MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico

Objective: to determine the diagnostic precision of endoscopic ultrasounds (EUS) and magnetic resonance imaging (MRI) in the preoperative staging of gastric cancer. Methods: a prospective, blind study was carried out in 17 patients diagnosed with gastric cancer (GC) using endoscopic biopsy from Nove...

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Main Authors: M. G. Arocena, A. Barturen, L. Bujanda, O. Casado, M. M. Ramírez, J. M. Oleagoitia, M. Galdiz Iturri, P. Múgica, A. Cosme, M. A. Gutiérrez-Stampa, E. Zapata, M. Echenique-Elizondo
Format: Article
Language:English
Published: Aran Ediciones 2006-08-01
Series:Revista Espanola de Enfermedades Digestivas
Subjects:
Online Access:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006000800003
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author M. G. Arocena
A. Barturen
L. Bujanda
O. Casado
M. M. Ramírez
J. M. Oleagoitia
M. Galdiz Iturri
P. Múgica
A. Cosme
M. A. Gutiérrez-Stampa
E. Zapata
M. Echenique-Elizondo
author_facet M. G. Arocena
A. Barturen
L. Bujanda
O. Casado
M. M. Ramírez
J. M. Oleagoitia
M. Galdiz Iturri
P. Múgica
A. Cosme
M. A. Gutiérrez-Stampa
E. Zapata
M. Echenique-Elizondo
author_sort M. G. Arocena
collection DOAJ
description Objective: to determine the diagnostic precision of endoscopic ultrasounds (EUS) and magnetic resonance imaging (MRI) in the preoperative staging of gastric cancer. Methods: a prospective, blind study was carried out in 17 patients diagnosed with gastric cancer (GC) using endoscopic biopsy from November 2002 to June 2003. Patients underwent preoperative MRI and EUS. The reference test used was pathology, and laparotomy for non-resectable cases. Results: MRI (53%) was better than EUS in the assessment of gastric wall infiltration (35%). MRI (50%) was also superior to EUS (42%) for N staging. After pooling stages T1-T2 and T3-T4 together, results improved for both MRI (67 and 87.5%, respectively) and EUS (67 and 62.5%, respectively) (p < 0.05). N staging -lymph node invasion- results were correct in 50% for MRI as compared to EUS (42%). In classifying positive and negative lymph nodes EUS was superior to MRI (73 versus 54%). Conclusions: MRI was the best method in the assessment of gastric wall infiltration. EUS was superior to MRI for T1 staging, and in the assessment of lymph node infiltration.
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spelling doaj.art-9fe6ae21f6c3458998cda38af805d3cc2022-12-22T03:18:55ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-01082006-08-01988582590MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástricoM. G. ArocenaA. BarturenL. BujandaO. CasadoM. M. RamírezJ. M. OleagoitiaM. Galdiz IturriP. MúgicaA. CosmeM. A. Gutiérrez-StampaE. ZapataM. Echenique-ElizondoObjective: to determine the diagnostic precision of endoscopic ultrasounds (EUS) and magnetic resonance imaging (MRI) in the preoperative staging of gastric cancer. Methods: a prospective, blind study was carried out in 17 patients diagnosed with gastric cancer (GC) using endoscopic biopsy from November 2002 to June 2003. Patients underwent preoperative MRI and EUS. The reference test used was pathology, and laparotomy for non-resectable cases. Results: MRI (53%) was better than EUS in the assessment of gastric wall infiltration (35%). MRI (50%) was also superior to EUS (42%) for N staging. After pooling stages T1-T2 and T3-T4 together, results improved for both MRI (67 and 87.5%, respectively) and EUS (67 and 62.5%, respectively) (p < 0.05). N staging -lymph node invasion- results were correct in 50% for MRI as compared to EUS (42%). In classifying positive and negative lymph nodes EUS was superior to MRI (73 versus 54%). Conclusions: MRI was the best method in the assessment of gastric wall infiltration. EUS was superior to MRI for T1 staging, and in the assessment of lymph node infiltration.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006000800003Magnetic resonance imagingEndoscopic ultrasoundGastric cancer
spellingShingle M. G. Arocena
A. Barturen
L. Bujanda
O. Casado
M. M. Ramírez
J. M. Oleagoitia
M. Galdiz Iturri
P. Múgica
A. Cosme
M. A. Gutiérrez-Stampa
E. Zapata
M. Echenique-Elizondo
MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico
Revista Espanola de Enfermedades Digestivas
Magnetic resonance imaging
Endoscopic ultrasound
Gastric cancer
title MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico
title_full MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico
title_fullStr MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico
title_full_unstemmed MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico
title_short MRI and endoscopic ultrasonography in the staging of gastric cancer Resonancia magnética y ecoendoscopia para el estadiaje del cáncer gástrico
title_sort mri and endoscopic ultrasonography in the staging of gastric cancer resonancia magnetica y ecoendoscopia para el estadiaje del cancer gastrico
topic Magnetic resonance imaging
Endoscopic ultrasound
Gastric cancer
url http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082006000800003
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