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Advanced Gastric Cancer: Differentiation of Borrmann Type IV versus Borrmann Type III by Two-Phased Dynamic Multi-Detector Row CT with Use of the Water Filling Method

Other Titles
 진행성 위암: 물을 경구조영제로 사용한 역동적 CT 검사에서 Borrmann 제4형과 제3형 간의 감별 
 Dae Jung Kim  ;  Jeong-Sik Yu  ;  Sang Min Lee  ;  Hae Youn Kang  ;  Joo Hee Kim  ;  Jae-Joon Chung  ;  Ki Whang Kim 
 Journal of the Korean Society of Radiology, Vol.68(2) : 117-124, 2013 
Journal Title
Journal of the Korean Society of Radiology(대한영상의학회지)
Issue Date
Borrmann Type IV ; Gastric Cancer ; Computed Tomography
Purpose: To characterize Borrmann type IV from Borrmann type III advanced gastric cancer (AGC) by two-phased multi-detector row computed tomography (MDCT) using the water filling method.
Materials and Methods: A total of 143 patients (pathologically confirmed Borrmann type III and IV - 100 and 43 patients), who underwent preoperative MDCT, were enrolled. Two radiologists, retrospectively and independently, determined tumor enhancement pattern using a 5-grade scale without clinical information. A weighted kappa test was applied for interobserver variability. The score of tumor enhancement pattern correlated with Borrmann type as determined by Spearman’s correlation coefficient. The accuracy of differentiation of Borrmann type using MDCT was determined by receiver operating characteristic curves.
Results: Interobserver agreement (weighted kappa = 0.683) was substantial. The tumor enhancement pattern score showed a significant correlation with Borrmann type (reviewer 1, r = 0.591, p < 0.001; reviewer 2, r = 0.616, p < 0.001). The accuracy for differentiation of Borrmann type on MDCT was 0.86 (p < 0.001) in both reviewers. The sensitivity and specificity of the diagnosis of Borrmann type IV were 79% and 82% in reviewer 1, and 88% and 78% in reviewer 2, respectively.
Conclusion: Dual-phased MDCT using the water filling method can differentiate between Borrmann type IV and III AGC with high accuracy.
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1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Kim, Dae Jung(김대중)
Kim, Joo Hee(김주희) ORCID logo https://orcid.org/0000-0001-5383-3602
Yu, Jeong Sik(유정식) ORCID logo https://orcid.org/0000-0002-8171-5838
Lee, Sang Min(이상민)
Chung, Jae Joon(정재준) ORCID logo https://orcid.org/0000-0002-7447-1193
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