ISSN: 1859 - 2872
Studying the value of multi-detector row computed tomography in diagnosing the stage of disease and prognosing the possibility of surgical resection of periampullary tumors
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Abstract
Objective: To study the value of multi-detector row computed tomography in diagnosing the stage of disease and prognosing the possibility of surgical resection of periampullary tumors. Subject and method: A retrospective, prospective and descriptive study was carried out on 79 patients with clinically suspected periampullary tumors, underwent surgery and had pathological results, from May 2017 to February 2021 at 108 Military Central Hospital. Result: The accuracy of computed tomography (CT) in diagnosing periampullary tumors was 93.7%. CT was highly consistent with histopathological results in diagnosing tumor location of periampullary tumors with Kappa coefficient: 0.73. CT was highly consitent with surgery in assessing vascular invasion of periampullary tumors (Kappa coefficient: 0.871). CT was moderately consistent with histopathological results in assessing local invasion of periampullary tumors (Kappa coefficient: 0.423). Diagnosis of lymph node metastasis and disease stage of CT were moderately consistent with histopathological results with Kappa coefficient 0.417 and 0.405, respectively. Conclusion: Multi-detector row CT, collated to surgery and pathological results, is highly valuable in in diagnosing the stage of disease and prognosing the possibility of surgical resection of periampullary tumors.
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