| Imaging in local staging of gastric cancer: a systematic review. | |
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MedLine Citation:
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PMID: 17513817 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Endoscopic ultrasound (EUS) has been established as the diagnostic modality of choice in local (T) staging of gastric cancer. Multidetector row computed tomography (MDCT) and magnetic resonance imaging (MRI) are promising alternatives. The aim of this study was to systematically review the literature regarding the performance of each of these imaging modalities. METHODS: A systematic search for relevant studies was performed in the PubMed/MEDLINE and EMBASE databases. Two reviewers independently assessed the methodological quality of each study. Local staging performance of included studies was calculated. RESULTS: Twenty-two EUS studies, five MDCT studies, one combined EUS and MDCT study, and three MRI studies met the inclusion criteria. The studies were of moderate methodological quality. Diagnostic accuracy of overall T staging for EUS, MDCT, and MRI varied between 65% to 92.1%, 77.1% to 88.9%, and 71.4% to 82.6%, respectively. Sensitivity for assessing serosal involvement for EUS, MDCT, and MRI varied between 77.8% to 100%, 82.8% to 100%, and 89.5% to 93.1%, respectively. Specificity for assessing serosal involvement for EUS, MDCT, and MRI varied between 67.9% to 100%, 80% to 96.8%, and 91.4% to 100%, respectively. CONCLUSION: EUS, MDCT, and MRI achieve similar results in terms of diagnostic accuracy in T staging and in assessing serosal involvement. Most experience has been gained with EUS. Few MDCT studies and even fewer MRI studies are available. Thus, EUS remains the first-choice imaging modality in preoperative T staging of gastric cancer. |
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Authors:
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Robert Michael Kwee; Thomas Christian Kwee |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of clinical oncology : official journal of the American Society of Clinical Oncology Volume: 25 ISSN: 1527-7755 ISO Abbreviation: J. Clin. Oncol. Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-05-21 Completed Date: 2007-06-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309333 Medline TA: J Clin Oncol Country: United States |
Other Details:
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Languages: eng Pagination: 2107-16 Citation Subset: IM |
Affiliation:
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Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands. rmkwee@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Databases, Factual* Follow-Up Studies Humans Magnetic Resonance Imaging* Neoplasm Staging Neoplasms / pathology*, surgery Ultrasonography* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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