Role of Multiparametric-MRI in Bladder Cancer

Eusebi, Laura; Masino, Federica; Gifuni, Rossella; Fierro, Davide; Bertolotto, Michele; Cova, Maria Assunta; Guglielmi, Giuseppe

doi:10.1007/s40134-023-00412-5

Cited by 4 publications

(1 citation statement)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Recently, new technique called vesical imaging and reporting data system (VI-RADS) has been introduced by combining the results from T2WI, DWI & dynamic contrast images to classify urinary bladder carcinomas (13).…”

Section: Discussionmentioning

confidence: 99%

Role of MRI in Detection and Staging of Urinary Bladder Malignancy using VI-RADS.

Tolba,

Mohamed,

Farid

2023

Benha Medical Journal

View full text Add to dashboard Cite

Background:The Vesical Imaging Reporting and Data System (VI-RADS) is a novel MRI-based scoring system that has been proposed to standardize the interpretation of bladder MRI and improve its diagnostic accuracy. This study aimed to evaluate the role of MRI using Multiparametric and DWI in detection, evaluation and staging of urinary bladder malignancy using various MRI sequences that play an important role in post-treatment surveillance. Methods: This cross-sectional observational study included 30 patients with suspected urinary bladder masses who met the inclusion criteria and did not meet the exclusion criteria. All patients underwent complete history taking, general clinical examination, pelvi-abdominal ultrasound and/or CT, and MRI using a 1.5T machine. The newly developed Vesical Imaging Reporting and Data System (VI-RADS) score was used to analyze and classify the MRI images. The final histopathological results were achieved by surgical specimen or cystoscopy-guided biopsy and served as the gold standard. Results: ROC curve analysis revealed that MRI could be excellent test of diagnosis of Malignancy of bladder mass with 96.2% sensitivity and 100% specificity (AUC, 0.98 and 95% CI, 0.93-1). There was Strong agreement between VIRAD and Cystoscopic-Biopsy In detection of stage 1 tumor grading, stage 2, stage 3, stage 4 and stage 5 (Kappa= 0.89, 1, 0.65, 0.81, 0.92, respectively with p-value <0.001). Conclusion: VI-RAD scoring system using Dynamic MRI protocol is a safe and confident method in detection, differentiating benign from malignant urinary bladder masses and in grading of urinary bladder carcinoma.

show abstract

Section: Discussionmentioning

confidence: 99%

Role of MRI in Detection and Staging of Urinary Bladder Malignancy using VI-RADS.

Tolba,

Mohamed,

Farid

2023

Benha Medical Journal

View full text Add to dashboard Cite

show abstract

Radiological evaluation of a calyceal diverticulum presenting with hematuria

Masino,

Montatore,

Eusebi

et al. 2024

Digital Diagnostics

View full text Add to dashboard Cite

Calyceal diverticulum, also known as pyelogenic cysts, is a relatively uncommon condition, usually asymptomatic and incidentally diagnosed during routine imaging. Sometimes it may lead to concerning symptoms such as hematuria and flank pain, mimicking the presence of a renal tumor. In this case report, the patient suffered from hematuria which was initially suspected to be indicative of a renal malignancy but that was ultimately attributed to a calyceal diverticulum. The reported case gives the opportunity to evaluate one of the rarest and underestimated causes of hematuria and to describe the main imaging features of the calyceal diverticulum. In particular, the following diagnostic imaging methods have been performed: Ultrasound, Computed Tomography Urography, Dual Energy Computed Tomography, and Magnetic Resonance Urography. Subsequently, this case report has also an educative purpose.

show abstract

Conventional and innovative imaging modalities in bladder cancer: Techniques and applications

Masino,

Eusebi,

Muscatella

et al. 2024

Digital Diagnostics

View full text Add to dashboard Cite

This narrative review aims to describe the current status of imaging in the evaluation of Bladder Cancer, considering conventional technologies such as Ultrasound, Computed Tomography Urography, and Magnetic Resonance Imaging as well as novel technologies such as Contrast-Enhanced Ultrasound and Dual Energy Computed Tomography. The article is organized by first presenting an introduction to both the anatomy of the bladder in order to understand the normal appearance on imaging, and both the main features of bladder cancer with a reference to epidemiology, clinic, classification, and treatment. Subsequently, the role of imaging is discussed with an explanation of the technique and the applications in Bladder Cancer assessment for each modality. Imaging plays a critical role in the detection and staging of Bladder Cancer. In particular, MRI is acquiring an increasing role, since it makes it possible to distinguish between MIBC and NMIBC using the VI-RADS score system, at the side of conventional technologies like CTU and the US. To ensure the right approach to the oncological patient CEUS and DECT represent emerging modalities with specific advantages.

show abstract

Role of Multiparametric-MRI in Bladder Cancer

Cited by 4 publications

References 37 publications

Role of MRI in Detection and Staging of Urinary Bladder Malignancy using VI-RADS.

Role of MRI in Detection and Staging of Urinary Bladder Malignancy using VI-RADS.

Radiological evaluation of a calyceal diverticulum presenting with hematuria

Conventional and innovative imaging modalities in bladder cancer: Techniques and applications

Contact Info

Product

Resources

About