Upper GI 2017

MDCT – M staging

• Detection of hepatic mets: • sens 88%, spec 99%*. • Detection of peritoneal disease • No ascites: sens 30% † • In presence of ascites: • Sens 51%, Spec 97%* • Laparoscopy for potentially operable patients

* Yajima, K., T. Kanda, et al. (2006). Am J Surg 192 (2): 185-90. †D'Elia, F., A. Zingarelli, et al. (2000). Eur Radiol 10 (12): 1877-85.