Informative value of ultrasound examination in the syndrome of infiltration and stomach wall diffuse thickening

UDC: 616.33-006.6-073.43
BBC: Р569.433.2-439

Diomidova V., Vinogradova V.

Informative value of ultrasound examination in the syndrome of infiltration and stomach wall diffuse thickening

Keywords: stomach, infiltration, stomach wall diffuse thickening, multi-parametric ultrasonic examination, cancer

The aim of the study was to determine the diagnostic informative value of multi-parametric ultrasonic examination in the syndrome of infiltration and stomach wall diffuse thickening. The work is based on ultrasound gastric studies of 311 patients examined at Budgetary Institution «Municipal clinical hospital № 1» of Chuvashia Public Health Ministry The median age value of patients examined was 53 years (min – 14 years; max – 81 years). Among patients in all age categories men predominated – 170 (54,7%) – over women – 141 (39,5%). The following diagnostic methods were used: in all patients – multi-parametric ultrasonic examination, in patients by medical reasons – magnetic-resonance tomography examinations (MRI) and computer tomography (CT) studies. Multi-parametric ultrasonic gastric examination was performed using scanners Aixplorer (Supersonic Imagine, France) and Ascuvix V10 and Ascuvix V20 (Medison, South Korea). Data obtained were processed by standard methods of medical statistics; at p ≤ 0,05 values were considered to be significant (reliability of ultrasound examination was confirmed by histomorphological studies of endoscopic biopsy and postoperative materials). Visual diagnostic ultrasound images of disorders in the syndrome of infiltration and stomach wall diffuse thickening depend on pathological nature: infiltrative-erosive (66,5±3,9), infiltrative-ulcerative with infiltrative component predominance (84,7±4,4) and those with ulcerative component predominance (38,1±3,9), diffuse-infiltrative disorders (29,6±4,1, p < 0,05). Data of the study make it possible to recognize advisability of using the method of multi-parametric ultrasonic gastric examination through transabdominal approach for detecting the syndrome of infiltration and stomach wall diffuse thickening in the algorithm of other diagnostic examination methods when conducting differential diagnosis between neoplastic and inflammatory gastric pathology.

