MDCT imaging of the stomach: advances and applications

Prashant Nagpal; Anjali Prakash; Gaurav Pradhan; Aditi Vidholia; Nishant Nagpal; Sachin S Saboo; David M Kuehn; Ashish Khandelwal

doi:10.1259/bjr.20160412

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MDCT imaging of the stomach: advances and applications

Journal article

Open access

Peer reviewed

MDCT imaging of the stomach: advances and applications

Prashant Nagpal, Anjali Prakash, Gaurav Pradhan, Aditi Vidholia, Nishant Nagpal, Sachin S Saboo, David M Kuehn and Ashish Khandelwal

British journal of radiology, Vol.90(1069), pp.20160412-20160412

01/2017

DOI: 10.1259/bjr.20160412

PMCID: PMC5605014

PMID: 27785936

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Abstract

The stomach may be involved by a myriad of pathologies ranging from benign aetiologies like inflammation to malignant aetiologies like carcinoma or lymphoma. Multidetector CT (MDCT) of the stomach is the first-line imaging for patients with suspected gastric pathologies. Conventionally, CT imaging had the advantage of simultaneous detection of the mural and extramural disease extent, but advances in MDCT have allowed mucosal assessment by virtual endoscopy (VE). Also, better three-dimensional (3D) post-processing techniques have enabled more robust and accurate pre-operative planning in patients undergoing gastrectomy and even predict the response to surgery for patients undergoing laparoscopic sleeve gastrectomy for weight loss. The ability of CT to obtain stomach volume (for bariatric surgery patients) and 3D VE images depends on various patient and protocol factors that are important for a radiologist to understand. We review the appropriate CT imaging protocol in the patients with suspected gastric pathologies and highlight the imaging pearls of various gastric pathologies on CT and VE.

Gastritis - diagnosis

User-Computer Interface

Diagnosis, Differential

Lymphoma - diagnosis

Stomach - pathology

Stomach Neoplasms - diagnosis

Humans

Middle Aged

Multidetector Computed Tomography - methods

Male

Stomach Neoplasms - pathology

Lipoma - pathology

Image Processing, Computer-Assisted - methods

Gastritis - pathology

Neoplasm Invasiveness - pathology

Sensitivity and Specificity

Adult

Female

Lymphoma - pathology

Aged

Lipoma - diagnosis

Neoplasm Staging

Stomach Neoplasms - surgery

Details

Title: Subtitle: MDCT imaging of the stomach: advances and applications
Creators: Prashant Nagpal - 2 Department of Radiodiagnosis, Lok Nayak Jai Prakash Hospital, Maulana Azad Medical College, Delhi, India
Anjali Prakash - 2 Department of Radiodiagnosis, Lok Nayak Jai Prakash Hospital, Maulana Azad Medical College, Delhi, India
Gaurav Pradhan - 2 Department of Radiodiagnosis, Lok Nayak Jai Prakash Hospital, Maulana Azad Medical College, Delhi, India
Aditi Vidholia - 3 Department of Pathology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Nishant Nagpal - 4 Department of Gastroenterology, Fortis Flt. Lt. Rajan Dhall Hospital, Delhi, India
Sachin S Saboo - 5 Department of Radiology, Cardiothoracic Imaging, UT Southwestern Medical Center, Dallas, TX, USA
David M Kuehn - 1 Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA
Ashish Khandelwal - 6 Department of Radiology, Mayo Clinic, Rochester, MN, USA
Resource Type: Journal article
Publication Details: British journal of radiology, Vol.90(1069), pp.20160412-20160412
DOI: 10.1259/bjr.20160412
PMID: 27785936
PMCID: PMC5605014
NLM abbreviation: Br J Radiol
ISSN: 0007-1285
eISSN: 1748-880X
Publisher: England
Language: English
Date published: 01/2017
Academic Unit: Radiology; Urology
Record Identifier: 9984051568002771

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