

Urogenital

Prostate cancer transrectal HIFU ablation: detection of local recurrences using T2-weighted and dynamic contrast-enhanced MRI

Interventional

Real-time monitoring of radiofrequency ablation of liver tumors using thermal-dose calculation by MR temperature imaging: initial results in nine patients, including follow-up

Cardiac

Low-dose CT coronary angiography for the prediction of myocardial ischaemia

Gastrointestinal

CT colonography with limited bowel preparation: prospective assessment of patient experience and preference in comparison to optical colonoscopy with cathartic bowel preparation