Discrepancy in diagnosis of gastric submucosal tumor among esophagogastroduodenoscopy, CT, and endoscopic ultrasonography: A retrospective analysis of 93 consecutive cases

Osamu Goto, Haruka Kambe, Keiko Niimi, Satoshi Mochizuki, Itsuko Asada-Hirayama, Chihiro Minatsuki, Satoshi Ono, Shinya Kodashima, Nobutake Yamamichi, Yutaka Yamaji, Mitsuhiro Fujishiro, Kazuhiko Koike

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Purpose: Evidences on diagnostic ability of esophagogastroduodenoscopy (EGD), CT, and endoscopic ultrasonography (EUS) for gastric submucosal tumor (SMT) are insufficient. For investigating a suitable diagnostic strategy, we retrospectively investigated diagnostic accuracy of EGD and CT for SMT, in comparison to EUS findings. Methods: Ninety-three consecutive lesions in which gastric SMT was suspected by EGD were investigated by EUS from March 2009 to June 2011, including 55 lesions evaluated also by CT 4 months before or after EUS. Frequency of possibly malignant SMTs as a detection rate of EGD, and sensitivity and specificity of CT in detection of SMT were retrospectively analyzed. Factors influencing the ability for CT to detect SMT were also investigated. Results: EUS revealed possibly malignant SMT in 60 cases (64.5%). In 32 out of 55 cases, possibly malignant SMT was suspected by CT. Sensitivity and specificity of CT was 80.6% and 84.2%, respectively. The mean size of possibly malignant SMT detected and not detected by CT was 27.4 and 11.0 mm, respectively, with a statistically significant difference (p = 0.0001). Conclusion: This study elucidated that approximately one-third of suspected SMTs by EGD might not need clinical care. EUS for suspected SMTs is indispensable for extracting possibly malignant SMTs from others, and CT may be insufficient as an alternative to EUS in detecting especially small ones.

Original languageEnglish
Pages (from-to)1074-1078
Number of pages5
JournalAbdominal Imaging
Volume37
Issue number6
DOIs
Publication statusPublished - 2012 Dec
Externally publishedYes

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Digestive System Endoscopy
Endosonography
Stomach
Neoplasms
Sensitivity and Specificity

Keywords

  • Computed tomography
  • Diagnostic ability
  • Endoscopic ultrasonography
  • Esophagogastroduodenoscopy
  • Gastric submucosal tumor

ASJC Scopus subject areas

  • Gastroenterology
  • Urology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Discrepancy in diagnosis of gastric submucosal tumor among esophagogastroduodenoscopy, CT, and endoscopic ultrasonography : A retrospective analysis of 93 consecutive cases. / Goto, Osamu; Kambe, Haruka; Niimi, Keiko; Mochizuki, Satoshi; Asada-Hirayama, Itsuko; Minatsuki, Chihiro; Ono, Satoshi; Kodashima, Shinya; Yamamichi, Nobutake; Yamaji, Yutaka; Fujishiro, Mitsuhiro; Koike, Kazuhiko.

In: Abdominal Imaging, Vol. 37, No. 6, 12.2012, p. 1074-1078.

Research output: Contribution to journalArticle

Goto, O, Kambe, H, Niimi, K, Mochizuki, S, Asada-Hirayama, I, Minatsuki, C, Ono, S, Kodashima, S, Yamamichi, N, Yamaji, Y, Fujishiro, M & Koike, K 2012, 'Discrepancy in diagnosis of gastric submucosal tumor among esophagogastroduodenoscopy, CT, and endoscopic ultrasonography: A retrospective analysis of 93 consecutive cases', Abdominal Imaging, vol. 37, no. 6, pp. 1074-1078. https://doi.org/10.1007/s00261-012-9928-9
Goto, Osamu ; Kambe, Haruka ; Niimi, Keiko ; Mochizuki, Satoshi ; Asada-Hirayama, Itsuko ; Minatsuki, Chihiro ; Ono, Satoshi ; Kodashima, Shinya ; Yamamichi, Nobutake ; Yamaji, Yutaka ; Fujishiro, Mitsuhiro ; Koike, Kazuhiko. / Discrepancy in diagnosis of gastric submucosal tumor among esophagogastroduodenoscopy, CT, and endoscopic ultrasonography : A retrospective analysis of 93 consecutive cases. In: Abdominal Imaging. 2012 ; Vol. 37, No. 6. pp. 1074-1078.
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abstract = "Purpose: Evidences on diagnostic ability of esophagogastroduodenoscopy (EGD), CT, and endoscopic ultrasonography (EUS) for gastric submucosal tumor (SMT) are insufficient. For investigating a suitable diagnostic strategy, we retrospectively investigated diagnostic accuracy of EGD and CT for SMT, in comparison to EUS findings. Methods: Ninety-three consecutive lesions in which gastric SMT was suspected by EGD were investigated by EUS from March 2009 to June 2011, including 55 lesions evaluated also by CT 4 months before or after EUS. Frequency of possibly malignant SMTs as a detection rate of EGD, and sensitivity and specificity of CT in detection of SMT were retrospectively analyzed. Factors influencing the ability for CT to detect SMT were also investigated. Results: EUS revealed possibly malignant SMT in 60 cases (64.5{\%}). In 32 out of 55 cases, possibly malignant SMT was suspected by CT. Sensitivity and specificity of CT was 80.6{\%} and 84.2{\%}, respectively. The mean size of possibly malignant SMT detected and not detected by CT was 27.4 and 11.0 mm, respectively, with a statistically significant difference (p = 0.0001). Conclusion: This study elucidated that approximately one-third of suspected SMTs by EGD might not need clinical care. EUS for suspected SMTs is indispensable for extracting possibly malignant SMTs from others, and CT may be insufficient as an alternative to EUS in detecting especially small ones.",
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T2 - A retrospective analysis of 93 consecutive cases

