| Spiral CT in gastric carcinoma: comparison with barium study, fiberoptic gastroscopy and histopathology. | |
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MedLine Citation:
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PMID: 12854130 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To evaluate spiral computed tomography (CT) including virtual gastroscopy for diagnosis of gastric carcinoma in comparison with upper gastrointestinal series (UGI), fiberoptic gastroscopy (FG) and histopathology. METHODS: Sixty patients with histologically proven gastric carcinoma (54 advanced and 6 early) were included in this study. The results of spiral CT were compared with those of UGI and FG. Two observers blindly evaluated images of spiral CT and UGI and video recording of FG with consensus in terms of diagnostic confidence with a five-point scale. Sensitivities of lesion detection, Borrmann's classification of spiral CT, UGI and FG, as well as the accuracy of TNM staging of spiral CT were determined by comparing them to surgical and histological findings. RESULTS: The lesion detection rate was 98 % (59/60), 95 % (57/60) and 98 % (59/60) for spiral CT, UGI and FG, respectively. There were no statistical differences in the detection sensitivity among the three techniques (P>0.05). For the sensitivity in Borrmann's classification, spiral CT was higher than that of UGI (P=0.025) and similar to that of FG (P>0.05). The accuracy of spiral CT in staging the gastric carcinoma was 76.7 %. Six cases of early gastric carcinoma were all detected by spiral CT as well as FG. CONCLUSION: Spiral CT is equivalent to UGI and FG in the detection of gastric carcinoma, and superior to UGI but similar to FG in the Borrmann's classification of advanced gastric carcinoma. Spiral CT is more valuable than FG in the staging of gastric carcinoma. |
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Authors:
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Feng Chen; Yi-Cheng Ni; Kai-Er Zheng; Sheng-Hong Ju; Jun Sun; Xi-Long Ou; Man-Hua Xu; Hao Zhang; Guy Marchal |
Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: World journal of gastroenterology : WJG Volume: 9 ISSN: 1007-9327 ISO Abbreviation: World J. Gastroenterol. Publication Date: 2003 Jul |
Date Detail:
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Created Date: 2003-07-10 Completed Date: 2003-11-19 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 100883448 Medline TA: World J Gastroenterol Country: China |
Other Details:
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Languages: eng Pagination: 1404-8 Citation Subset: IM |
Affiliation:
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Department of Radiology, Zhongda Hospital, Nanjing, Jiangsu Province, China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Barium / diagnostic use Biopsy Carcinoma / classification, pathology*, radiography* Female Gastroscopy* Humans Male Middle Aged Neoplasm Staging Stomach Neoplasms / classification, pathology*, radiography* Tomography, X-Ray Computed / methods* |
| Chemical | |
Reg. No./Substance:
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7440-39-3/Barium |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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