Diffusion Weighted Magnetic Resonance Imaging for Preoperative Staging in Gastric Adenocarcinoma Patients
Use of Diffusion Weighted Magnetic Resonance Imaging to Stage Gastric Adenocarcinoma Patients Preoperatively
Preoperative staging for gastric adenocarcinoma is an important procedure to detect advanced disease stateS for the patients in which the surgery may be unnecessary to perform. Although there are many imaging techniques for this purpose, sensitivity and specificity of these techniques still remains to be low.Preoperative detection of peritoneal carcinomatosis and involvement of lymph nodes beyond D2 may prevent surgical procedures.
Removal of the determined lymph nodes according to the type of the surgery is the accepted surgical method. However, accurate determination of malignant lymph nodes may prevent dissection of some groups of the lymph nodes. These findings may cause a new definition of gastric lymph node dissection.
研究概览
详细说明
- proven endoscopic diagnosis of gastric adenocarcinoma
- for staging purposes, computed tomography for all patients
- evaluation of benign and malignant lymph nodes according to computed tomography findings and mapping of the lymph nodes
- to state precisely resectable patients according to computed tomography and anesthetic evaluation
- evaluation of benign and malignant lymph nodes according to diffusion weighted magnetic resonance imaging findings and mapping of the lymph nodes
- standard gastrectomy and D2 lymph node dissection
- mapping of the lymph nodes after taking the specimen out
- histopathological diagnosis of the lymph nodes and mapping
- comparison of the results taken from computed tomography, diffusion weighted magnetic resonance imaging and histopathological analysis
研究类型
注册 (实际的)
阶段
- 第一阶段早期
联系人和位置
学习地点
-
-
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Istanbul、火鸡、34093
- bezmialem vakif university faculty of medicine dept of general surgery
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- gastric adenocarcinoma proven by endoscopic biopsy;
- application of both computed tomography and diffusion weighted magnetic resonance imaging;
- standard gastrectomy and a D2 lymph node dissection;
- desire to attend the study protocol
Exclusion Criteria:
- preoperative neoadjuvant therapy;
- metastatic disease;
- undesired reaction to attend the study protocol
学习计划
研究是如何设计的？
设计细节
- 主要用途：诊断
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：diffusion MRI
histopathology of lymph nodes diagnosed by diffusion weighted magnetic resonance imaging
|
for diagnostic purposes, diffusion weighted magnetic resonance imaging in all patients
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
efficacy of diffusion weighted magnetic resonance imaging to detect benign and malignant lymph nodes
大体时间：one year
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to compare the radiologic diagnosis of benign and malignant lymph nodes with histopathological diagnosis
|
one year
|
合作者和调查者
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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