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The value of MSCT 3D reconstruction, MRI combined with transabdominal gastric filling ultrasound for
TNM staging of gastric cancer |
WANG Shan, YUN Hao, CHEN Guo |
Wenchang People’s Hospital, Wenchang Hainan 571300, China |
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Abstract Objective: To investigate the value of multi-slice spiral CT(MSCT) 3D reconstruction, MRI combined with transabdominal gastric filling ultrasound for TNM staging of gastric cancer. Methods: From September 2016 to November 2018, 60 patients with gastric cancer who were diagnosed and treated in Wenchang People’s Hospital were selected as the study subjects. MSCT 3D reconstruction, MRI, and gastric filling ultrasound were performed before operation, TNM staging was performed according to the results of examination, and postoperative pathological staging was compared. Results: The sensitivity of MSCT 3D reconstruction, MRI, gastric filling ultrasound, and combined detection of the three for T-staging of gastric cancer was 80.00%, 85.00%, 71.67%, and 96.67%, respectively. The sensitivity of N stage was 78.33%, 76.67%, 80.00% and 93.33%, respectively, the sensitivity of M stage was 83.33%, 80.00%, 86.67% and 98.33%, respectively. The sensitivity of combined detection for T, N, and M staging of gastric cancer was significantly higher than that by single detection(P<0.05). Conclusion: MSCT 3D reconstruction, MRI combined with transabdominal gastric filling ultrasound can significantly improve the sensitivity in the diagnosis of T, N, M staging of gastric cancer, which has some value for guiding the selection of clinical treatment options and evaluation of treatment effect.
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Received: 17 December 2019
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