CT GASTROGRAPHY AND ENTEROGRAPHY RETROSPECTIVE ANALYSIS: THICKENED DIAPHRAGM CRURA IS A FALSE INDICATION FOR A GASTRIC FUNDIC TUMOR

CT gastrography and enterography retrospective analysis: thickened diaphragm crura is a false indication for a gastric fundic tumor

CT gastrography and enterography retrospective analysis: thickened diaphragm crura is a false indication for a gastric fundic tumor

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ObjectivesTo mitigate the incidence of misdiagnosis and distinguish between gastric fundic tumors (GFTs) and thickened diaphragmatic crura (TDC).Materials and methodsComputed tomographic enterography (CTE) data 5 Piece King Poster Bedroom from 3844 cases and computed tomographic gastrography (CTG) data from 4351 cases were retrospectively analyzed.A total of 105 cases were selected and categorized into three groups: 47 cases with TDC examined via CTE, 31 with adenocarcinoma, and 27 with gastrointestinal stromal tumors (GIST) examined via CTG.Inter-group differences in age, sex distribution, mass dimensions, mass-stomach interface (MSI), chief complaints, gastric underlying diseases, and enhancement patterns were analyzed.

ResultsThe misdiagnosis rate of TDC as a tumor by radiologists is approximately 1.2% (47/3844).Age (p<0.05), sex ratio (p<0.

05), mean mass size (p<0.05), chief complaint (p<0.05) and mass-stomach interface (MSI, p<0.05) were significantly different among patients with GIST, adenocarcinoma and TDC.

The contrast enhancement pattern of TDC markedly differed from that observed in adenocarcinoma (p<0.05) and GIST (p<0.05) patients.ConclusionsMisdiagnosis of GFTs is occasionally and may be challenging to differentiate from TDC using CTE.

To drastically lower the chance Rugby - Balls of misdiagnosis, this research aimed to assist radiologists in identifying and considering the possibility of TDC.

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