| Efficacy of hydrogastric sonography and spiral Computed Tomography in staging of gastric carcinoma--a comparative study. | |
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MedLine Citation:
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PMID: 20848570 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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OBJECTIVE: Accurate preoperative diagnosis and staging of patients with gastric cancer is essential for optimal treatment. The standard of care for staging gastric carcinoma is helical CT. This study was conducted to compare the efficacy of hydrogastric sonography (HGS) with that of helical CT in the staging of patients with gastric carcinoma. METHODS: A total of 42 consecutive patients (29 men and 13 women) diagnosed with gastric carcinoma after endoscopy and biopsy were staged on the basis of TNM classification, preoperatively with HGS and helical CT and postoperatively with histopathologic examination (HPE). The findings of HGS and helical CT were compared with those on HPE with respect to TNM stage. RESULTS: Regarding T stage, the accuracy of HGS was 78.6% (kappa = 0.68) and that of helical CT was 66.7% (kappa = 0.48). In evaluating the nodal status, the accuracy of HGS was 66.7% (kappa = 0.52) and that of helical CT was 54.6% (kappa = 0.39). Regarding distant metastases, accuracy was the same with HGS and helical CT (accuracy 95.2%, kappa = 0.89). CONCLUSIONS: When compared with HPE, HGS was found to be more accurate than helical CT for assessment of T and N staging. Sonographic and helical CT were equally accurate for the assessment of M stage. |
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Authors:
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I Venkataraman; Himagirish K Rao; Puran Singh; S Elangovan; Vikram Kate |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of clinical ultrasound : JCU Volume: 38 ISSN: 1097-0096 ISO Abbreviation: J Clin Ultrasound Publication Date: 2010 Nov-Dec |
Date Detail:
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Created Date: 2010-10-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401663 Medline TA: J Clin Ultrasound Country: United States |
Other Details:
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Languages: eng Pagination: 480-5 Citation Subset: IM |
Affiliation:
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Department of Radiology, Jawaharlal Institute of Post-graduate Medical Education and Research, Puducherry, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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