MDCT with multiplanar reconstruction in the preoperative local staging of rectal tumor

Abdominal Imaging - Tập 36 - Trang 31-37 - 2009
Ali Ahmetoğlu1, Ayşegül Cansu1, Duygu Baki1, Sibel Kul1, Ümit Çobanoğlu2, Etem Alhan3, Feyyaz Özdemir4
1Department of Radiology, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey
2Department of Pathology, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey
3Department of Surgery, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey
4Department of Medical Oncology, Karadeniz Technical University, Farabi Hospital, Trabzon, Turkey

Tóm tắt

To evaluate the accuracy of MDCT with multiplanar reconstruction in the preoperative local staging of rectal tumor. Thirty-seven patients with rectal tumor underwent preoperative MDCT. Two radiologists evaluated the depth of tumor invasion (T staging), regional lymph node involvement (N staging) and mesorectal fascia involvement on axial, sagittal, and coronal multiplanar reconstruction images in consensus. MDCT findings were compared with pathologic results, which served as the reference standard. Sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were assessed. Overall accuracy was 86% in T staging, 84% in N staging, 89% in International Union Against Cancer (UICC) Staging, and 94.5% in the prediction of mesorectal fascia involvement. MDCT with multiplanar reconstruction is an accurate technique in the preoperative local staging of rectal tumor.

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