Radiological Evaluation

  • Joon Seok Lim
  • Tsunehiro Takahashi


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.


Gastric Cancer Peritoneal Metastasis Laparoscopic Gastrectomy Adjacent Organ Invasion Accurate Preoperative Staging 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Gore RM (1997) Gastric cancer. Clinical and pathologic features. Radiol Clin North Am 35:295–310PubMedGoogle Scholar
  2. 2.
    Kim JP (1999) Surgical results in gastric cancer. Semin Surg Oncol 17:132–138PubMedCrossRefGoogle Scholar
  3. 3.
    Roukos DH (2000) Current status and future perspectives in gastric cancer management. Cancer Treat Rev 26:243–255PubMedCrossRefGoogle Scholar
  4. 4.
    AJCC (2010) Cancer staging handbook, 7th edn. Springer, PhiladelphiaGoogle Scholar
  5. 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 26:143–156PubMedCrossRefGoogle Scholar
  6. 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 255:805–814PubMedCrossRefGoogle Scholar
  7. 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 250:767–775PubMedCrossRefGoogle Scholar
  8. 8.
    Ba-Ssalamah A, Prokop M, Uffmann M et al (2003) Dedicated multidetector CT of the stomach: spectrum of diseases. Radiographics 23:625–644PubMedCrossRefGoogle Scholar
  9. 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 10:1877–1885PubMedCrossRefGoogle Scholar
  10. 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 197:705–711PubMedGoogle Scholar
  11. 11.
    Kim AY, Kim HJ, Ha HK (2005) Gastric cancer by multidetector row CT: preoperative staging. Abdom Imaging 30:465–472PubMedCrossRefGoogle Scholar
  12. 12.
    Miller FH, Kochman ML, Talamonti MS et al (1997) Gastric cancer: radiologic staging. Radiol Clin North Am 35:331–349PubMedGoogle Scholar
  13. 13.
    Disaia PCW (1997) Clinical gynecologic oncology, 5th edn. Mosby, St. LouisGoogle Scholar
  14. 14.
    Walkey MM, Friedman AC, Sohotra P et al (1988) CT manifestations of peritoneal carcinomatosis. AJR Am J Roentgenol 150:1035–1041PubMedGoogle Scholar
  15. 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 253:407–415PubMedCrossRefGoogle Scholar
  16. 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 18:106–110PubMedCrossRefGoogle Scholar
  17. 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 183:145–151PubMedGoogle Scholar
  18. 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 197:927–936PubMedCrossRefGoogle Scholar
  19. 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 2:186–190PubMedCrossRefGoogle Scholar
  20. 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 186:1079–1085PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2012

Authors and Affiliations

  1. 1.Department of Diagnostic RadiologyYonsei University College of MedicineSeodaemun-guKorea
  2. 2.Keio Cancer CenterKeio University HospitalShinjuku-kuJapan

Personalised recommendations