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发表一篇学和医学成像类SCI论文
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Abstract:
BACKGROUND: Endoscopic ultrasound (EUS) and fine-needle aspiration (FNA) are potential tools for the detection of residual disease after neoadjuvant chemoradiotherapy (nCRT) for esophageal cancer. This study investigated yield of EUS and FNA for detection of malignant lymph nodes (LNs) after nCRT. METHODS: This was a post hoc analysis of the preSANO trial. EUS was performed 10 - 12 weeks after nCRT. 18F-fluorodeoxyglucose positron emission tomography - computed tomography (18F-FDG PET-CT) was used to guide targeting of suspicious LNs. Consecutive FNA sampling was performed for suspicious LNs identified on EUS and/or PET-CT. EUS nodal staging was compared with histopathological examination of the resection specimen. The primary outcome was the proportion of correctly identified patients with malignant LNs by radial EUS. RESULTS: 101 consecutive patients were included: 79 patients had no malignant LNs, of whom 62 were classified correctly by EUS (specificity 78 %); 22 patients had malignant LNs, of whom 11 were identified (sensitivity 50 %). Six of these patients had ≥ 1 suspicious LN not fulfilling EUS criteria (round, hypoechogenic, > 5 mm). Malignant LNs in falsely negative patients were predominantly located at distal LN stations. Specificity and sensitivity of conclusive FNA outcomes were 100 % (7/7) and 75 % (3/4), respectively. FNA outcome was uncertain in eight patients, half of whom appeared to have malignant LNs. CONCLUSIONS: EUS only detected 50 % of patients with malignant LNs 10 - 12 weeks after nCRT. To optimize sensitivity and minimize the risk of missing residual disease, FNA of LNs should be performed even in cases of low endosonographic suspicion.
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最新影响因子:9.776 | 期刊ISSN:0013-726X | CiteScore:1.49 |
出版周期:Monthly | 是否OA:YES | 出版年份:1969 |
期刊官方网址:http://endoscopy.thieme.com/
自引率:9.50% | 研究方向:医学-外科 |
出版地区:GERMANY |
SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)
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这是关于胃肠内窥镜检查国际发展的首要期刊,对于帮助临床医生了解全球进展至关重要。 从最高质量的评论文章和原始贡献——到最重要的国家和国际会议的快速,深入的报道——到有价值的诊断和治疗进展调查,内窥镜检查每年涵盖了九个信息包装问题的领域。 此外,内镜检查每两年发布一次对前两年期内发表的诊断和治疗内窥镜检查文献的完整评论,这是一个独特的特性,值得订阅!
大类(学科) | 小类(学科) | 学科排名 |
医学 |
SURGERY (外科) 2区 GASTROENTEROLOGY & HEPATOLOGY (胃肠肝病学) 1区 |
11/80 5/200 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
107 | 104 | 3 |
引文计数(2018)
文献(2015-2017)
2584次引用
1730篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Gastroenterology
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#68/128
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研究方向:临床内镜
审稿时间: 2个月内 接受率: 比较困难(25%命中)
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研究方向:医药科学 消化系统 消化系统发育异常
审稿时间: 1个月内
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研究方向:内镜
影响因子:13.029
ISSN:1522-8517
研究方向:医学-临床神经学
影响因子:4.506
ISSN:0167-594X
研究方向:医学-临床神经学
影响因子:7.723
ISSN:2162-402X
研究方向:ONCOLOGYIMMUNOLOGY-IMMUNOLOGY
影响因子:4.912
ISSN:1524-9557
研究方向:医学-免疫学
影响因子:12.02
ISSN:2326-6066
研究方向:ONCOLOGY-IMMUNOLOGY
影响因子:3.698
ISSN:1750-9378
研究方向:ONCOLOGY-IMMUNOLOGY
影响因子:6.63
ISSN:0340-7004
研究方向:医学-免疫学
影响因子:3.077
ISSN:1534-7354
研究方向:医学-全科医学与补充医学
影响因子:0
ISSN:1868-8497
研究方向:ONCOLOGY-ENDOCRINOLOGY & METABOLISM
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