Skip to main content

Radiological Evaluation

  • Chapter
  • 4412 Accesses

Abstract

Complete resection of a gastric tumor and adjacent lymph nodes is considered the only proven, effective curative treatment [1, 2]. However, the treatment of gastric cancer has become increasingly sophisticated, with therapies tailored to individual cases 3. Therefore, accurate preoperative staging, particularly with regard to the depth of mural invasion, adjacent organ invasion, nodal involvement, and distant metastases, is vital to determining the most suitable therapy and to avoiding inappropriate attempts at curative surgery.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Gore RM (1997) Gastric cancer. Clinical and pathologic features. Radiol Clin North Am 35:295–310

    PubMed  CAS  Google Scholar 

  2. Kim JP (1999) Surgical results in gastric cancer. Semin Surg Oncol 17:132–138

    Article  PubMed  CAS  Google Scholar 

  3. Roukos DH (2000) Current status and future perspectives in gastric cancer management. Cancer Treat Rev 26:243–255

    Article  PubMed  CAS  Google Scholar 

  4. AJCC (2010) Cancer staging handbook, 7th edn. Springer, Philadelphia

    Google Scholar 

  5. Lim JS, Yun MJ, Kim MJ et al (2006) CT and PET in stomach cancer: preoperative staging and monitoring of response to therapy. Radiographics 26:143–156

    Article  PubMed  Google Scholar 

  6. Lee IJ, Lee JM, Kim SH et al (2010) Diagnostic performance of 64-channel multidetector CT in the evaluation of gastric cancer: differentiation of mucosal cancer (T1a) from submucosal involvement (T1b and T2). Radiology 255:805–814

    Article  PubMed  Google Scholar 

  7. Kim YH, Lee KH, Park SH et al (2009) Staging of T3 and T4 gastric carcinoma with multidetector CT: added value of multiplanar reformations for prediction of adjacent organ invasion. Radiology 250:767–775

    Article  PubMed  Google Scholar 

  8. Ba-Ssalamah A, Prokop M, Uffmann M et al (2003) Dedicated multidetector CT of the stomach: spectrum of diseases. Radiographics 23:625–644

    Article  PubMed  Google Scholar 

  9. D’Elia F, Zingarelli A, Palli D et al (2000) Hydro-dynamic CT preoperative staging of gastric cancer: correlation with pathological findings—a prospective study of 107 cases. Eur Radiol 10:1877–1885

    Article  PubMed  Google Scholar 

  10. Fukuya T, Honda H, Hayashi T et al (1995) Lymph-node metastases: efficacy for detection with helical CT in patients with gastric cancer. Radiology 197:705–711

    PubMed  CAS  Google Scholar 

  11. Kim AY, Kim HJ, Ha HK (2005) Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging 30:465–472

    Article  PubMed  CAS  Google Scholar 

  12. Miller FH, Kochman ML, Talamonti MS et al (1997) Gastric cancer: radiologic staging. Radiol Clin North Am 35:331–349

    PubMed  CAS  Google Scholar 

  13. Disaia PCW (1997) Clinical gynecologic oncology, 5th edn. Mosby, St. Louis

    Google Scholar 

  14. Walkey MM, Friedman AC, Sohotra P et al (1988) CT manifestations of peritoneal carcinomatosis. AJR Am J Roentgenol 150:1035–1041

    PubMed  CAS  Google Scholar 

  15. Kim SJ, Kim H-H, Kim YH et al (2009) Peritoneal metastasis: detection with 16- or 64-detector row CT in patients undergoing surgery for gastric cancer. Radiology 253:407–415

    Article  PubMed  Google Scholar 

  16. Takiguchi S, Sekimoto M, Fujiwara Y et al (2004) Laparoscopic lymph node dissection for gastric cancer with intraoperative navigation using three-dimensional angio computed tomography images reconstructed as laparoscopic view. Surg Endosc 18:106–110

    Article  PubMed  CAS  Google Scholar 

  17. Matsuki M, Kani H, Tatsugami F et al (2004) Preoperative assessment of vascular anatomy around the stomach by 3D imaging using MDCT before laparoscopy-assisted gastrectomy. AJR Am J Roentgenol 183:145–151

    PubMed  Google Scholar 

  18. Lee SW, Shinohara H, Matsuki M et al (2003) Preoperative simulation of vascular anatomy by three-dimensional computed tomography imaging in laparoscopic gastric cancer surgery. J Am Coll Surg 197:927–936

    Article  PubMed  Google Scholar 

  19. Uyama I, Sugioka A, Fujita J et al (1999) Completely laparoscopic extraperigastric lymph node dissection for gastric malignancies located in the middle or lower third of the stomach. Gastric Cancer 2:186–190

    Article  PubMed  Google Scholar 

  20. Matsuki M, Tanikake M, Kani H et al (2006) Dual-phase 3D CT angiography during a single breath-hold using 16-MDCT: assessment of vascular anatomy before laparoscopic gastrectomy. AJR Am J Roentgenol 186:1079–1085

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joon Seok Lim .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer

About this chapter

Cite this chapter

Lim, J.S., Takahashi, T. (2012). Radiological Evaluation. In: Kitano, S., Yang, HK. (eds) Laparoscopic Gastrectomy for Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54003-8_4

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-54003-8_4

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-54002-1

  • Online ISBN: 978-4-431-54003-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics