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Multislice-CT of the Abdomen pp 269–281Cite as

MSCT of the Stomach

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Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

Multi-slice computed tomography (MSCT) is frequently employed for imaging the stomach and perigastric vasculature. The benefits of this modality include short acquisition times, enhanced temporal and spatial resolution, longer anatomic coverage, and reduced image artifacts. Thin-slice collimation protocols are implemented to acquire isotropic volume data allowing superior multiplanar reformation (MPR) and three-dimensional (3D) reconstruction of gastric images. Additionally, protocol optimization enables accurate detection of complex gastric and extragastric pathology on multi-phase imaging. This chapter will discuss CT technique and review clinicopathological and radiological characterization of benign and malignant gastric masses, as well as inflammatory gastric conditions. MSCT is a valuable tool for detection, staging, surveillance, and post-treatment evaluation of gastric disease.

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References

  • Axon A (2006) Symptoms and diagnosis of gastric cancer at early curable stage. Best Pract Res Clin Gastroenterol 20:697–708

    Article  PubMed  Google Scholar 

  • Balthazar EJ, Rosenberg H, Davidian MM (1980) Scirrhous carcinoma of the pyloric channel and distal antrum. Am J Roentgenol 134:669–673

    CAS  Google Scholar 

  • Ba-Ssalamah A, Prokop M, Uffmann M et al (2003) Dedicated multidetector CT of the stomach: spectrum of diseases. Radiographics 23:625–644

    Article  PubMed  Google Scholar 

  • Bianchi LK, Burke CA, Bennett AE et al (2008) Fundic gland polyp dysplasia is common in familial adenomatous polyposis. Clin Gastroenterol Hepatol 6:180–185

    Article  PubMed  Google Scholar 

  • Brenner H, Rothenbacher D, Arndt V (2009) Epidemiology of stomach cancer. Methods Mol Biol 472:467–477

    Article  PubMed  Google Scholar 

  • Burkill GJ, Badran M, Al-Muderis O et al (2003) Malignant gastrointestinal stromal tumor: distribution, imaging features, and pattern of metastatic spread. Radiology 226:527–532

    Article  PubMed  Google Scholar 

  • Carmack SW, Genta RM, Graham DY et al (2009a) Management of gastric polyps: a pathology-based guide for gastroenterologists. Nat Rev Gastroenterol Hepatol 6:331–341

    Article  PubMed  Google Scholar 

  • Carmack SW, Genta RM, Schuler CM et al (2009b) The current spectrum of gastric polyps: a 1-year national study of over 120, 000 patients. Am J Gastroenterol 104:1524–1532

    Article  PubMed  Google Scholar 

  • Cha SH, Cho SB, Kim YW et al (2000) Helical CT appearance of glomus tumor of the stomach. Eur Radiol 10:671–673

    Article  PubMed  CAS  Google Scholar 

  • Chan FK, Leung WK (2002) Peptic-ulcer disease. Lancet 360:933–941

    Article  PubMed  Google Scholar 

  • Chan JK, Ng CS, Isaacson PG (1990) Relationship between high-grade lymphoma and low-grade B-cell mucosa-associated lymphoid tissue lymphoma (MALToma) of the stomach. Am J Pathol 136:1153–1164

    PubMed  CAS  Google Scholar 

  • Chen CY, Hsu JS, Wu DC et al (2007) Gastric cancer: preoperative local staging with 3D multi-detector row CT–correlation with surgical and histopathologic results. Radiology 242:472–482

    Article  PubMed  Google Scholar 

  • Chen CY, Wu DC, Kuo YT et al (2008) MSCT for differentiation of category T1 and T2 malignant lesions from benign gastric ulcers. Am J Roentgenol 190:1505–1511

    Article  Google Scholar 

  • Chen TW, Yang ZG, Li X, et al. (2010) Evaluation of entire gastric fundic and esophageal varices secondary to posthepatitic cirrhosis: portal venography using 64-row MSCT. Abdom Imaging 35:1–7.

    Google Scholar 

  • Davis GB, Blanchard DK, Hatch GF 3rd et al (2000) Tumors of the stomach. World J Surg 24:412–420

    Article  PubMed  CAS  Google Scholar 

  • De Palma GD, Masone S, Rega M et al (2006) Metastatic tumors to the stomach: clinical and endoscopic features. World J Gastroenterol 12:7326–7328

    PubMed  Google Scholar 

  • Dean PG, Davis PM, Nascimento AG et al (1998) Hyperplastic gastric polyp causing progressive gastric outlet obstruction. Mayo Clin Proc 73:964–967

    Article  PubMed  CAS  Google Scholar 

  • Dux M, Richter GM, Hansmann J et al (1999) Helical hydro-CT for diagnosis and staging of gastric carcinoma. J Comput Assist Tomogr 23:913–922

