Li XL, Han PF, Wang W, Shao LW, Wang YW. Multi-slice spiral computed tomography in differential diagnosis of gastric stromal tumors and benign gastric polyps, and gastric stromal tumor risk stratification assessment. World J Gastrointest Oncol 2022; 14(10): 2004-2013 [PMID: 36310702 DOI: 10.4251/wjgo.v14.i10.2004]
Corresponding Author of This Article
Ying-Wei Wang, PhD, Attending Doctor, Diagnostic Radiology Department, The first medical center of PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. wangyw301@163.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Oct 15, 2022; 14(10): 2004-2013 Published online Oct 15, 2022. doi: 10.4251/wjgo.v14.i10.2004
Multi-slice spiral computed tomography in differential diagnosis of gastric stromal tumors and benign gastric polyps, and gastric stromal tumor risk stratification assessment
Xiao-Long Li, Peng-Fei Han, Wei Wang, Li-Wei Shao, Ying-Wei Wang
Xiao-Long Li, Peng-Fei Han, Wei Wang, Ying-Wei Wang, Diagnostic Radiology Department, The First Medical Center of PLA General Hospital, Beijing 100853, China
Li-Wei Shao, Pathology Department, The Seventh Medical Center of PLA General Hospital, Beijing 100700, China
Author contributions: Li XL and Han PF contributed equally to this article and should be considered as co-first authors; Li XL, Han PF and Wang YW wrote the paper; Li XL, Han PF and Shao LW were responsible for sorting the data.
Institutional review board statement: The study was reviewed and approved by the First Medical Center of PLA General Hospital.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors report no conflict of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ying-Wei Wang, PhD, Attending Doctor, Diagnostic Radiology Department, The first medical center of PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. wangyw301@163.com
Received: June 22, 2022 Peer-review started: June 22, 2022 First decision: July 12, 2022 Revised: July 18, 2022 Accepted: September 13, 2022 Article in press: September 13, 2022 Published online: October 15, 2022
ARTICLE HIGHLIGHTS
Research background
The malignant tendency and complex features of gastric stromal tumors (GSTs) seriously threaten human health.
Research motivation
Multi-slice spiral computed tomography (MSCT) is widely used in clinical practice. We try to apply it in the differential diagnosis and risk stratification of GSTs and benign gastric polyps, hoping to obtain valuable clues that can guide the clinical practice.
Research objectives
This study aimed to clarify the manifestations of GSTs and benign gastric polyps in multi-slice computed tomography, including diagnostic value and risk stratification.
Research methods
The differences and risk stratification characteristics of MSCT imaging parameters and contrast-enhanced CT between patients with GST confirmed by pathological examination after surgery and patients with benign gastric polyps were retrospectively analyzed.
Research results
There are significant differences in MSCT characteristics and enhancement characteristics between GST and gastric polyps, and the MSCT characteristics and enhancement characteristics of GST in different risk stratifications are also different. MSCT has higher value in the identification and risk stratification of GST and gastric polyps.
Research conclusions
Preoperative application of MSCT to distinguish GST from benign gastric polyps is of high value, and it is also feasible to classify the risk level of GST patients.
Research perspectives
We recommend preoperative MSCT to distinguish GST from benign gastric polyps and to classify GST patients at risk.
