Imaging Technology

Strengths

weaknesses

Endoscopy

Biopsy is the gold standard for diagnosis, Endoscopy can visually observe the lesions and take biopsies.

When the lesion grows in the submucosa, it is prone to false negatives, leading to missed diagnosis.

Endoscopic ultrasound

It can improve the accuracy of biopsy, and is the preferred method for local stage, which can be used for follow-up evaluation

Residual lesions are often overestimated in follow-up and in determining recurrence

CT

Evaluates not only gastric lesions but also perigastric lymph nodes and adjacent tissue and organ involvement

CT is usually unable to display lymphoma confined to the mucosa

MRI

Disease diagnosis and efficacy evaluation can be conducted through structural and functional information provided by DWI

Not suitable for patients with metal implants and claustrophobia

PET/CT

Combining the advantages of morphological and functional imaging, it is widely used in the diagnosis, staging, efficacy evaluation, and recurrence detection.

MALT lymphoma may exhibit false negative results, while physiological uptake and inflammation may exhibit false positive results

PET/MRI

Not inferior to PET/CT performance and far lower radiation levels than PET/CT

Failure to widely apply due to long inspection time and high use and maintenance costs

Transabdominal ultrasound

It is a convenient, non-invasive, radiation free diagnostic method and a reasonable method for patients who require continuous monitoring, especially for patients who are not suitable for endoscopic ultrasound, such as the elderly

The value of transabdominal ultrasound for gastric lymphoma is still not clear enough because there are few domestic and international studies.