    Article  PubMed  CAS  Google Scholar 

  • Fishman EK, Urban BA, Hruban RH (1996) CT of the stomach: spectrum of disease. Radiographics 16:1035–1054

    PubMed  CAS  Google Scholar 

  • Gossios K, Katsimbri P, Tsianos E (2000) CT features of gastric lymphoma. Eur Radiol 10:425–430

    Article  PubMed  CAS  Google Scholar 

  • Hizawa K, Fuchigami T, Iida M et al (1995) Possible neoplastic transformation within gastric hyperplastic polyp. Application of endoscopic polypectomy. Surg Endosc 9:714–718

    PubMed  CAS  Google Scholar 

  • Hori S, Tsuda K, Murayama S et al (1992) CT of gastric carcinoma: preliminary results with a new scanning technique. Radiographics 12:257–268

    PubMed  CAS  Google Scholar 

  • Horton KM, Fishman EK (2003) Current role of CT in imaging of the stomach. Radiographics 23:75–87

    Article  PubMed  Google Scholar 

  • Horton KM, Juluru K, Montogomery E et al (2004) Computed tomography imaging of gastrointestinal stromal tumors with pathology correlation. J Comput Assist Tomogr 28:811–817

    Article  PubMed  Google Scholar 

  • Inamoto K, Kouzai K, Ueeda T et al (2005) CT virtual endoscopy of the stomach: comparison study with gastric fiberscopy. Abdom Imaging 30:473–479

    Article  PubMed  CAS  Google Scholar 

  • Johnson PT, Horton KM, Fishman EK (2010) Hypervascular gastric masses: CT findings and clinical correlates. Am J Roentgenol 195:W415–420

    Article  Google Scholar 

  • Kim JK, Won JH, Cho YK et al (2001) Glomus tumor of the stomach: CT findings. Abdom Imaging 26:303–305

    Article  PubMed  CAS  Google Scholar 

  • Kim HJ, Kim AY, Oh ST et al (2005) Gastric cancer staging at multi-detector row CT gastrography: comparison of transverse and volumetric CT scanning. Radiology 236:879–885

    Article  PubMed  Google Scholar 

  • Kim JH, Eun HW, Choi JH et al (2007) Diagnostic performance of virtual gastroscopy using MSCT in early gastric cancer compared with 2D axial CT: focusing on interobserver variation. Am J Roentgenol 189:299–305

    Article  Google Scholar 

  • Kumano S, Murakami T, Kim T et al (2005) T staging of gastric cancer: role of multi-detector row CT. Radiology 237:961–966

    Article  PubMed  Google Scholar 

  • Lee HW, Lee JJ, Yang DH et al (2006) A clinicopathologic study of glomus tumor of the stomach. J Clin Gastroenterol 40:717–720

    Article  PubMed  Google Scholar 

  • Lee JH, Park MS, Kim KW, Yu JS, Kim MJ, Yang SW, Lee YC (2006) Advanced gastric carcinoma with signet ring cell carcinoma versus non-signet ring cell carcinoma: differentiation with multidetector CT. J Comput Assist Tomogr 30(6):880–884

    Google Scholar 

  • Levine MS, Rubesin SE, Pantongrag-Brown L et al (1997) Non-Hodgkin’s lymphoma of the gastrointestinal tract: radiographic findings. Am J Roentgenol 168:165–172

    CAS  Google Scholar 

  • Matsumoto A, Kitamoto M, Imamura M et al (2001) Three-dimensional portography using multislice helical CT is clinically useful for management of gastric fundic varices. Am J Roentgenol 176:899–905

    CAS  Google Scholar 

  • Miettinen M, Paal E, Lasota J et al (2002) Gastrointestinal glomus tumors: a clinicopathologic, immunohistochemical, and molecular genetic study of 32 cases. Am J Surg Pathol 26:301–311

    Article  PubMed  Google Scholar 

  • Moore JR (1986) Gastric carcinoma: 30-year review. Can J Surg 29:25–28

    PubMed  CAS  Google Scholar 

  • Nishida T, Hirota S (2000) Biological and clinical review of stromal tumors in the gastrointestinal tract. Histol Histopathol 15:1293–1301

    PubMed  CAS  Google Scholar 

  • Nishida T, Kumano S, Sugiura T et al (2003) Multidetector CT of high-risk patients with occult gastrointestinal stromal tumors. Am J Roentgenol 180:185–189

    Google Scholar 

  • Oda Kondo H, Yamao T et al (2001) Metastatic tumors to the stomach: analysis of 54 patients diagnosed at endoscopy and 347 autopsy cases. Endoscopy 33:507–510

    Article  PubMed  CAS  Google Scholar 

  • Park do Y, Lauwers GY (2008) Gastric polyps: classification and management. Arch Pathol Lab Med 132:633–640

    PubMed  Google Scholar 

  • Park SH, Han JK, Kim TK et al (1999) Unusual gastric tumors: radiologic-pathologic correlation. Radiographics 19:1435–1446

