Preoperative staging of colon carcinoma by multi-slice spiral computed tomography
10.3760/cma.j.issn.1006-9801.2013.12.013
- VernacularTitle:多层螺旋CT成像在结肠癌术前分期中的应用
- Author:
Wenshang SHAO
;
Furen DONG
;
Qingbo ZHANG
- Publication Type:Journal Article
- Keywords:
Colonic neoplasms;
Tomography,spiral computed;
Neoplasm staging
- From:
Cancer Research and Clinic
2013;25(12):831-834
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the accuracy of multi-slice spiral computed tomography (MSCT) in preoperative TN staging and in judging surrounding mesenteric invasion.Methods 96 cases of patients with colon carcinoma which was historically confirmed were collected.Common practice scanning with inflation and dynamic contrast-enhancement scan were performed preoperatively and the images of plain scan,venous phase and arterial phase of contrast enhancement including multi-planar and curved planar reconstruction were obtained.TN staging and evaluation of surrounding mesenteric infiltration were made by MSCT.Surgical findings and pathological results were compared with MSCT diagnosis.The accuracy,sensitivity,specificity,false negative rate,false positive rate and consistency analysis between them were compared.Results The accuracy,sensitivity,speciality rate,false negative rate and false positive rate of TN staging of colon cancer,as well as mesenteric infiltration determined with MSCT were consistent with the clinical and historical results (Kappa ＞ 0.69,P ＜ 0.01),meaning good consistency.Conclusion MSCT for colon inflation is a useful method for revealing T staging (≤T2-T4),N staging and mesenteric infiltration of colon carcinoma preoperatively.It is also an important noninvasive method to provide surgeons with valuable information for making treatment plan of the tumor.
