MDCT imaging of the stomach: advances and applications
- 1 January 2017
- journal article
- review article
- Published by Oxford University Press (OUP) in The British Journal of Radiology
- Vol. 90 (1069), 20160412
- https://doi.org/10.1259/bjr.20160412
Abstract
The stomach may be involved by a myriad of pathologies ranging from benign aetiologies like inflammation to malignant aetiologies like carcinoma or lymphoma. Multidetector CT (MDCT) of the stomach is the first-line imaging for patients with suspected gastric pathologies. Conventionally, CT imaging had the advantage of simultaneous detection of the mural and extramural disease extent, but advances in MDCT have allowed mucosal assessment by virtual endoscopy (VE). Also, better three-dimensional (3D) post-processing techniques have enabled more robust and accurate pre-operative planning in patients undergoing gastrectomy and even predict the response to surgery for patients undergoing laparoscopic sleeve gastrectomy for weight loss. The ability of CT to obtain stomach volume (for bariatric surgery patients) and 3D VE images depends on various patient and protocol factors that are important for a radiologist to understand. We review the appropriate CT imaging protocol in the patients with suspected gastric pathologies and highlight the imaging pearls of various gastric pathologies on CT and VE.Keywords
This publication has 55 references indexed in Scilit:
- Current Concepts on Gastric Carcinoid TumorsGastroenterology Research and Practice, 2012
- Primary gastrointestinal lymphomaWorld Journal of Gastroenterology, 2011
- 7th Edition of the AJCC Cancer Staging Manual: StomachAnnals of Surgical Oncology, 2010
- Metastatic cancer to the stomachGastric Cancer, 2006
- Prediction of Recurrence After Radical Surgery for Gastric CancerAnnals of Surgery, 2005
- Lactobezoars: A Patient Series and Literature ReviewClinical Pediatrics, 2001
- Effect of the Tyrosine Kinase Inhibitor STI571 in a Patient with a Metastatic Gastrointestinal Stromal TumorNew England Journal of Medicine, 2001
- Pharmacobezoar: An Evolving New EntityDigestive Diseases, 1995
- Gastric trichobezoars-sonographic and computed tomographic appearancePediatric Radiology, 1990