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By Nabil Ismaili
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1994). In an experimental study, Dux et al. (1997) described that MR staging of gastric cancer was technically possible (accuracy of T staging 65% and of N staging 80%), although they could not reproduce the results of the Japanese group. On the contrary, Costanzi et al. (1996) reported low accuracy of N staging (43%), induced by motion and respiratory artifacts and a long acquisition time. Such discrepancies in diagnostic accuracy of MR staging for gastric cancer are probably due to the variable imaging techniques and criteria of image interpretation.
Et al (1993). Comparison of computed tomography, endoscopy, and intraoperative assessment in TN staging of gastric carcinoma. Gut 1993; 34:604-610. 3 PET Imaging in Gastric Carcinoma Kiyohisa Kamimura and Masayuki Nakajo Kagoshima University Graduate School of Medical and Dental Sciences Japan 1. , 2010). Surgery is the mainstay of treatment of gastric carcinoma. Despite recent advances in surgical treatment, the overall prognosis of patients with gastric carcinoma has not improved significantly because the neoplasm is often diagnosed at an advanced stage of the disease.
According to these reports, CT has a tendency to overestimate T stage and underestimate N stage. Understaging occurs because it is difficult to identify fine metastases including peritoneal carcinomatosis, whereas overstaging occurs due to the obliteration of fat plane between the gastric lesion and adjacent organs, which is known to be an unreliable sign suggesting invasion of the adjacent structure. 5% (10/29), and overstaged 10% (3/29) according by Sohn et al. (2000). There is no significant difference between MR imaging and helical CT in the staging of regional lymph node metastasis.