Pre-operative staging of rectal cancer using multi-detector row computed tomography with multiplanar reformations: Single center experience.
Indian J Cancer
;
2014 Apr-Jun; 51(2): 170-175
Artículo
en Inglés
| IMSEAR
| ID: sea-154329
ABSTRACT
BACKGROUND:
Technical advancement in imaging has helped to stage and plan treatment modality for carcinoma rectum with still some objectives controversial.AIMS:
The aim of our study was to evaluate the accuracy of multidetector row computed tomography (MDCT) with multiplanar reformations in the pre‑operative staging of rectal carcinoma and correlation with intraoperative and histopathologic staging of retrieved specimen with respect to the depth of tumor invasion (T‑staging), lymph node metastasis (N‑staging) and mesorectal fascia (MRF) involvement. MATERIALS ANDMETHODS:
The study was a prospective one and consisted of 52 patients with biopsy proved rectal carcinoma. MDCT studies were performed on a 64‑slice computed tomography system. Images were reconstructed in axial, coronal and sagittal planes. MDCT findings were compared with intraoperative and pathologic (reference standard) findings. Sensitivity, specificity, positive predictive value, negative predictive value and accuracy were assessed.RESULTS:
The diagnostic accuracy of MDCT for T1/T2, T3 and T4 lesions was 77%, 86.5% and 100%, respectively. For perirectal lymph node metastasis (N+), the diagnostic accuracy of MDCT was 84.1%. The diagnostic accuracy of MDCT for MRF involvement was 91%.CONCLUSION:
MDCT is a reliable radiological tool for local staging of rectal cancer with excellent accuracy rates for T and N‑staging of rectal cancer.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Neoplasias del Recto
/
Anciano de 80 o más Años
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Carcinoma
/
Interpretación de Imagen Asistida por Computador
/
Tomografía Computarizada por Rayos X
/
Estudios Prospectivos
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
Límite:
Aged80
Idioma:
Inglés
Revista:
Indian J Cancer
Año:
2014
Tipo del documento:
Artículo
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