Mouri 2009.

Study characteristics
Patient sampling	Retrospective study
Patient characteristics and setting	Sample size: 222. Age (mean): 66 yrs. Gender: 174 men Patients diagnosed with gastric cancer (any site) and undergoing surgery or endoscopic mucosal resection Spectrum: T1a ‐ T1b cases enrolled
Index tests	Index test: EUS; array: radial; frequency (MHz): 12 ‐ 20; criterion for T‐stage definition: EUS‐based 5‐layer structure of gastric wall
Target condition and reference standard(s)	Target conditions: gastric carcinoma 1) T1a (148/191) vs T1b Reference standard: pathology evaluation of surgical specimen (or endoscopic mucosal resection) Reference and index test completely independent
Flow and timing	No withdrawal reported 31 uninterpretable cases reported All cases verified by reference standard test
Comparative
Notes	Country: Japan Relevant clinical information: same clinical data available for test results interpretation as those available when test used in practice
Methodological quality
Item	Authors' judgement	Risk of bias	Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled?	Unclear
Was a case‐control design avoided?	Yes
Did the study avoid inappropriate exclusions?	Yes
		Unclear	Unclear
DOMAIN 2: Index Test All tests
Were the index test results interpreted without knowledge of the results of the reference standard?	Yes
If a threshold was used, was it pre‐specified?	Yes
		Low	Low
DOMAIN 3: Reference Standard
Is the reference standards likely to correctly classify the target condition?	Yes
Were the reference standard results interpreted without knowledge of the results of the index tests?	Unclear
		Unclear	Unclear
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard?	Unclear
Did all patients receive the same reference standard?	Yes
Were all patients included in the analysis?	No
		High