: Imaging plays an important role in bladder cancer (BCa) diagnostic work-up. Ultrasound achieves an intermediate sensitivity in detecting urinary tract alterations and is considered a suboptimal imaging technique in diagnosis of BCa. CT urography accurately detects BCa in patients presenting with hematuria Multiparametric MRI achieves a very high rate of BCa detection and helps with accurate staging of patients; however, this modality is still not widely supported by international guidelines. The main applications of MRI are local tumor staging and differentiation between non-muscle-invasive BCa and muscle-invasive BCa. These applications led to development of Vesical Imaging-Reporting and Data System (VI-RADS) scoring system. The VI-RADS scoring system was developed in the setting of post-resection of primary bladder tumor and instillation of intravesical Bacillus Calmette-Guerin therapy; however validation of this system in the post-treatment setting showed promising results. The high risk of BCa recurrence leads to its application in the assessment of response to therapy and for disease surveillance after treatment. MRI is rapidly becoming a leading imaging modality in BCa diagnostic workup, assessment of response to therapies and for longitudinal surveillance, and plays an important role in BCa surgical and radiation therapy treatment planning.

Seeing is believing: state of the art Imaging of bladder cancer / Messina, Emanuele; Pecoraro, Martina; Pisciotti, Martina Lucia; Del Giudice, Francesco; Lucciola, Sara; Bicchetti, Marco; Laschena, Ludovica; Roberto, Michela; De Berardinis, Ettore; Franco, Giorgio; Panebianco, Valeria. - In: SEMINARS IN RADIATION ONCOLOGY. - ISSN 1053-4296. - 33:1(2023), pp. 12-20. [10.1016/j.semradonc.2022.10.002]

Seeing is believing: state of the art Imaging of bladder cancer

Messina, Emanuele
Primo
;
Pecoraro, Martina
Secondo
;
Pisciotti, Martina Lucia;Del Giudice, Francesco;Lucciola, Sara;Bicchetti, Marco;Laschena, Ludovica;Roberto, Michela;De Berardinis, Ettore;Franco, Giorgio
Penultimo
;
Panebianco, Valeria
Ultimo
2023

Abstract

: Imaging plays an important role in bladder cancer (BCa) diagnostic work-up. Ultrasound achieves an intermediate sensitivity in detecting urinary tract alterations and is considered a suboptimal imaging technique in diagnosis of BCa. CT urography accurately detects BCa in patients presenting with hematuria Multiparametric MRI achieves a very high rate of BCa detection and helps with accurate staging of patients; however, this modality is still not widely supported by international guidelines. The main applications of MRI are local tumor staging and differentiation between non-muscle-invasive BCa and muscle-invasive BCa. These applications led to development of Vesical Imaging-Reporting and Data System (VI-RADS) scoring system. The VI-RADS scoring system was developed in the setting of post-resection of primary bladder tumor and instillation of intravesical Bacillus Calmette-Guerin therapy; however validation of this system in the post-treatment setting showed promising results. The high risk of BCa recurrence leads to its application in the assessment of response to therapy and for disease surveillance after treatment. MRI is rapidly becoming a leading imaging modality in BCa diagnostic workup, assessment of response to therapies and for longitudinal surveillance, and plays an important role in BCa surgical and radiation therapy treatment planning.
2023
bladder cancer; magnetic resonance imaging; VI-RADS
01 Pubblicazione su rivista::01a Articolo in rivista
Seeing is believing: state of the art Imaging of bladder cancer / Messina, Emanuele; Pecoraro, Martina; Pisciotti, Martina Lucia; Del Giudice, Francesco; Lucciola, Sara; Bicchetti, Marco; Laschena, Ludovica; Roberto, Michela; De Berardinis, Ettore; Franco, Giorgio; Panebianco, Valeria. - In: SEMINARS IN RADIATION ONCOLOGY. - ISSN 1053-4296. - 33:1(2023), pp. 12-20. [10.1016/j.semradonc.2022.10.002]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1669327
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