Initial clinical and pathological diagnostic workup of urinary bladder cancer is based on cystoscopy, transurethral resection of suspicious lesions, and computed tomography when indicated. Accurate staging is necessary for further therapeutic decision-making. This review summarizes the current status of multiparametric magnetic resonance imaging (mpMRI) and the vesical imaging-reporting and data system (VI-RADS) classification. MpMRI may improve the accuracy of assessment of local tumor invasion compared to conventional imaging alone. VI-RADS standardizes reporting of MRI staging and classifies the likelihood of muscle-invasive bladder cancer into five categories. Preliminary data suggest low interobserver variability. However, prospective multicenter studies are necessary to validate the VI-RADS classification. Progress in functional, molecular, and hybrid imaging may further improve the accuracy of clinical tumor and nodal staging for bladder cancer.

The role of the vesical imaging-reporting and data system (VI-RADS) for bladder cancer diagnostics-status quo / Hechler, V; Rink, M; Beyersdorff, D; Beer, M; Beer, A J; Panebianco, V; Pecoraro, M; Bolenz, C; Salomon, G. - In: DER UROLOGE. - ISSN 0340-2592. - 58:12(2019), pp. 1443-1450. [10.1007/s00120-019-01061-3]

The role of the vesical imaging-reporting and data system (VI-RADS) for bladder cancer diagnostics-status quo

Panebianco, V;Pecoraro, M;
2019

Abstract

Initial clinical and pathological diagnostic workup of urinary bladder cancer is based on cystoscopy, transurethral resection of suspicious lesions, and computed tomography when indicated. Accurate staging is necessary for further therapeutic decision-making. This review summarizes the current status of multiparametric magnetic resonance imaging (mpMRI) and the vesical imaging-reporting and data system (VI-RADS) classification. MpMRI may improve the accuracy of assessment of local tumor invasion compared to conventional imaging alone. VI-RADS standardizes reporting of MRI staging and classifies the likelihood of muscle-invasive bladder cancer into five categories. Preliminary data suggest low interobserver variability. However, prospective multicenter studies are necessary to validate the VI-RADS classification. Progress in functional, molecular, and hybrid imaging may further improve the accuracy of clinical tumor and nodal staging for bladder cancer.
2019
Moderne Bildgebungsverfahren wie die multiparametrische Magnetresonanztomographie (mpMRT) bieten eine höhere Auflösung als die konventionelle Schnittbildgebung. Sie könnte bei Patienten mit einem lokal begrenzten Urothelkarzinom der Harnblase zur Risikostratifizierung beitragen und bei der Therapieentscheidung berücksichtigt werden. VI-RADS („vesical imaging-reporting and data system“) ist ein Vorschlag für ein standardisiertes Klassifikations- und Befundungssystem zur Einschätzung der Invasionstiefe eines Harnblasenkarzinoms und könnte die bisherige klinische und pathologische Diagnostik wertvoll ergänzen.
magnetic resonance imaging; multiparametric; multimodal therapy; neoadjuvant therapy; staging; urothelial carcinoma
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The role of the vesical imaging-reporting and data system (VI-RADS) for bladder cancer diagnostics-status quo / Hechler, V; Rink, M; Beyersdorff, D; Beer, M; Beer, A J; Panebianco, V; Pecoraro, M; Bolenz, C; Salomon, G. - In: DER UROLOGE. - ISSN 0340-2592. - 58:12(2019), pp. 1443-1450. [10.1007/s00120-019-01061-3]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1331915
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