Diagnostic Significance of CT Three Dimension Reconstruction in Local Recurrence after Surgery for Gastric Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

DENG Qichuan ¹ , SONG Wei ²

1.Department of Imaging, The Third Affiliated Hospital of Harbin Medical University, Harbin 150081, China;;
2.Department of CT, Center Hospital of Chengde City, Chengde 067000, Hebei Province, China;

Corresponding author：

Keywords：

Gastric cancer; Recurrence; CT; Three dimension reconstruction

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Objective To discussion the diagnostic significance of CT three dimension reconstruction in local recurrence after surgery for gastric cancer.
Methods Thirty-nine patients with gastric cancer recurrence after radical surgery were performed multislice CT scan between December 2004 and December 2008 in The Third Affiliated Hospital of Harbin Medical University, and the images were reconstructed by three dimension reconstruction in workstation. The axial CT images and three dimension images of gastric cancer recurrence patients were diagnosed and compared.
Results The detection rates of axial images and three dimensional CT images were 82.1% (23/28) and 100% (28/28) for pathological morphology, 62.5% (10/16) and 93.8%(15/16) for extension of tumors, 66.7% (10/15) and 93.3% (14/15) for lymph node metastasis, 87.5% (7/8) and 87.5% (7/8) for distant metastasis, respectively. Conclusions CT three dimension reconstruction can carry out more direct and solid results, such as measuring the vertical thickness of the thickened gastric wall, observing the infiltration situation with proximal organ, and metastasis of the lymph node. The method of three dimension reconstruction used for the diagnosis of local recurrence after surgery for gastric cancer is better than the axial image, and it can supply data which would be useful for the tumor advancing treatment.

Citation： DENG Qichuan ,SONG Wei. Diagnostic Significance of CT Three Dimension Reconstruction in Local Recurrence after Surgery for Gastric Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(9): 989-992. doi: Copy

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1. 张一楚, 欧敬民. 胃癌术后复发的再手术治疗 [J]. 中国实用外科杂志, 2002; 22(6): 375376.
2. 彭卫军, 周康荣, 秦新裕. 胃癌局部复发的CT检查技术和表现 [C]. 北京: 2003年全国医学影像技术学会议论文汇编, 2003: 205206.
3. 张逖, 张建都, 王泰岳, 等. 复发性胃癌再手术51例分析 [J]. 重庆医学, 2010; 39(2): 228229.
4. 杨智斌, 周敏杰, 杜宁, 等. 胃癌二次手术经验分析 [J]. 现代肿瘤医学, 2007; 15(7): 980981.
5. 王志军, 包小娜, 刘杰, 等. 胃癌术后复发的MRI研究 [J]. 临床放射学杂志, 2007; 26(12): 12941297.
6. Ha HK, Kim HH, Kim HS, et al. Local recurrence after surgery for gastric carcinoma: CT findings [J]. AJR Am J Roentgenol, 1993; 161(5): 975977.
7. 王锡明, 武乐斌, 李振家, 等. 螺旋CT在胃分区及胃壁厚度测量中的价值 [J]. 医学影像学杂志, 2001; 11(5): 290292.
8. 彭卫军, 周康荣, 秦新裕. CT 在胃癌局部复发诊断中的应用评价 [J]. 中国癌症杂志, 2003; 13(6): 540542.
9. 李达兵, 戴洪修. 良恶性胃肿瘤的CT表现 [J]. 中国辐射卫生, 2007; 16(2): 238239.
10. 李达兵, 余平, 戴洪修. 进展期胃癌的CT诊断价值 [J]. 西部医学, 2010; 22(2): 323324, 326.
11. 戴洪修, 谷家林, 鲁际, 等. 良恶性胃壁增厚的CT鉴别 [J]. 世界华人消化杂志, 2005; 24(13): 28862888.
12. 张镭, 潘振宇, 翟晓力, 等. CT仿真胃内窥镜的临床应用研究 [J]. 中华放射学杂志, 2000; 34(9)： 609612.
13. Lee DH. Twodimensional and threedimensional imaging of gastric tumors using spiral CT [J]. Abdom Imaging, 2000; 25(1): 16.
14. 高剑波, 杨学华, 李荫太, 等. 进展期与早期胃癌螺旋CT三期增强的诊断价值 [J]. 中华放射学杂志, 2001; 35(4): 253257.
15. 韩志敏, 姬社青, 张斌, 等. 胃癌术后复发再手术选择及效果 [J]. 医药论坛杂志, 2007; 28(3): 7475, 77.
16. 高建波, 郭华. 胃肠道肿瘤螺旋CT诊断的新进展 [J]. 中华放射学杂志, 2001; 35(4): 312314.
17. 徐少杰, 黎庆荣, 龚伟, 等. 胃癌淋巴结大小与转移的关系 [J]. 肿瘤学杂志, 2005; 11(6): 447448.
18. D’Elia F, Zingarelli A, Palli D, et al. Hydrodynamic CT preoperative staging of gastric cancer: correlation with pathological findings. A prospective study of 107 cases [J]. Eur Radiol, 2000; 10(12): 18771885.
19. 黄子星, 陈心足, 宋彬, 等. 64排螺旋CT对Ⅳ期胃癌术前分期的价值 [J]. 中国普外基础与临床杂志, 2008; 15(8): 623627.
20. 黄娟, 潘彦辰, 周翔平, 等. 16排螺旋CT胃癌诊断和CTTNM分期的价值 [J]. 中国普外基础与临床杂志, 2007; 14(6): 717721.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnostic Significance of CT Three Dimension Reconstruction in Local Recurrence after Surgery for Gastric Cancer

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