Reply to Francesco Montorsi, Giuseppe Rosiello, Pietro Scilipoti, Marco Moschini, and Andrea Salonia’s Letter to the Editor re: Valeria Panebianco, Alberto Briganti, Jason Efstathiou, et al. The Role of Multiparametric Magnetic Resonance Imaging and the Vesical Imaging-Reporting and Data System (VI-RADS) in the Management of Patients with Bladder Cancer: Vision of the American College of Radiology VI-RADS Steering Committee. Eur Urol 2024;86:485–7

We appreciate the letter from Montorsi et al, which provides an opportunity to further clarify the role of multiparametric magnetic resonance imaging (mpMRI) and the Vesical Imaging-Reporting and Data System (VI-RADS) scoring system [1] in the management of non–muscle-invasive bladder cancer (NMIBC). Their insights, drawn from exceptional clinical experience and data, contribute to the ongoing discussion regarding the necessity of second-look transurethral resection of bladder tumor (re-TURB) and its role in optimizing outcomes for patients with NMIBC.