Original Article

Staging of rectal carcinoma: MDCT, MRI or EUS. Single center experience

Volume 25 · Issue 6 Publish Date: December 15, 2014
Orhan Kocaman Birol Baysal Hakan Şentürk Ali Tüzün İnce Mahmut Müslümanoğlu Ercan Kocakoç Sema Arıcı Ömer Uysal Kemal Yıldız Kürşat Türkdoğan Ahmet Danalıoğlu
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Published In

Turkish Journal of Gastroenterology

Volume 25 · Issue 6

Pages: 669-673

History

Published Online: December 15, 2014

Copyright © 2014 Orhan Kocaman, Birol Baysal, Hakan Şentürk, Ali Tüzün İnce, Mahmut Müslümanoğlu, Ercan Kocakoç, Sema Arıcı, Ömer Uysal, Kemal Yıldız, Kürşat Türkdoğan, Ahmet Danalıoğlu

Orhan Kocaman
Department of Gastroenterology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey
Birol Baysal
Department of Gastroenterology, Bezmialem Vakıf University, İstanbul, Turkey
Hakan Şentürk
Department of Gastroenterology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey
Ali Tüzün İnce
Department of Gastroenterology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey
Mahmut Müslümanoğlu
Department of General Surgery, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey
Ercan Kocakoç
Department of Radiology, Bezmialem University Faculty of Medicine, İstanbul, Turkey
Sema Arıcı
Department of Pathology, Bezmialem University Faculty of Medicine, İstanbul, Turkey
Ömer Uysal
Department of Biostatistics, Bezmialem Vakıf University, Faculty of Medicine, İstanbul, Turkey
Kemal Yıldız
Department of Gastroenterology, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey
Kürşat Türkdoğan
Department of Gastroenterology, Bezmialem University Faculty of Medicine, İstanbul, Turkey
Ahmet Danalıoğlu
Department of Internal Medicine, Division of Gastroenterology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey
Kocaman, O., Baysal, B., Şentürk, H., İnce, A. T., Müslümanoğlu, M., Kocakoç, E., … Danalıoğlu, A. (2014). Staging of rectal carcinoma: MDCT, MRI or EUS. Single center experience. Turkish Journal of Gastroenterology, 25(6), 669–673. https://doi.org/10.5152/tjg.2014.6214
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Abstract

Abstract Background/Aims: To retrospectively compare the efficacy of multidetector computed tomography (MDCT), magnetic resonance imaging (MRI) and endosonography (EUS) in the staging of rectal carcinoma. Materials and Methods: A total of 50 patients (36 male, 14 female) were included in the study. The data from surgical staging were used as reference for comparing the yield of EUS, MRI, and MDCT in preoperative T and N staging of rectal carcinoma. Comparisons were based on the chi-square test. Results: The mean age+SD of the patients were 60±12 years (range; 28-80). The distribution of rectal tumors according to the T and N staging in surgical pathology was as following: T1 (n:2), T2 (n:15), T3 (n:22), T4 (n:11); N0 (n:22), N1-2 (n:28). The accuracy rate of EUS was statistically higher than that of MDCT (92% vs 64%; p<0.01) and that of MRI (92% vs 72%; p<0.01) for T2 tumors. For T3 tumors, EUS had statistically better accuracy of staging compared to MDCT (90% vs 58%; p<0.01) and MRI (90% vs 60%; p<0.01). As for T4 tumors, the accuracy rate of EUS was higher compared to MRI (98% vs 80%; p<0.01). There was no statistical difference in accuracy rates for detection of lymph nodes across the modalities (EUS, 84%; MDCT 76%; MRI 70%; p=not significant). Conclusion: EUS appears more accurate in T staging compared to MDCT and MRI in rectal carcinoma. Regarding nodal staging, performance of EUS, MDCT and MRI are similar.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 25 · Issue 6
Pages 669-673
DOI 10.5152/tjg.2014.6214
History
Published Online December 15, 2014
Copyright
Copyright (c) 2014 Orhan Kocaman, Birol Baysal, Hakan Şentürk, Ali Tüzün İnce, Mahmut Müslümanoğlu, Ercan Kocakoç, Sema Arıcı, Ömer Uysal, Kemal Yıldız, Kürşat Türkdoğan, Ahmet Danalıoğlu
Affiliations
Orhan Kocaman
Department of Gastroenterology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey
Birol Baysal
Department of Gastroenterology, Bezmialem Vakıf University, İstanbul, Turkey
Hakan Şentürk
Department of Gastroenterology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey
Ali Tüzün İnce
Department of Gastroenterology, Bezmialem Vakıf University Faculty of Medicine, İstanbul, Turkey
Mahmut Müslümanoğlu
Department of General Surgery, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey
Ercan Kocakoç
Department of Radiology, Bezmialem University Faculty of Medicine, İstanbul, Turkey
Sema Arıcı
Department of Pathology, Bezmialem University Faculty of Medicine, İstanbul, Turkey
Ömer Uysal
Department of Biostatistics, Bezmialem Vakıf University, Faculty of Medicine, İstanbul, Turkey
Kemal Yıldız
Department of Gastroenterology, Bezmialem Vakif University Faculty of Medicine, İstanbul, Turkey
Kürşat Türkdoğan
Department of Gastroenterology, Bezmialem University Faculty of Medicine, İstanbul, Turkey
Ahmet Danalıoğlu
Department of Internal Medicine, Division of Gastroenterology, Bezmialem Vakıf University School of Medicine, İstanbul, Turkey
Cite this Article
Kocaman, O., Baysal, B., Şentürk, H., İnce, A. T., Müslümanoğlu, M., Kocakoç, E., … Danalıoğlu, A. (2014). Staging of rectal carcinoma: MDCT, MRI or EUS. Single center experience. Turkish Journal of Gastroenterology, 25(6), 669–673. https://doi.org/10.5152/tjg.2014.6214
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