    PubMed  CAS  Google Scholar 

  • Park MS, Kim KW, Yu JS et al (2002) Radiographic findings of primary B-cell lymphoma of the stomach: low-grade versus high-grade malignancy in relation to the mucosa-associated lymphoid tissue concept. Am J Roentgenol 179:1297–1304

    Google Scholar 

  • Pinchot SN, Holen K, Sippel RS et al (2008) Carcinoid tumors. Oncologist 13:1255–1269

    Article  PubMed  CAS  Google Scholar 

  • Pomerantz H, Margolin HN (1962) Metastases to the gastrointestinal tract from malignant melanoma. Am J Roentgenol Radium Ther Nucl Med 88:712–717

    PubMed  CAS  Google Scholar 

  • Rindi G, Luinetti O, Cornaggia M et al (1993) Three subtypes of gastric argyrophil carcinoid and the gastric neuroendocrine carcinoma: a clinicopathologic study. Gastroenterology 104:994–1006

    PubMed  CAS  Google Scholar 

  • Rossi M, Broglia L, Maccioni F et al (1997) Hydro-CT in patients with gastric cancer: preoperative radiologic staging. Eur Radiol 7:659–664

    Article  PubMed  CAS  Google Scholar 

  • Sandrasegaran K, Rajesh A, Rydberg J et al (2005) Gastrointestinal stromal tumors: clinical, radiologic, and pathologic features. Am J Roentgenol 184:803–811

    Google Scholar 

  • Sato T, Sakai Y, Ishiguro S et al (1986) Radiologic manifestations of early gastric lymphoma. Am J Roentgenol 146:513–517

    CAS  Google Scholar 

  • Stolte M (1992) Helicobacter pylori gastritis and gastric MALT-lymphoma. Lancet 339:745–746

    Article  PubMed  CAS  Google Scholar 

  • Uemura N, Okamoto S, Yamamoto S et al (2001) Helicobacter pylori infection and the development of gastric cancer. N Engl J Med 345:784–789

    Article  PubMed  CAS  Google Scholar 

  • Ulusan S, Koc Z, Kayaselcuk F (2008) Gastrointestinal stromal tumours: CT findings. Br J Radiol 81:618–623

    Article  PubMed  CAS  Google Scholar 

  • Urban BA, Fishman EK, Hruban RH (1991) Helicobacter pylori gastritis mimicking gastric carcinoma at CT evaluation. Radiology 179:689–691

    PubMed  CAS  Google Scholar 

  • Yang DM, Kim HC, Jin W et al (2007) 64 multidetector-row computed tomography for preoperative evaluation of gastric cancer: histological correlation. J Comput Assist Tomogr 31:98–103

    Article  PubMed  Google Scholar 

  • Zhu K, Meng X, Pang P et al (2010) Gastric varices in patients with portal hypertension: evaluation with multidetector row CT. J Clin Gastroenterol 44:e108–115

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Johns Hopkins School of Medicine, Baltimore, MD, 21205, USA

    Sameer Ahmed

  2. The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, 601 N. Caroline Street, Room 3125, Baltimore, MD, 21287, USA

    Karen M. Horton & Elliot K. Fishman

  3. The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Hospital, 601 N. Caroline Street, Room 3140D, Baltimore, MD, 21287, USA

    Pamela T. Johnson

Authors
  1. Sameer Ahmed
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  2. Karen M. Horton
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  3. Elliot K. Fishman
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  4. Pamela T. Johnson
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Corresponding author

Correspondence to Elliot K. Fishman .

Editor information

Editors and Affiliations

  1. , Department of Clinical Radiology, Munich University Hospitals - Grosshader, Marchioninistraße 15, Munich, 81377, Germany

    Christoph Johannes Zech

  2. Department of Oncology, Dept. Transplants and Advanced Technolog, University of Pisa, Via Paradisa 2, Pisa, 56127, Italy

    Carlo Bartolozzi

  3. , Department of Radiology, The University of Chicago, 5841 S. Maryland Ave MC 2026, Chicago, 60611, USA

    Richard Baron

  4. , Department of Clinical Radiology, Munich University Hospitals - Grosshader, Marchioninistraße 15, Munich, 81377, Germany

    Maximilian F. Reiser

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© 2011 Springer-Verlag Berlin Heidelberg

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Ahmed, S., Horton, K.M., Fishman, E.K., Johnson, P.T. (2011). MSCT of the Stomach. In: Zech, C., Bartolozzi, C., Baron, R., Reiser, M. (eds) Multislice-CT of the Abdomen. Medical Radiology(). Springer, Berlin, Heidelberg. https://doi.org/10.1007/174_2011_428

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  • DOI: https://doi.org/10.1007/174_2011_428

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-17862-7

  • Online ISBN: 978-3-642-17863-4

  • eBook Packages: MedicineMedicine (R0)

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