Diagnosis of gastric cancer by MDCT gastrography: diagnostic characteristics and management potential

Abstract

Background: Gastric cancer is regarded as the fifth most frequent tumor globally but the third most common fatal illness. As early as possible, we diagnose cancer stomach especially at early stages, the higher the rate of life. Nevertheless, most cases are diagnosed at late cases where surgery is not of the same benefit at early stages because of clinically indefinite symptoms. The prospective study goal is to estimate the role of MDCT in diagnosis and staging of cancer stomach. Results: In our study, it was found that there was a high relationship between pathological and CT staging by using MPR. CT with MPR was specific and accurate in diagnosis of all stages of gastric cancer with specificity ranged between 93 and 97% and accuracy ranged between 90 and 92.5%. However, it showed lowest sensitivity in diagnosis of stage 1 of gastric cancer. On the other hand, it showed highest sensitivity (90%) in diagnosis of stage IV as well as we found that MPR and VR of MDCT are much more accurate (92.5%) than multi-detector computed tomography axial images (80%) in the diagnosis of all stages of gastric cancer with the difference between the two sequences was significant (P = 0.009). Conclusion: Our results demonstrate that preoperative MDCT with contrast filling technique for abdomen and pelvis evaluates the local disease process of gastric cancer as well as the potential areas of spread. This information is vital in choosing between palliative or radical surgery. MPR and VR help in the assessment of tumor extension and considered as a highly representative prognostic value. Making it the imaging modality of choice in diagnosis and staging of gastric cancers.

Assessment of Role of Multidetector Computed Tomography and Virtual Gastroscopy in the Evaluation of Gastric Malignant Tumors

“…Yogaraj et al (20) found that Multi-detector CT was an effective imaging method for the stomach based on the correlation between histology results and CT diagnosis. Zytoon et al (21) found that CT was found to be specific and accurate in the detection of all stages of gastric cancer, with specificity ranging from 93-97% and accuracy ranging from 9-92.5%. This suggests a strong correlation between the two methods of diagnosis.…”

Recent Advances in the Diagnosis, Staging, Treatment, and Prognosis of Advanced Gastric Cancer: A Literature Review

“…The accuracy of MDCT in detecting distant metastasis of gastric cancer is as high as 94.5%, but the sensitivity to gastric cancer peritoneal metastasis is of relatively low value. Of note, a study which is published in 2020 found that multiplanar reformations (MPR) and volume rendering (VR) of MDCT provide more accuracy than MDCT axial images in diagnosing all stages of gastric cancer [92.5 vs. 80%; P =0.0009; ( 61 )].…”