Document Detail


Dynamic contrast-enhanced subtraction and delayed MRI of gastric tumors: radiologic-pathologic correlation.
MedLine Citation:
PMID:  11105703     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Our goal was to determine whether dynamic MR subtraction images could be used to detect and stage gastric tumors. METHOD: Dynamic MR subtraction images were prospectively performed in 20 patients without gastric lesions and in 39 patients with gastric tumors. The flat- or depressed-type early gastric cancers were excluded. The MR findings were assessed for layered pattern of the normal gastric wall, detectability of tumors, enhanced pattern of tumor, and depth of the tumor invasion. Surgical specimens were obtained from 30 of the patients with tumors, and histopathologic sections were made in the dynamic MR scanning direction. RESULTS: The three-layered structure of the normal gastric wall was apparent in more of the dynamic MR subtraction images (60%) than of the nonsubtraction images (30%) in the control group. All 39 gastric tumors were detected by MRI. The intact inner layers overlying stromal tumors and outer layers interrupted by advanced gastric cancers were clear on the subtracted images. MRI accurately T-staged 88% of the gastric cancers. CONCLUSION: Dynamic MR subtraction images can be used to identify gastric tumors and to stage gastric cancers.
Authors:
C K Wang; Y T Kuo; G C Liu; K B Tsai; Y S Huang
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of computer assisted tomography     Volume:  24     ISSN:  0363-8715     ISO Abbreviation:  J Comput Assist Tomogr     Publication Date:    2000 Nov-Dec
Date Detail:
Created Date:  2000-12-06     Completed Date:  2000-12-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7703942     Medline TA:  J Comput Assist Tomogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  872-7     Citation Subset:  IM    
Affiliation:
Department of Radiology, Kaohsiung Medical University, Taiwan, ROC.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Contrast Media*
Female
Gastrectomy
Gastric Mucosa / pathology
Humans
Image Enhancement* / methods
Image Processing, Computer-Assisted / methods
Magnetic Resonance Imaging* / methods
Male
Middle Aged
Neoplasm Invasiveness
Neoplasm Staging
Prospective Studies
Sensitivity and Specificity
Stomach Neoplasms / diagnosis*,  pathology
Subtraction Technique*
Chemical
Reg. No./Substance:
0/Contrast Media

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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