Thickening of the gastric wall on transabdominal sonography

A sign of gastric cancer

Tae Suk Ki, Wook Lim Dae, Moonyoung Kim, Hun Park Dong, Hong Kim Kyu, Min Kim Jung, Woo Kim Jae, Soo Kim Hyun, Ok Kwon Sang, Soonkoo Baik, Jin Park Sung

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Purpose. To determine the value of a thickened gastric wall detected during transabdominal sonography (TAS) in the diagnosis of gastric cancer. Method. This prospective study comprised 312 patients who underwent both TAS and endoscopy. Transverse TAS scanning was performed using a 3.5-MHz curved transducer to measure gastric wall thickness in the antrum and body of the stomach. Based on endoscopic and histologic findings, we classified the patients into 3 groups: normal or benign disease (BD), early gastric cancer (EGC), and advanced gastric cancer (AGC). TAS findings were then compared. Results. The thickness of the gastric wall was 4.9 ± 1.6 mm in 262 patients with BD, 5.6 ± 2.4 mm in 21 patients with EGC, and 10.3 ± 4.7 mm in 29 patients with AGC (p < 0.01). A gastric wall thickness of greater than 7 mm had a 75.0% sensitivity, 92.6% specificity, 50.0% positive predictive value, and 97.4% negative predictive value in the diagnosis of AGC. Conclusion. Although not suitable as a screening method for gastric cancer, a thickening of the gastric wall of >7 mm may be a marker for AGC.

Original languageEnglish
Pages (from-to)462-466
Number of pages5
JournalJournal of Clinical Ultrasound
Volume36
Issue number8
DOIs
Publication statusPublished - 2008 Oct 1

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Stomach Neoplasms
Ultrasonography
Stomach
Transducers
Endoscopy
Prospective Studies

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Ki, T. S., Dae, W. L., Kim, M., Dong, H. P., Kyu, H. K., Jung, M. K., ... Sung, J. P. (2008). Thickening of the gastric wall on transabdominal sonography: A sign of gastric cancer. Journal of Clinical Ultrasound, 36(8), 462-466. https://doi.org/10.1002/jcu.20450
Ki, Tae Suk ; Dae, Wook Lim ; Kim, Moonyoung ; Dong, Hun Park ; Kyu, Hong Kim ; Jung, Min Kim ; Jae, Woo Kim ; Hyun, Soo Kim ; Sang, Ok Kwon ; Baik, Soonkoo ; Sung, Jin Park. / Thickening of the gastric wall on transabdominal sonography : A sign of gastric cancer. In: Journal of Clinical Ultrasound. 2008 ; Vol. 36, No. 8. pp. 462-466.
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abstract = "Purpose. To determine the value of a thickened gastric wall detected during transabdominal sonography (TAS) in the diagnosis of gastric cancer. Method. This prospective study comprised 312 patients who underwent both TAS and endoscopy. Transverse TAS scanning was performed using a 3.5-MHz curved transducer to measure gastric wall thickness in the antrum and body of the stomach. Based on endoscopic and histologic findings, we classified the patients into 3 groups: normal or benign disease (BD), early gastric cancer (EGC), and advanced gastric cancer (AGC). TAS findings were then compared. Results. The thickness of the gastric wall was 4.9 ± 1.6 mm in 262 patients with BD, 5.6 ± 2.4 mm in 21 patients with EGC, and 10.3 ± 4.7 mm in 29 patients with AGC (p < 0.01). A gastric wall thickness of greater than 7 mm had a 75.0{\%} sensitivity, 92.6{\%} specificity, 50.0{\%} positive predictive value, and 97.4{\%} negative predictive value in the diagnosis of AGC. Conclusion. Although not suitable as a screening method for gastric cancer, a thickening of the gastric wall of >7 mm may be a marker for AGC.",
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Ki, TS, Dae, WL, Kim, M, Dong, HP, Kyu, HK, Jung, MK, Jae, WK, Hyun, SK, Sang, OK, Baik, S & Sung, JP 2008, 'Thickening of the gastric wall on transabdominal sonography: A sign of gastric cancer', Journal of Clinical Ultrasound, vol. 36, no. 8, pp. 462-466. https://doi.org/10.1002/jcu.20450

Thickening of the gastric wall on transabdominal sonography : A sign of gastric cancer. / Ki, Tae Suk; Dae, Wook Lim; Kim, Moonyoung; Dong, Hun Park; Kyu, Hong Kim; Jung, Min Kim; Jae, Woo Kim; Hyun, Soo Kim; Sang, Ok Kwon; Baik, Soonkoo; Sung, Jin Park.

In: Journal of Clinical Ultrasound, Vol. 36, No. 8, 01.10.2008, p. 462-466.

Research output: Contribution to journalArticle

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T1 - Thickening of the gastric wall on transabdominal sonography

T2 - A sign of gastric cancer

AU - Ki, Tae Suk

AU - Dae, Wook Lim

AU - Kim, Moonyoung

AU - Dong, Hun Park

AU - Kyu, Hong Kim

AU - Jung, Min Kim

AU - Jae, Woo Kim

AU - Hyun, Soo Kim

AU - Sang, Ok Kwon

AU - Baik, Soonkoo

AU - Sung, Jin Park

PY - 2008/10/1

Y1 - 2008/10/1

N2 - Purpose. To determine the value of a thickened gastric wall detected during transabdominal sonography (TAS) in the diagnosis of gastric cancer. Method. This prospective study comprised 312 patients who underwent both TAS and endoscopy. Transverse TAS scanning was performed using a 3.5-MHz curved transducer to measure gastric wall thickness in the antrum and body of the stomach. Based on endoscopic and histologic findings, we classified the patients into 3 groups: normal or benign disease (BD), early gastric cancer (EGC), and advanced gastric cancer (AGC). TAS findings were then compared. Results. The thickness of the gastric wall was 4.9 ± 1.6 mm in 262 patients with BD, 5.6 ± 2.4 mm in 21 patients with EGC, and 10.3 ± 4.7 mm in 29 patients with AGC (p < 0.01). A gastric wall thickness of greater than 7 mm had a 75.0% sensitivity, 92.6% specificity, 50.0% positive predictive value, and 97.4% negative predictive value in the diagnosis of AGC. Conclusion. Although not suitable as a screening method for gastric cancer, a thickening of the gastric wall of >7 mm may be a marker for AGC.

AB - Purpose. To determine the value of a thickened gastric wall detected during transabdominal sonography (TAS) in the diagnosis of gastric cancer. Method. This prospective study comprised 312 patients who underwent both TAS and endoscopy. Transverse TAS scanning was performed using a 3.5-MHz curved transducer to measure gastric wall thickness in the antrum and body of the stomach. Based on endoscopic and histologic findings, we classified the patients into 3 groups: normal or benign disease (BD), early gastric cancer (EGC), and advanced gastric cancer (AGC). TAS findings were then compared. Results. The thickness of the gastric wall was 4.9 ± 1.6 mm in 262 patients with BD, 5.6 ± 2.4 mm in 21 patients with EGC, and 10.3 ± 4.7 mm in 29 patients with AGC (p < 0.01). A gastric wall thickness of greater than 7 mm had a 75.0% sensitivity, 92.6% specificity, 50.0% positive predictive value, and 97.4% negative predictive value in the diagnosis of AGC. Conclusion. Although not suitable as a screening method for gastric cancer, a thickening of the gastric wall of >7 mm may be a marker for AGC.

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