Portnoĭ L M, Viatchanin O V
Vestn Rentgenol Radiol. 2006 Mar-Apr(2):4-20.
The main idea of the article is presentation of todays problem of gastric cancer diagnosis. Authors, supported by long-term experience of gastric cancer diagnostics, demonstrate the necessity of the return of traditional roentgenological method for it's diagnostics, along with endoscopic technique. In the first place it is determined by the increase of sclerotic and mixed forms. In the second place, it is associated by the change of gastric cancer primary localizations, supporting the need of active use of roentgen diagnostics for it's diagnosis. One of the important parts of the article consists of the author's attempt to change general opinion about insignificancy role of traditional roentgenological method for diagnosis of gastric cancer. Authors demonstrate modern techniques of traditional stomach roentgenology and firstly, it's digital development with CR-systems for the improvement of diagnosis of the intramural forms of carcinomas. In the initial stages it is obligatory to engage classical roentgenology with double contrast study and endoscopy as main equally important methods. The unfavourable situaition in the diagnosis of gastric cancer can be changed only with conjoint use of these two approaches. It is chiefly depends with the difficulties of endoscopic study of diffuse (endophytic) forms of gastric carcinoma. Authors separately underline the necessity of including specialists in roentgen diagnostics in the national project of modernization of roentgenological equipment in medical institutions.
本文的主要观点是阐述当今胃癌诊断的问题。作者凭借长期的胃癌诊断经验，证明了在胃癌诊断中回归传统放射学方法以及结合内镜技术的必要性。首先，这是由硬化型和混合型病例的增多所决定的。其次，这与胃癌原发部位的变化有关，这支持了积极应用放射诊断进行胃癌诊断的必要性。本文的一个重要部分是作者试图改变人们对传统放射学方法在胃癌诊断中作用不大的普遍看法。作者展示了传统胃部放射学的现代技术，首先是其与CR系统的数字化发展，以提高对壁内型癌的诊断。在初始阶段，必须将经典放射学、双重对比研究和内镜检查作为同等重要的主要方法结合使用。只有联合使用这两种方法，才能改变胃癌诊断中的不利局面。这主要取决于弥漫性（内生型）胃癌内镜检查的困难。作者特别强调，在医疗机构放射学设备现代化的国家项目中，必须纳入放射诊断专家。