AU - Goto, Osamu

AU - Kambe, Haruka

AU - Niimi, Keiko

AU - Mochizuki, Satoshi

AU - Asada-Hirayama, Itsuko

AU - Minatsuki, Chihiro

AU - Ono, Satoshi

AU - Kodashima, Shinya

AU - Yamamichi, Nobutake

AU - Yamaji, Yutaka

AU - Fujishiro, Mitsuhiro

AU - Koike, Kazuhiko

PY - 2012/12

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N2 - Purpose: Evidences on diagnostic ability of esophagogastroduodenoscopy (EGD), CT, and endoscopic ultrasonography (EUS) for gastric submucosal tumor (SMT) are insufficient. For investigating a suitable diagnostic strategy, we retrospectively investigated diagnostic accuracy of EGD and CT for SMT, in comparison to EUS findings. Methods: Ninety-three consecutive lesions in which gastric SMT was suspected by EGD were investigated by EUS from March 2009 to June 2011, including 55 lesions evaluated also by CT 4 months before or after EUS. Frequency of possibly malignant SMTs as a detection rate of EGD, and sensitivity and specificity of CT in detection of SMT were retrospectively analyzed. Factors influencing the ability for CT to detect SMT were also investigated. Results: EUS revealed possibly malignant SMT in 60 cases (64.5%). In 32 out of 55 cases, possibly malignant SMT was suspected by CT. Sensitivity and specificity of CT was 80.6% and 84.2%, respectively. The mean size of possibly malignant SMT detected and not detected by CT was 27.4 and 11.0 mm, respectively, with a statistically significant difference (p = 0.0001). Conclusion: This study elucidated that approximately one-third of suspected SMTs by EGD might not need clinical care. EUS for suspected SMTs is indispensable for extracting possibly malignant SMTs from others, and CT may be insufficient as an alternative to EUS in detecting especially small ones.

AB - Purpose: Evidences on diagnostic ability of esophagogastroduodenoscopy (EGD), CT, and endoscopic ultrasonography (EUS) for gastric submucosal tumor (SMT) are insufficient. For investigating a suitable diagnostic strategy, we retrospectively investigated diagnostic accuracy of EGD and CT for SMT, in comparison to EUS findings. Methods: Ninety-three consecutive lesions in which gastric SMT was suspected by EGD were investigated by EUS from March 2009 to June 2011, including 55 lesions evaluated also by CT 4 months before or after EUS. Frequency of possibly malignant SMTs as a detection rate of EGD, and sensitivity and specificity of CT in detection of SMT were retrospectively analyzed. Factors influencing the ability for CT to detect SMT were also investigated. Results: EUS revealed possibly malignant SMT in 60 cases (64.5%). In 32 out of 55 cases, possibly malignant SMT was suspected by CT. Sensitivity and specificity of CT was 80.6% and 84.2%, respectively. The mean size of possibly malignant SMT detected and not detected by CT was 27.4 and 11.0 mm, respectively, with a statistically significant difference (p = 0.0001). Conclusion: This study elucidated that approximately one-third of suspected SMTs by EGD might not need clinical care. EUS for suspected SMTs is indispensable for extracting possibly malignant SMTs from others, and CT may be insufficient as an alternative to EUS in detecting especially small ones.

KW - Computed tomography

KW - Diagnostic ability

KW - Endoscopic ultrasonography

KW - Esophagogastroduodenoscopy

KW - Gastric submucosal tumor

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