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62016

ROLE OF CONTRAST ENHANCED MULTIDETECTOR COMPUTED TOMOGRAPHY IN PRE-OPERATIVE LOCOREGIONAL EVALUATION OF COLONIC CARCINOMA

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Last updated: 22 Jan 2023

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Abstract

Background: Colorectal cancer is incredibly common. It represents the 4th leading cause of mortality and the second most common malignancy worldwide. With the advent of technological improvement, computed tomography (CT) became one of the important diagnostic tools in the evaluation of local characteristics, preoperative staging, and prognostic factors of colon cancer. Objective: In this study, we aimed to evaluate the role of contrast enhanced multidetector computed tomography (CEMDCT) in local staging of colorectal carcinoma (CRC). Patients and methods: MDCT was performed for 37 patients with pathologically proved CRC. All patients submitted to MDCT after IV nonionic iodinated intravenous contrast and oral and rectal positive or negative bowel opacification with water enema. The CEMDCT findings for each patient were recorded and correlated with operative and pathological findings as a reference standard. The sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy were calculated. Results: In the detection of extramural invasion, the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and diagnostic accuracy (DC) of CEMDCT were 89.5%, 77.8%, 81%, 87.5%, and 83.8% respectively. In the detection of lymph node status, the sensitivity, specificity, PPV, NPV, and AD were 88.9%, 78.9%, 80%, 68.2%, and 83.8%, respectively. In the detection of retroperitoneal surgical margin (RSM) involvement, the sensitivity was 75%, no false negative patient. Conclusion: CEMDCT is a sensitive tool in locoregional evaluation of colonic cancer.

DOI

10.12816/0034752

Keywords

Multidetector CT, opacification, Colorectal carcinoma, locoregional

Authors

First Name

Abdel Aziz

Last Name

K. Aun

MiddleName

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Affiliation

Radiology Department, Faculty of Medicine, Al-Azhar University, Cairo

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First Name

Eid

Last Name

R.Elgammal

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Affiliation

Oncosurgery Department, Faculty of Medicine, Al-Azhar University, Cairo

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Orcid

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First Name

Osama

Last Name

M. Mostafa

MiddleName

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Affiliation

Pathology Department, Faculty of Medicine, Al-Azhar University, Cairo

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Volume

45

Article Issue

4

Related Issue

8928

Issue Date

2016-10-01

Receive Date

2016-10-01

Publish Date

2016-10-01

Page Start

901

Page End

912

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_62016.html

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https://amj.journals.ekb.eg/service?article_code=62016

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21

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

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Article

Created At

22 Jan 2023