@article{Apisarnthanarak_Polsak_Suvannarerg_Rerkpichaisuth_Muangsomboon_Teerasamit_Pongpornsup_Apisarnthanarak_2023, title={The Utility of Preoperative CT Scans for the Differentiation of Mucinous versus Non-mucinous Colorectal Adenocarcinoma}, volume={23}, url={https://asianmedjam.com/index.php/amjam/article/view/1382}, abstractNote={&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Objectives:&amp;lt;/strong&amp;gt;     To assess the characteristics of mucinous versus non-mucinous colorectaladenocarcinoma by preoperative computed tomography (CT) scans.&amp;lt;/p&amp;gt;
&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Methods:        &amp;lt;/strong&amp;gt;A retrospective study was conducted over a 12-year, 6-month period for a comparative assessment of preoperative abdominal CT scans in 143 participants postoperatively confirmed with either mucinous (47 participants) or non-mucinous colorectal adenocarcinoma (96 participants). Two experienced abdominal radiologists separately conducted a blinded review of preoperative CT scans for tumor characterization. A stratified comparative analysis was performed.&amp;lt;/p&amp;gt;
&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Results:          &amp;lt;/strong&amp;gt;The mean tumor diameter and length were significantly greater in the mucinous group (p-value&amp;lt;em&amp;gt; &amp;amp;lt; &amp;lt;/em&amp;gt;0.001). The presence of heterogeneous enhancement and an area of hypoattenuation greater than two-thirds of the tumor volume were more frequently visualized in the mucinous group (p-value = 0.001 and p-value&amp;lt;em&amp;gt; &amp;amp;lt; &amp;lt;/em&amp;gt;0.001, respectively). Tumor characterization as a heterogeneous enhancement plus an area of hypoattenuation more than two-thirds of the tumor volume had diagnostic utility for mucinous adenocarcinoma with a sensitivity, specificity, and accuracy of 66.0%, 95.8%, and 86.0%, respectively.&amp;lt;/p&amp;gt;
&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Conclusions:  &amp;lt;/strong&amp;gt;Preoperative CT scans have potential for differentiation of mucinous versus non-mucinous colorectal adenocarcinoma.&amp;lt;/p&amp;gt;}, number={2}, journal={Asian Medical Journal and Alternative Medicine}, author={Apisarnthanarak, Piyaporn and Polsak, Sirudcha and Suvannarerg, Voraparee and Rerkpichaisuth, Vilasinee and Muangsomboon, Kobkun and Teerasamit, Wanwarang and Pongpornsup, Sopa and Apisarnthanarak, Anucha}, year={2023}, month={Aug.}, pages={129–138} }