Abstract
Objectives: To assess the value of 4D ultrasound in some gastric lesions; we practiced our method of gastric imaging to demonstrate some of gastric diseases, and compared to gastroscopic results. Methods: Using 4D Medison-Accuvix-XQ ultrasound machine. The study included 79 patients having full stomach with water after 12 hours food fasting. Results: For some patients with gastric troubles, 4D ultrasound provided an effective imaging evaluation. Many gastric diseases could be justified through 4D ultrasound, and correlated with the endoscopic findings for assessment of 4D ultrasound accuracy in this field. Diagnostic sensitivity of gastric ulcers, either at the gastric body or pyloric antrum proved 62.8%. The specificity of diagnosis of neoplastic involvement of the stomach was 96.3%. Other gastric lesions such as gastric polyposis or congestive erosive gastritis proved accuracy up to 78.4%. The mentioned figures were in comparison with the results of gastroscopy. One case of very small pyloric polyp could be demonstrated by 4D ultrasound and missed in gastroscopy. Conclusions: 4D ultrasound imaging of the stomach can be used to demonstrate some gastric lesions, showing fairly good diagnostic confidence. It can be used mainly for patient’s selection before gastroscopy. This gives us hope that our final goal—easy diagnosis of gastric diseases—can be achieved.
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