Diagnostic accuracy of multidetector row computed tomography in T- and N staging of gastric cancer with histopathologic correlation.
OBJECTIVE
To evaluate the diagnostic accuracy of multidetector row computed tomography (MDCT) for the preoperative T- and N staging of gastric cancer.


METHODS
Eighty-four consecutive patients with gastric cancer underwent preoperative MDCT. Except for 15 patients who did not undergo surgery, 69 patients were included in our study. Two radiologists independently evaluated the T- and N staging on the axial CT images alone and in combination with the MPR images. For N staging, the new TNM and Japanese classifications were independently used. Differences in staging accuracy for T- and N staging were assessed using the McNemar test.


RESULTS
The overall T staging accuracy of the axial and combined axial and MPR images was as follows: 67% (47 of 70 cancers) versus 77% (54 of 70 cancers) (P=0.039). The overall N staging accuracy of the axial and combined axial and MPR images was as follows: 59% (41 of 69 cancers) versus 67% (46 of 69 cancers) (P=0.180, Japanese classification) and 54% (37 of 69 cancers) versus 59% (41 of 69 cancers) (P=0.109, TNM classification).


CONCLUSIONS
Using MPR images enables more accurate preoperative T staging of gastric cancer, but not for N staging in either classification system.
Hur
Jin
J
Department of Diagnostic Radiology and Research Institute of Radiological Science, Yonsei University College of Medicine, YongDong Severance Hospital, Seoul, South Korea.
Park
Mi-Suk
MS
Lee
Jae Hee
JH
Lim
Joon Seok
JS
Yu
Jeong-Sik
JS
Hong
Yoo Jin
YJ
Kim
Ki Whang
KW
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging / Q000379:methods*; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology*; D014057:Tomography, X-Ray Computed / Q000379:methods*