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The role of computed tomography (CT) scanning as a diagnostic tool for predicting submucosal invasion in early gastric cancer (EGC) remains controversial. However, few studies have examined the accuracy of CT scanning for predicting submucosal invasion in EGC patients after endoscopic submucosal dissection (ESD). This study aimed to retrospectively assess the accuracy of post-ESD CT scans for predicting submucosal invasion in patients with EGC. We identified 73 patients with EGC who had undergone ESD at our institution from April 2011 to October 2014. Post-ESD CT scans were performed on the same day of ESD, and the presence of submucosal invasion was determined by two endoscopists. Submucosal invasion was defined as a positive finding when the depth of submucosal invasion exceeded the muscularis mucosa. The overall accuracy of CT scans was 62.9% (47/73) for the diagnosis of submucosal invasion. Among 47 patients with post-ESD CT scan-predicted submucosal invasion, submucosal invasion was confirmed pathologically in 38 cases. The sensitivity, specificity, positive predictive value and negative predictive value of CT scans were 88.4%, 36.1%, 90.0% and 32.6%, respectively. This study demonstrates that post-ESD CT scans could predict submucosal invasion in approximately 70% of EGC patients. Considering the high positive predictive value, we suggest that post-ESD CT scans could be useful for predicting submucosal invasion in EGC patients who are candidates for ESD.Screen printing is a
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