多层螺旋CT增强扫描与消化道造影对老年胃癌临床分期的诊断价值比较

doi:10.3969/j.issn.1671-7171.2024.06.029

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Abstract 【Objective】To compare the diagnostic value of multidetector CT(MDCT) enhanced scan and gastrointestinal radiography for clinical staging of gastric cancer in the elderly. 【Methods】A retrospective analysis was conducted on the clinical data of 105 elderly patients with gastric cancer treated in our hospital. All patients underwent either MDCT or gastrointestinal radiography before surgery. The diagnostic values of MDCT and gastrointestinal radiography for gastric cancer in the elderly were compared. 【Results】The Kappa values for MDCT in determining T and N stages of gastric cancer compared to pathological diagnosis were 0.864 and 0.849, respectively(P<0.05), indicating excellent consistency. The Kappa value for gastrointestinal radiography in determining the T stage was 0.624(P<0.05), indicating a high level of consistency. The accuracy rate of MDCT in diagnosing T stage was 90.00%(45/50), which was higher than that of gastrointestinal radiography at 72.73%(40/55), with a statistically significant difference(P<0.05). 【Conclusion】Compared to gastrointestinal radiography, MDCT enhanced scan has higher accuracy in evaluating T and N stages of gastric cancer in the elderly, indicating better clinical application.

Key words： Stomach Neoplasms/DG Tomography, Spiral Computed Neoplasm Staging

Received: 20 January 2024

PACS:

R735.2

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	Articles by authors
	LI Jinghua
	HONG Nianquan
	ZHANG Shuhui

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LI Jinghua,HONG Nianquan,ZHANG Shuhui. Comparison of Multidetector CT Enhanced Scan and Gastrointestinal Radiography for Clinical Staging of Gastric Cancer in the Elderly[J]. JOURNAL OF CLINICAL RESEARCH, 2024, 41(6): 903-906.

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2024.06.029 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2024/V41/I6/903

[1] LIU J, QIU J, WANG K, et al. An investigation on gastric cancer staging using CT structured report[J].Eur J Radiol, 2021, 136(1):e109550.
[2] 赵庆. DWI联合64-MSCT检查在胃癌患者N分期诊断中的应用价值[J].首都食品与医药,2021,28(17):107-108.
[3] ZHAO S, BI Y, WANG Z, et al. Accuracy evaluation of combining gastroscopy, multi-slice spiral CT, Her-2, and tumor markers in gastric cancer staging diagnosis[J].World J Surg Oncol,2022, 20(1):152-155.
[4] SONG H, YOON S H, KIM J, et al.Application of N descriptors proposed by the international association for the study of lung cancer in clinical staging[J].Radiology,2021,300(2):450-457.
[5] 熊焕煜,万玲,杨爽. MSCT在胃癌术前分期诊断中的应用价值[J].中国现代普通外科进展,2022,25(5):384-386.
[6] 秦书敏,刘亚良,黄光建,等. 3.0 T MRI与MSCT对胃癌术前T分期的诊断价值[J].解放军医药杂志,2018,30(12):19-22.
[7] 李光,张金凤,陈飞,等. 应用多层螺旋CT灌注成像对胃癌手术前评估的临床价值分析[J].中国CT和MRI杂志,2022,20(3):135-137.
[8] 秦佳敏,刘广国,王宏. MSCT在胃癌分期诊断及化疗疗效预测中的应用[J].影像科学与光化学,2022,40(3):651-654.
[9] 杨彬,李明霞,刘姝兰,等. 转移性胃癌的多层螺旋CT诊断价值[J].实用放射学杂志,2022,38(2):259-262.
[10] 王华锋,袁仲强,赵艳争. 术前多模态MRI成像与MSCT评价胃癌T分期价值比较[J].中国CT和MRI杂志,2023,21(3):142-144.
[11] 江华,刘发生,冯晓曦,等. 对比增强超声造影联合多层螺旋CT评估老年胃癌患者术前TNM分期[J].现代消化及介入诊疗,2021,26(5):632-636.
[12] 阳腾飞. 影像新技术在胃癌诊断及TN分期中的研究进展[J].实用放射学杂志,2022,38(6):1022-1024.
[13] GIANDOLA T, MAINO C, MARRAPODI G,et al. Imaging in gastric cancer: current practice and future perspectives[J].Diagnostics(Basel),2023,13(7):1276-1277.
[14] BAI L, LIU W, DI S, XU C. Clinical study of CT enhanced scan in preoperative TNM staging of advanced gastric cancer and the effect of misdiagnosis rate[J].Panminerva Med,2023,65(2):259-260.