ArticleWorld journal of gastroenterology2024
Clinical application of oral contrast-enhanced ultrasound in evaluating the preoperative T staging of gastric cancer.
Article in World journal of gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Enhancing gastric ultrasound training with standardized patient-based drinking simulation: a self-controlled study.BMC medical education · 2025Article
- Differential Diagnostic Value of Gastrointestinal Ultrasound Contrast Filling Method in Differentiating Gastric Tumors and Ulcers in the Elderly.International journal of general medicine · 2025Article
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9 authors.
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Abstract
backgroundOral contrast-enhanced ultrasound (OCEUS) is widely used in the noninvasive diagnosis and screening of gastric cancer (GC) in China.
aimTo investigate the clinical application of OCEUS in evaluating the preoperative T staging of gastric cancer.
methodsOCEUS was performed before the operation, and standard ultrasound images were retained. The depth of infiltration of GC (T-stage) was evaluated according to the American Joint Committee on Cancer 8
resultsOCEUS achieved diagnostic accuracy rates of 76.6% (T1a), 69.6% (T1b), 62.7% (T2), 60.8% (T3), 88.0% (T4a), and 88.7% (T4b), with an average of 75.5%. Ultrasonic T staging sensitivity exceeded 62%, aside from T1b at 40.3%, while specificity was over 91%, except for T3 with 83.5%. The Youden index was above 60%, with T1b and T2 being exceptions. OCEUS T staging corresponded closely with pathology in T4b (kappa > 0.75) and moderately in T1a, T1b, T2, T3, and T4a (kappa 0.40-0.75), registering a concordance rate exceeding 84%.
conclusionOCEUS was effective, reliable, and accurate in diagnosing the preoperative T staging of GC. As a noninvasive diagnostic technique, OCEUS merits clinical popularization.
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