Preoperative Tumor Staging of Gastric Cancer: Comparison of Double Contrast-Enhanced Ultrasound and Multidetector Computed Tomography.
double contrast-enhanced ultrasound
gastric cancer
multidetector computed tomography
tumor staging
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
ISSN: 1550-9613
Titre abrégé: J Ultrasound Med
Pays: England
ID NLM: 8211547
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
received:
27
01
2019
revised:
28
03
2019
accepted:
03
05
2019
pubmed:
23
5
2019
medline:
1
5
2020
entrez:
23
5
2019
Statut:
ppublish
Résumé
The purpose of this study was to compare the sensitivity and specificity of double contrast-enhanced ultrasound (CEUS) and multidetector computed tomography (MDCT) in the preoperative tumor staging of gastric cancer (GC) to stratify patients for suitable treatment. Fifty-four patients with GC proved by histologic findings were included. The sensitivity and specificity of double CEUS and MDCT for tumor staging were calculated and compared. The differences between these methods were evaluated by using the area under the curve (AUC) from a receiver operating characteristic curve analysis. There were no significant differences in AUC values for T1 and T2 stages between double CEUS and MDCT (P = .190 and .256, respectively). However, the sensitivity of double CEUS in the detection of the T1 stage was higher than that of MDCT (88% versus 75%). The AUC values of MDCT for T3 and T4 stages were 0.833 and 0.905, which were both significantly higher than those of double CEUS (0.759 and 0.696; P < .05). The sensitivities of double CEUS and MDCT for the T3 stage were both 89%, but the accuracy and specificity of double CEUS were lower than those of MDCT (76% versus 83% and 63% versus 78%). The specificities of double CEUS and MDCT for the T4 stage were both 98%, but the accuracy and sensitivity of double CEUS were lower than those of MDCT (85% versus 94% and 42% versus 83%). Multidetector CT is superior to double CEUS for T3 and T4 GC, and double CEUS may be regarded as an important complementary method to MDCT.
Substances chimiques
Contrast Media
0
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3203-3209Subventions
Organisme : Beijing Natural Science Foundation
ID : 7182180
Organisme : National Key Research and Development Program of China
ID : 2016 YFA0201400
Informations de copyright
© 2019 by the American Institute of Ultrasound in Medicine.
Références
Hwang SW, Lee DH. Is endoscopic ultrasonography still the modality of choice in preoperative staging of gastric cancer? World J Gastroenterol 2014; 20:13775-13782.
Zheng Z, Yu Y, Lu M, et al. Double contrast-enhanced ultrasonography for the preoperative evaluation of gastric cancer: a comparison to endoscopic ultrasonography with respect to histopathology. Am J Surg 2011; 202:605-611.
Yan C, Bao X, Shentu W, et al. Preoperative gross classification of gastric adenocarcinoma: comparison of double contrast-enhanced ultrasound and multi-detector row CT. Ultrasound Med Biol 2016; 42:1431-1440.
Yu T, Wang X, Zhao Z, et al. Prediction of T stage in gastric carcinoma by enhanced CT and oral contrast-enhanced ultrasonography. World J Surg Oncol 2015; 13:184.
Li S, Huang P, Wang Z, et al. Preoperative T staging of advanced gastric cancer using double contrast-enhanced ultrasound. Ultraschall Med 2012; 33:E218-E224.
Kim JW, Shin SS, Heo SH, et al. Diagnostic performance of 64-section CT using CT gastrography in preoperative T staging of gastric cancer according to seventh edition of AJCC cancer staging manual. Eur Radiol 2012; 22:654-662.
Edge S, Byrd DR, Compton CC, Fritz AG, Greene FL, Trotti A III. AJCC Cancer Staging Handbook: From the AJCC Cancer Staging Manual. 7th ed. New York, NY: Springer-Verlag; 2010.
Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver 3). Gastric Cancer 2011; 14:113-123.
National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology (NCCN guidelines): gastric cancer. National Comprehensive Cancer Network website. https://wwwnccnorg/professionals/physician_gls/pdf/gastricpdf. Accessed August 26, 2018.
Lee DH. Two-dimensional and three-dimensional imaging of gastric tumors using spiral CT. Abdom Imaging 2000; 25:1-6.
Lee MH, Choi D, Park MJ, Lee MW. Gastric cancer: imaging and staging with MDCT based on the seventh AJCC guidelines. Abdom Imaging 2012; 37:531-540.
He X, Sun J, Huang X, et al. Comparison of oral contrast-enhanced transabdominal ultrasound imaging with transverse contrast-enhanced computed tomography in preoperative tumor staging of advanced gastric carcinoma. J Ultrasound Med 2017; 36:2485-2493.
Xue H, Ge HY, Miao LY, et al. Differential diagnosis of gastric cancer and gastritis: the role of contrast-enhanced ultrasound (CEUS). Abdom Radiol (NY) 2017; 42:802-809.
Piscaglia F, Nolsoe C, Dietrich CF, et al. The EFSUMB guidelines and recommendations on the clinical practice of contrast enhanced ultrasound (CEUS): update 2011 on non-hepatic applications. Ultraschall Med 2012; 33:33-59.
Kitano M, Kudo M, Maekawa K, et al. Dynamic imaging of pancreatic diseases by contrast enhanced coded phase inversion harmonic ultrasonography. Gut 2004; 53:854-859.
Park SH, Kim TK, Lee KH, et al. Quantitative comparison of tumor vascularity of hepatocellular carcinoma after intravenous contrast agent: conventional versus harmonic power Doppler US. Abdom Imaging 2001; 26:178-183.
Pan M, Huang P, Li S, Chen J, Wei S, Zhang Y. Double contrast-enhanced ultrasonography in preoperative Borrmann classification of advanced gastric carcinoma: comparison with histopathology. Sci Rep 2013; 3:3338.
Huang P, Li S, Aronow WS, et al. Double contrast-enhanced ultrasonography evaluation of preoperative Lauren classification of advanced gastric carcinoma. Arch Med Sci 2011; 7:287-293.
Kim HJ, Kim AY, Oh ST, et al. Gastric cancer staging at multi-detector row CT gastrography: comparison of transverse and volumetric CT scanning. Radiology 2005; 236:879-885.
Chen CY, Hsu JS, Wu DC, et al. Gastric cancer: preoperative local staging with 3D multi-detector row CT-correlation with surgical and histopathologic results. Radiology 2007; 242:472-482.