Accurate staging is essential to the appropriate management of gastric
cancer. The accuracy of and indications for cross-sectional imaging t
echniques are discussed in the context of their relationship to laparo
scopic staging. CT scan and endoscopic ultrasound have become the prim
ary means of preoperative tumor staging by virtue of their ability to
demonstrate the extent of mural invasion, extraluminal tumor spread, a
nd lymph node and distant metastases.