Table 2. Comparison of GIST imaging modality advantages and disadvantages.
Imaging modality | Advantages | Disadvantages |
---|---|---|
CT enterography | Identifies location of tumors, perforation, local invasion, metastasis, definitive diagnosis (CT-guided biopsy). Displays full thickness of small bowel and mesentery. Determines sensitivity to adjuvant therapy | – |
Abdominal ultrasound | Useful for visualization of tumors >5 cm in diameter | Inconsistent reliability in presence of necrosis, ulceration, and air in bowel. Variable efficacy due to operator skill |
Magnetic resonance imaging | Identifies location of tumors, perforation, local invasion, and metastasis | Does not display full thickness of small bowel and mesentery |
PET/CT combination imaging | GIST tumor staging, identifying areas of necrosis, differentiating benign vs. malignant tumors, determining sensitivity to adjuvant therapy. Better for imaging liver metastasis than CT alone | – |
GIST, gastrointestinal stromal tumor.