Head and Neck Imaging

Comparison of Multislice Spiral CT and Endoscopic Ultrasonography for Diagnosis of the Gastrointestinal Neuroendocrine Neoplasm*

Author:HE Yun-fei, LUO Yan-ji, FENG Shi-ting, et al.

affiliation: Department of Radiology, Nanhai Hospital of Southern Medical University, Foshan 528200, Guangdong Province, China

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Abstract

 Objective To compare the value of multislice spiral CT (MSCT) and endoscopic ultrasonography(EUS) for diagnosis of GI-NEN. Methods The MSCT and EUS materials of 38 cases with GI-NEN confirmed by pathology were studied retrospectively and compared with pathological outcomes, the detecting rate, coincidence rate of T3,T4 and N staging by these methods were analyzed statistically. Results The detecting rate of MSCT and EUS for GI-NEN were 81.6%, 94.7%(P=0.041), respectively. The detecting rate of MSCT for GI-NEN was significantly lower than that of EUS. The coincidence rate of T3,T4 and N staging by MSCT and EUS for GI-NEN were T3:81.8% , 63.6%(P=0.039), T4:77.8%,44.4%(P=0.034),N:68.8%, 43.8%(P=0.033), respectively. The coincidence rates of MSCT was significantly higher than that of EUS. Conclusion EUS can be regarded as the preferred imaging method for detecting GINEN, MSCT can be one necessary supplementary approach for detecting GI-NEN and staging.

【Keyword】Tomography, X-ray Computed; EndoscopicUltrasonography; Neuroendocrine Neoplasm; Gastrointestinal

【Chart number】R472.9+1

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2017.07.034