Jiang ZY, Kinami S, Nakamura N, Miyata T, Fujita H, Takamura H, Ueda N, Kosaka T. Diagnostic ability of multi-detector spiral computed tomography for pathological lymph node metastasis of advanced gastric cancer. World J Gastrointest Oncol 2020; 12(4): 435-446 [PMID: 32368321 DOI: 10.4251/wjgo.v12.i4.435]
Corresponding Author of This Article
Shinichi Kinami, MD, PhD, Professor, Department of Surgical Oncology, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa 920-0293, Japan. kinami@kanazawa-med.ac.jp
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Zhi-Yong Jiang, Shinichi Kinami, Naohiko Nakamura, Takashi Miyata, Hideto Fujita, Hiroyuki Takamura, Nobuhiko Ueda, Takeo Kosaka, Department of Surgical Oncology, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa 920-0293, Japan
Author contributions: Jiang ZY was responsible for the scientific context and writing of the manuscript. Kinami S was responsible for instructing on the scientific research and writing of the manuscript. Nakamura N, Miyata T, Fujita H, Ueda N, Takamura H and Kosaka T contributed to the literature review; data analysis; drafting, editing, and critical revision of the manuscript; and approval of the final version of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Kanazawa Medical University Hospital.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent. Regarding data use in the retrospective study, the patients were given the opportunity to optout of the study at any time.
Conflict-of-interest statement: The authors declare no conflicts of interest related to the publication of the study.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Shinichi Kinami, MD, PhD, Professor, Department of Surgical Oncology, Kanazawa Medical University, 1-1 Daigaku, Uchinada-machi, Kahoku-gun, Ishikawa 920-0293, Japan. kinami@kanazawa-med.ac.jp
Received: November 21, 2019 Peer-review started: November 21, 2019 First decision: December 12, 2019 Revised: February 12, 2020 Accepted: February 23, 2020 Article in press: February 23, 2020 Published online: April 15, 2020 Processing time: 146 Days and 1.2 Hours
Core Tip
Core tip: The preoperative nodal diagnostic ability of multi-detector spiral computed tomography for advanced gastric cancer was examined more precisely using data from patients for whom precise one-to-one correspondence of lymph nodes could be performed between computed tomography and intranodal pathological metastatic patterns by using lymph node mapping. The number of dissected, metastatic, and detected nodes on computed tomography were 4241, 801, and 897, respectively. The sensitivity of multi-detector spiral computed tomography for nodal diagnosis was as good as 91% with the critical value of 7.6 mm for the long axis. The large nodular or diffuse metastases were easy to diagnose. However, the specificity was as low as 47%, because most of the metastatic nodes in gastric cancer were small nodes.
