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Imaging strategies in the management of gastric cancer: current role and future potential of MRI.


ABSTRACT: Accurate preoperative staging of gastric cancer and the assessment of tumor response to neoadjuvant treatment is of importance for treatment and prognosis. Current imaging techniques, mainly endoscopic ultrasonography (EUS), computed tomography (CT) and 18F-fluorodeoxyglucose positron emission tomography (18F-FDG PET), have their limitations. Historically, the role of magnetic resonance imaging (MRI) in gastric cancer has been limited, but with the continuous technical improvements, MRI has become a more potent imaging technique for gastrointestinal malignancies. The accuracy of MRI for T- and N-staging of gastric cancer is similar to EUS and CT, making MRI a suitable alternative to other imaging strategies. There is limited evidence on the performance of MRI for M-staging of gastric cancer specifically, but MRI is widely used for diagnosing liver metastases and shows potential for diagnosing peritoneal seeding. Recent pilot studies showed that treatment response assessment as well as detection of lymph node metastases and systemic disease might benefit from functional MRI (e.g. diffusion weighted imaging and dynamic contrast enhancement). Regarding treatment guidance, additional value of MRI might be expected from its role in better defining clinical target volumes and setup verification with MR-guided radiation treatment.

SUBMITTER: Borggreve AS 

PROVIDER: S-EPMC6580902 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Imaging strategies in the management of gastric cancer: current role and future potential of MRI.

Borggreve Alicia S AS   Goense Lucas L   Brenkman Hylke J F HJF   Mook Stella S   Meijer Gert J GJ   Wessels Frank J FJ   Verheij Marcel M   Jansen Edwin P M EPM   van Hillegersberg Richard R   van Rossum Peter S N PSN   Ruurda Jelle P JP  

The British journal of radiology 20190305 1097


Accurate preoperative staging of gastric cancer and the assessment of tumor response to neoadjuvant treatment is of importance for treatment and prognosis. Current imaging techniques, mainly endoscopic ultrasonography (EUS), computed tomography (CT) and <sup>18</sup>F-fluorodeoxyglucose positron emission tomography (<sup>18</sup>F-FDG PET), have their limitations. Historically, the role of magnetic resonance imaging (MRI) in gastric cancer has been limited, but with the continuous technical impr  ...[more]

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