BACKGROUND: Endoscopic ultrasonography (EUS) is considered to be the most precise method for locoregional staging, was commonly used for differentiating @entity3137 from @entity75 . By contrast, computed tomography (CT) was used to detect the presence of distant @entity3 . Both are valuable tools for the pre-operative evaluation of @entity356 . With the introduction of new therapeutic options and the recent improvements in CT technology, further evaluation of the diagnostic accuracy of EUS and multidetector CT (MDCT) is needed. AIM: The present study was conducted to compare the staging accuracy of EUS with that of MDCT in series of @entity1 and to evaluate their usefulness in association with the clinicopathological factors. @entity1 AND METHODS: In total, 277 @entity1 with @entity1819 who underwent EUS and CT, hospitalized at Department of Gastroenterology and Hepatology, Clinical Center, University of Sarajevo. The results from the pre-operative EUS and MDCT were compared with the post-operative pathological findings. RESULTS: Among the 277 @entity1 , the overall accuracy of EUS and MDCT for T staging was 74.7% and 76.9%, respectively. Among the 141 @entity1 with visualized primary lesions on MDCT, the overall accuracy of EUS and MDCT for T staging was 61.7% and 63.8%, respectively. The overall accuracy for N staging was 66% and 62.8%, respectively. The performance of EUS and MDCT for large lesions and lesions at the cardia and angle had significantly lower accuracy than that of other groups. For EUS, the early @entity356 lesions with ulcerative changes had significantly lower accuracy than those without ulcerative changes. CONCLUSIONS: For the pre-operative assessment of individual T and N staging in @entity1 with @entity356 , the accuracy of MDCT was close to that of EUS. Both EUS and MDCT are useful complementary modalities for the locoregional staging of @entity356 .

XXXX -can we rely only on endoscopic ultrasonography?

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity1819 :: ('MESH:D013272', 'Disease') :: ['gastric lesions'] @entity75 :: ('MESH:D001927', 'Disease') :: ['submucosal lesions'] @entity3137 :: ('MESH:D009059', 'Disease') :: ['mucosal lesions'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer']
@entity356 :: (MESH:D013274,Disease) :: ['Gastric cancer']
