CT gastrography “wall-carving technique” of gastric cancer: impact of contrast enhancement based on layer depth

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Abstract

Purpose: Wall-carving technique (WC) is a special volume rendering technique of three-dimensional CT gastrography that can illustrate the enhancement of gastric wall at an arbitrary depth. We conducted the present study to evaluate the impact of contrast enhancement based on layer depth on WC of gastric cancer and to correlate them with pathological findings. Methods: The subjects of this retrospective study consisted of 36 patients with advanced gastric cancer (22 men, 14 women; age range, 39–90 years; median, 67 years) who underwent contrast-enhanced CT before surgery. WC images of arterial phase were divided into first and second layer. Two radiologists in consensus evaluated the contrast enhancement of WC images for each layer and correlated with pathologic factors. Results: Twenty-six (72%) of the gastric cancers showed a well-enhanced lesion in the first layer at the arterial phase on WC images, and 18 (50%) showed a well-enhanced lesion in the second layer. The study of second layers showed that the well-enhanced group had significantly more cases of differentiated type histology and intermediate stroma than the normally to poorly enhanced group (p = 0.008 and 0.0026). Conclusion: The contrast enhancement on WC of gastric cancer showed a significant relationship with pathological factors based on layer depth.

Original languageEnglish
Pages (from-to)597-604
Number of pages8
JournalJapanese Journal of Radiology
Volume37
Issue number8
DOIs
Publication statusPublished - Aug 20 2019

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Stomach Neoplasms
Stomach
Histology
Retrospective Studies

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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@article{857c2b3b46134507b3d1db19bbb29301,
title = "CT gastrography “wall-carving technique” of gastric cancer: impact of contrast enhancement based on layer depth",
abstract = "Purpose: Wall-carving technique (WC) is a special volume rendering technique of three-dimensional CT gastrography that can illustrate the enhancement of gastric wall at an arbitrary depth. We conducted the present study to evaluate the impact of contrast enhancement based on layer depth on WC of gastric cancer and to correlate them with pathological findings. Methods: The subjects of this retrospective study consisted of 36 patients with advanced gastric cancer (22 men, 14 women; age range, 39–90 years; median, 67 years) who underwent contrast-enhanced CT before surgery. WC images of arterial phase were divided into first and second layer. Two radiologists in consensus evaluated the contrast enhancement of WC images for each layer and correlated with pathologic factors. Results: Twenty-six (72{\%}) of the gastric cancers showed a well-enhanced lesion in the first layer at the arterial phase on WC images, and 18 (50{\%}) showed a well-enhanced lesion in the second layer. The study of second layers showed that the well-enhanced group had significantly more cases of differentiated type histology and intermediate stroma than the normally to poorly enhanced group (p = 0.008 and 0.0026). Conclusion: The contrast enhancement on WC of gastric cancer showed a significant relationship with pathological factors based on layer depth.",
author = "Daisuke Tsurumaru and Yusuke Nishimuta and Toshio Muraki and Yoshiki Asayama and Akihiro Nishie and Eiji Oki and Hiroshi Honda",
year = "2019",
month = "8",
day = "20",
doi = "10.1007/s11604-019-00845-z",
language = "English",
volume = "37",
pages = "597--604",
journal = "Japanese Journal of Radiology",
issn = "1867-1071",
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TY - JOUR

T1 - CT gastrography “wall-carving technique” of gastric cancer

T2 - impact of contrast enhancement based on layer depth

AU - Tsurumaru, Daisuke

AU - Nishimuta, Yusuke

AU - Muraki, Toshio

AU - Asayama, Yoshiki

AU - Nishie, Akihiro

AU - Oki, Eiji

AU - Honda, Hiroshi

PY - 2019/8/20

Y1 - 2019/8/20

N2 - Purpose: Wall-carving technique (WC) is a special volume rendering technique of three-dimensional CT gastrography that can illustrate the enhancement of gastric wall at an arbitrary depth. We conducted the present study to evaluate the impact of contrast enhancement based on layer depth on WC of gastric cancer and to correlate them with pathological findings. Methods: The subjects of this retrospective study consisted of 36 patients with advanced gastric cancer (22 men, 14 women; age range, 39–90 years; median, 67 years) who underwent contrast-enhanced CT before surgery. WC images of arterial phase were divided into first and second layer. Two radiologists in consensus evaluated the contrast enhancement of WC images for each layer and correlated with pathologic factors. Results: Twenty-six (72%) of the gastric cancers showed a well-enhanced lesion in the first layer at the arterial phase on WC images, and 18 (50%) showed a well-enhanced lesion in the second layer. The study of second layers showed that the well-enhanced group had significantly more cases of differentiated type histology and intermediate stroma than the normally to poorly enhanced group (p = 0.008 and 0.0026). Conclusion: The contrast enhancement on WC of gastric cancer showed a significant relationship with pathological factors based on layer depth.

AB - Purpose: Wall-carving technique (WC) is a special volume rendering technique of three-dimensional CT gastrography that can illustrate the enhancement of gastric wall at an arbitrary depth. We conducted the present study to evaluate the impact of contrast enhancement based on layer depth on WC of gastric cancer and to correlate them with pathological findings. Methods: The subjects of this retrospective study consisted of 36 patients with advanced gastric cancer (22 men, 14 women; age range, 39–90 years; median, 67 years) who underwent contrast-enhanced CT before surgery. WC images of arterial phase were divided into first and second layer. Two radiologists in consensus evaluated the contrast enhancement of WC images for each layer and correlated with pathologic factors. Results: Twenty-six (72%) of the gastric cancers showed a well-enhanced lesion in the first layer at the arterial phase on WC images, and 18 (50%) showed a well-enhanced lesion in the second layer. The study of second layers showed that the well-enhanced group had significantly more cases of differentiated type histology and intermediate stroma than the normally to poorly enhanced group (p = 0.008 and 0.0026). Conclusion: The contrast enhancement on WC of gastric cancer showed a significant relationship with pathological factors based on layer depth.

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