Skip to main content

Multislice CT of the Stomach

  • Chapter
Radiology of the Stomach and Duodenum

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

  • 1166 Accesses

Abstract

Multislice CT offers new opportunities for the imaging of gastrointestinal organs. With thin collimation, excellent imaging of the stomach becomes possible and allows for high-quality multiplanar reformations and 3D visualization. Adequate distension of the stomach using water as a negative contrast agent (hydro-CT) is a prerequisite for assessing the stomach wall. While such techniques have already been used with single-slice spiral CT to improve staging of gastric malignancies, single slice suffers substantially from relatively large slice thickness (Fishman et al. 1996; Baert et al. 1989; Merino et al. 1999). The much faster speed of multislice CT means that optimal contrast material injection techniques are essential (Fleischmann et al. 2000) in order to improve delineation of tumour from normal tissue. Indeed, the combination of hydro-CT with near isotropic multislice imaging offers improved diagnosis to a large variety of gastric diseases. Compared with endosonography, multislice CT is able not only to visualize the immediate vicinity of the stomach, but also more distant regions, such as para-aortic lymph nodes or abdominal organs.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Baert AL, Roex L, Marchal G et al (1989) Computed tomography of the stomach with water as an oral contrast agent: technique and preliminary results. J Comput Assist Tomogr 13:633–636

    Article  PubMed  CAS  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 

  • Balthazar EJ, Megibow A, Naidich D, Le Fleur RS (1984) Computed tomographic recognition of gastric varices. Am J Roentgenol 142:1121–1125

    CAS  Google Scholar 

  • Cho KC, Baker SR, Alterman DD, Fusco JM, Cho S (1996) Transpyloric spread of gastric tumors: comparison of adenocarcinoma and lymphoma. Am J Roentgenol 167:467–469

    CAS  Google Scholar 

  • Davis GR (1993) Neoplasms of the stomach. In: Sleisenger MH, Fordtran JS (ed) Gastrointestinal disease, 5th edn. Saunders, Philadelphia, pp 763–792

    Google Scholar 

  • Davis G, Blanchard D, Hatch G et al (2000) Tumors of the stomach. World J Surg 24:412–420

    Article  PubMed  CAS  Google Scholar 

  • D’Elia F, Zingarelli A, Palli D, Grani M (2000) Hydrodynamic CT preoperative staging of gastric cancer: correlation with pathological findings. A prospective study of 107 cases. Eur Radiol 10:1877–1885

    Article  PubMed  CAS  Google Scholar 

  • DeMatteo R, Lewis J, Leung D et al (2000) Two hundred gastrointestinal stromal tumors: recurrence patterns and prognostic factors for survival. Ann Surg 231:51–58

    Article  Google Scholar 

  • Feczko PJ, Halpert RD, Ackerman LV (1985) Gastric polyps: radiological evaluation and clinical significance. Radiology 155:581–584

    PubMed  CAS  Google Scholar 

  • Fischback W, Kestel W, Kirchner T, Mossner H, Wilms K (1992) Malignant lymphomas of the upper gastrointestinal tract. Results of a prospective study in 103 patients. Cancer 70:1075–1080

    Article  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  • Fleischmann D, Rubin GD, Bankier AA, Hittmair K (2000) Improved uniformity of aortic enhancement with customized contrast medium injection protocols at CT angiography. Radiology 214:363–371

    PubMed  CAS  Google Scholar 

  • Fukuya T, Honda H, Hayashi T et al (1995) Lymph-node metastases: efficacy for detection with helical CT in patients with gastric cancer. Radiology 197:705–711

    PubMed  CAS  Google Scholar 

  • Ginsberg GG, Al-Kawas FH, Fleischer DE, Reilly HF, Benjamin SB (1996) Gastric polyps: relationship of size and histology to cancer risk. Am J Gastroenterol 91:714–717

    PubMed  CAS  Google Scholar 

  • Godwin JD (1975) Carcinoid tumors. An analysis of 2,837 cases. Cancer 36:560–569

    Article  PubMed  Google Scholar 

  • Goodman P, Raval B, Bonmati C, Schmidt WA (1990) Leiomyoma involving the gastrocolic ligament: CT demonstration. Comput Med Imaging Graph 14:431–435

    Article  PubMed  CAS  Google Scholar 

  • Hoare AM, Elkington SG (1976) Gastric lesions in generalized neurofibromatosis. Br J Surg 63:449–451

    Article  PubMed  CAS  Google Scholar 

  • Jacobs JM, Hill MC, Steinberg WM (1991) Peptic ulcer disease: CT evaluation. Radiology 178:745–748

    PubMed  CAS  Google Scholar 

  • Kapeh MS, Leon L, Klimstra D, Brennan MF (2000) Lymph node staging in gastric cancer: Is location more important than number? An analysis of 1,038 patients. Ann Surg 232:362–371

    Article  Google Scholar 

  • Kavlie H, White TT (1972) Leiomyomas of the upper gastrointestinal tract. Surgery 71:92–104

    Google Scholar 

  • Levine MS, Elmas N, Furth EE, Rubesin SE, Godwin MI (1996) Helicobacter pylori and gastric MALT lymphoma. Am J Roentgenol 166:85–86

    CAS  Google Scholar 

  • Lewin KJ, Ranchod M, Dorfman RF (1978) Lymphomas of the gastrointestinal tract: a study of 117 cases presenting with gastrointestinal disease. Cancer 42:693–707

    Article  PubMed  CAS  Google Scholar 

  • Maruyama M, Baba Y (1994) Diagnosis of the invasive depth of gastric cancer. Abdom Imaging 19:532–536

    Article  PubMed  CAS  Google Scholar 

  • Megibow AJ, Balthazar EJ, Hulnick DH, Naidich DP, Bosniak MA (1985) CT evaluation of gastrointestinal leiomyomas and leiomyosarcomas. Am J Roentgenol 144:727–731

    CAS  Google Scholar 

  • Merino S, Saiz A, Moreno MJ et al (1999) CT evaluation of gastric wall pathology. Br J Radiol 72:1124–1324

    PubMed  CAS  Google Scholar 

  • Miettinen M, Lasota J (2001) Gastrointestinal stromal tumors: definition, clinical, histological, immunohistochemical, and molecular genetic features and differential diagnosis. Virchows Arch 438:1–12

    Article  PubMed  CAS  Google Scholar 

  • Miettinen M, Sarlomo-Rikala M, Lasota J (1999) Gastrointestinal stromal tumors: recent advances in understanding of their biology. Hum Pathol 30:1213–1220

    Article  PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  • Oiso T (1975) Incidence of stomach cancer and its relation to dietary habits and nutrition in Japan between 1900 and 1975. Cancer Res 35:3254–3258

    PubMed  CAS  Google Scholar 

  • Parker SL, Tong T, Bolden S, Wingo PA (1996) Cancer statistics. CA Cancer J Clin 4:5–27

    Article  Google Scholar 

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

    CAS  Google Scholar 

  • Williams SM, Harned RK, Settles RH (1978) Adenocarcinoma of the stomach in association with Menetrier’s disease. Gastrointest Radiol 3:387–390

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2008 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ba-Ssalamah, A., Uffmann, M., Pokieser, P., Prokop, M. (2008). Multislice CT of the Stomach. In: Freeman, A.H., Sala, E. (eds) Radiology of the Stomach and Duodenum. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-49897-1_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-49897-1_7

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-42462-8

  • Online ISBN: 978-3-540-49897-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics