Clinical value of multidetector computed tomography in detecting lymph node metastasis of early gastric cancer / 中华肿瘤杂志
Chinese Journal of Oncology
;
(12): 852-855, 2007.
Article
in Chinese
| WPRIM
| ID: wpr-298495
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate multidetector computed tomography (MDCT) as a pre-operative staging tool for detecting lymph node metastasis in patients with early gastric cancer (EGC).</p><p><b>METHODS</b>In 77 consecutive patients with EGC, lymph node metastasis was assessed pre-operatively with MDCT at a slice thickness of 2.5 - 5.0 mm (n=24) or 7.5 - 10.0 mm (n =53).</p><p><b>RESULTS</b>Overall accuracy of detecting NO to N3 lymph node was 74.0% for MDCT and 54.5% for operative assessment. The sensitivity, specificity, positive predictive value and negative predictive value in detecting lymph node metastasis was 75. 0%, 65.0%, 30.0% and 92.9% with 2.5 - 5.0 mm MDCT image, which was 62.5%, 82.2%, 38.5% and 92.5% by 7.5 - 10.0 mm MDCT image, whereas it was only 45.5%, 63.6%, 17.2% and 87.2% by operative assessment.</p><p><b>CONCLUSION</b>Pre-operative assessment by multidetector CT may have a high accuracy in detecting lymph node metastasis for patients with early gastric cancer.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pathology
/
Stomach Neoplasms
/
General Surgery
/
Diagnostic Imaging
/
Adenocarcinoma
/
Tomography, X-Ray Computed
/
Predictive Value of Tests
/
Sensitivity and Specificity
/
Lymph Nodes
/
Lymphatic Metastasis
Type of study:
Diagnostic study
Limits:
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Oncology
Year:
2007
Type:
Article
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