References

Agababyan T.Ya. Diagnostika vneorgannogo rasprostraneniya raka zheludka (kategoriya T) metodom komp’yuternoĭ tomografii: analiz oshibok [Evaluation of Local Spread of Gastric Cancer (T Staging) with Computed Tomography: Analysis of Mistakes]. Meditsinskaya vizualizatsiya [Medical Visualization], 2012, no. 3, pp. 33–40.
Akberov R.F., Zyyatdinov K.Sh., Mikhailov M.K., Yakhin M.M., Nurgaliev R.G., Sakhapova L.R., Safiullina L.R., Diomidova V.N., Utkel’baev R.I. Kompleksnaya kliniko-luchevaya diagnostika zabolevanii, funktsional’nykh narushenii, porokov razvitiya i opukholevykh porazhenii pishchevoda, zheludka i piloroduodenal’noi zony [Complex clinical and radiation diagnosis of diseases, functional disorders, malformations and neoplastic lesions of the esophagus, stomach and pyloroduodenal zone]. Naberezhnye Chelny, 2010.
Diomidova V.N. Vizual’naya kharakteristika neizmenennogo i operirovannogo zheludka pri ul’trazvukovom issledovanii [Visual Characteristic of Unaltered and Operated Stomach with the Help of Ultrasound Research]. Meditsinskaya vizualizatsiya [Medical Visualization], 2015, 4, pp. 46–55.
Diomidova V.N. Ul’trazvukovaya angiografiya i otsenka opukholevoi invazii sosudov pri rake zheludka [Ultrasonic angiography and assessment of tumor invasion of blood vessels in gastric cancer]. Vestnik Chuvashskogo universiteta, 2007, no. 2, pp. 72–78.
Diomidova V.N. Ul’trasonografiya v diagnostike opukholei zheludka: avtoref. dis. … kand. med. nauk [Ultrasonography in the diagnosis of tumors of the stomach: abstract of Ph.D. thesis]. Kazan, 1999.
Diomidova V.N., Saifieva S.Kh. Vozmozhnosti mul’tiparametricheskogo ul’trazvukovogo issledovaniya pri gastroduodenal’nykh yazvakh [Possibilities of Multiparametrical Ultrasonic Research at Gastroduodenal Ulcers]. Meditsinskaya vizualizatsiya [Medical Visualization], 2016, 1, pp. 86–93.
Diomidova V.N., Saifieva S.Kh. Diagnosticheskoe izobrazhenie (diagnostic imaging) zheludka i dvenadtsatiperstnoi kishki pri mul’tiparametricheskom ul’trazvukovom issledovanii [Diagnostic imaging of stomach and duodenum in multiparameter ultrasound examinatin]. Acta Medica Eurasica, 2016, no. 2, pp. 5–11. URL: http://acta-medica-eurasica.ru/single/2016/2/2.
Dolgushin B.I., Tyurin I.E. Sovremennoe sostoyanie i perspektivy razvitiya luchevoi diagnostiki v onkologii [Current state and prospects of development in Oncology]. Meditsinskaya vizualizatsiya [Medical Visualization], 2009, special issue, pp. 7–10.
Lemeshko Z.A., Osmanova Z.M. Ul’trazvukovaya diagnostika zabolevanii zheludka [Ultrasound diagnosis of diseases of the stomach]. Moscow, GEOTAR-Media Publ., 2014, 80 p.
Mitina L.A., Kazakevich V.I., Stepanov S.O. Nado li provodit’ ul’trazvukovoe issledovanie pri rake zheludka dlya utochneniya mestnoi rasprostranennosti protsessa? [Should we do ultrasonic examination for assessment of the local prevalence of tumor process in patient with stomach cancer?]. Luchevaya diagnostika i terapiya [Diagnostic radiology and radiotherapy], 2013, no. 3(4), pp. 40–45.
Shanazarov N.A., Mashkin A.M., Sagandykov Zh.K., Midlenko A.A. Rak zheludka. Epidemiologicheskie osobennosti na sovremennom etape [Worldwide epidemiology of gastric cancer]. Sovremennye problemy nauki i obrazovaniya [Modern problems of science and education], 2014, no. 4. URL: https://www.science-education.ru/ru/article/view?id=13863.
Shakhov B.E., Voropaeva L.A., Diomidova V.N., Valeeva O.V. Ispol’zovanie rezhimov ob”emnogo mnogoploskostnogo skanirovaniya pri ekhografii zheludka [Use of multidimensional scanning within stomach echography]. Meditsinskii al’manakh [Medical Almanac], 2011, no. 2, pp. 42–44.
Shakhov B.E., Voropaeva L.A., Diomidova V.N., Mel’nikov S.N. Ispol’zovanie usovershenstvovannykh tekhnologii magnitno-rezonansnoi tomografii v issledovanii zheludka [The use of the improved technologies of magnetic resonance tomography in the examination of stomach]. Meditsinskii al’manakh [Medical Almanac], 2010, no. 4, pp. 277–280.
Cidon E.U., Cuenca I.J. Gastric adenocarcinoma: is computed tomography useful in preoperative staging? Med. Oncol., 2009, vol. 3, pp. 91–97.

About authors

Diomidova Valentina N.: Doctor of Medical Sciences, Professor, Head of the Department of Propaedeutics of Internal Diseases with a Course of Radiation Diagnostics, Chuvash State University; Head of the Department of Ultrasound Diagnostics, City Clinical Hospital № 1, Russia, Cheboksary (diomidovavn@rambler.ru; ORCID: https://orcid.org/0000-0002-3627-7971)

Vinogradova Valentina Sergeevna: obstetrics and gynecology department graduate student, Chuvash State University, Russia, Cheboksary )

Article link

Diomidova V., Vinogradova V. Informative value of ultrasound examination in the syndrome of infiltration and stomach wall diffuse thickening [Electronic resource] // Acta medica Eurasica. – 2017. – №4. P. 9-15. – URL: https://acta-medica-eurasica.ru/en/single/2017/4/2/.

Single article

Diomidova V., Vinogradova V.