دورية أكاديمية
أعرض في EDS

Role of barium enema examination for the diagnosis of submucosal invasion depth in T1 colorectal cancers.

التفاصيل البيبلوغرافية
العنوان: Role of barium enema examination for the diagnosis of submucosal invasion depth in T1 colorectal cancers.
المؤلفون: Kawasaki K; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan. kawasaki.keisuke.084@m.kyushu-u.ac.jp.; Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Yahaba, 028-3695, Japan. kawasaki.keisuke.084@m.kyushu-u.ac.jp., Torisu T; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Nagahata T; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Esaki M; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, 849-8501, Japan., Kurahara K; Division of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, 790-8524, Japan., Eizuka M; Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Yahaba, 028-3695, Japan.; Department of Diagnostic Pathology, Iwate Medical University, Yahaba, 790-8524, Japan., Tanaka Y; Department of Diagnostic Pathology, Iwate Medical University, Yahaba, 790-8524, Japan., Fujiwara M; Department of Pathology, National Hospital Organization Kyushu Medical Center, Fukuoka, 810-8563, Japan.; Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-0054, Japan., Kawatoko S; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan.; Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, 812-0054, Japan., Oshiro Y; Department of Pathology, Matsuyama Red Cross Hospital, Matsuyama, 790-8524, Japan., Yamada S; Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Yahaba, 028-3695, Japan., Ikegami K; Division of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, 790-8524, Japan., Fujioka S; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Fuyuno Y; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Matsuno Y; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Umeno J; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Moriyama T; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Kitazono T; Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1, Maidashi, Higashi-ku, Fukuoka, 812-0054, Japan., Sugai T; Department of Diagnostic Pathology, Iwate Medical University, Yahaba, 790-8524, Japan., Matsumoto T; Division of Gastroenterology, Department of Internal Medicine, Iwate Medical University, Yahaba, 028-3695, Japan.
المصدر: Cancer imaging : the official publication of the International Cancer Imaging Society [Cancer Imaging] 2021 Dec 07; Vol. 21 (1), pp. 66. Date of Electronic Publication: 2021 Dec 07.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer Nature Country of Publication: England NLM ID: 101172931 Publication Model: Electronic Cited Medium: Internet ISSN: 1470-7330 (Electronic) Linking ISSN: 14707330 NLM ISO Abbreviation: Cancer Imaging Subsets: MEDLINE
أسماء مطبوعة: Publication: <2014- > : London : Springer Nature
Original Publication: London : e-med, c2000]-
مواضيع طبية MeSH: Barium Enema* , Colorectal Neoplasms*/diagnostic imaging, Humans ; Neoplasm Invasiveness ; ROC Curve
مستخلص: Background: The indication for endoscopic resection for submucosally invasive colorectal cancer (T1-CRC) depends on the preoperative diagnosis of invasion depth. The aim of this investigation was to evaluate the association between barium enema examination (BE) profile views and depth of submucosal (SM) invasion in CRCs.
Methods: We reviewed the radiographic and endoscopic findings of 145 T1-CRCs diagnosed from 2008 to 2019. We measured the widths of horizontal and vertical rigidity under a BE profile view corresponding to CRC and compared the values with SM invasion depth. Horizontal rigidity was defined as the horizontal length and vertical rigidity as the vertical width of the barium defect corresponding to each target lesion. The most appropriate cut-off values for predicting SM invasion ≥1.8 mm were calculated by receiver operating characteristic curve analysis.
Results: Values of horizontal rigidity (r = 0.626, P < 0.05) and vertical rigidity (r = 0.482, P < 0.05) correlated significantly with SM invasion depth. The most appropriate cut-off values for the prediction of SM invasion depth ≥ 1.8 mm were 4.5 mm for horizontal rigidity, with an accuracy of 80.7%; and 0.7 mm for vertical rigidity, with an accuracy of 77.9%. The prevalence of lympho-vascular invasion was significantly different when those cut-off values were applied (43.2% vs. 17.5% for horizontal rigidity, P < 0.005).
Conclusions: In T1-CRC, values of horizontal and vertical rigidities under a BE profile view were correlated with SM invasion depth. While the accuracy of the rigidities for the prediction of SM invasion depth ≥ 1.8 mm was not high, horizontal rigidity may be predictive of lympho-vascular invasion, thus aiding in therapeutic decision-making.
(© 2021. The Author(s).)
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فهرسة مساهمة: Keywords: Barium enema; CT colonography; Cancer; Colorectal cancer; Invasion depth
تواريخ الأحداث: Date Created: 20211208 Date Completed: 20211209 Latest Revision: 20211214
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8650542
DOI: 10.1186/s40644-021-00437-z
PMID: 34876222
قاعدة البيانات: MEDLINE
الوصف
تدمد:1470-7330
DOI:10.1186/s40644-021-00437-z