203307

Value of Diffusion Weighted Magnetic Resonance Imaging (DW-MRI) and ADC in Evaluation of Urinary Bladder Carcinoma

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Last updated: 01 Jan 2025

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Abstract

Abstract Background: Urinary bladder cancer is the fourth com-monest among males and the tenth among females. It has a high recurrence rate necessitating proper initial management. MRI is a very valuable imaging tool with high tissue contrast and multi-planar imaging abilities thus allowing better tissue characterization. Aim of Study: Is to evaluate the value of diffusion weighted magnetic resonance imaging (MRI-DWI) in the diagnosis and staging of urinary bladder carcinoma, with pathological diagnosis taken as the reference. Patients and Methods: In this study, 40 patients with suspected urinary bladder masses performed pelvic MR im-aging. All patients were scheduled for variable MR sequences including T2WIs and DWIs. Results: Regarding the detection of urinary bladder car-cinoma the sensitivity, specificity, and accuracy for differen-tiating superficial from invasive tumors using T2 images alone and combined use of T2 and DW images were 62.5%, 66.7%, 63.2% and 100%, 100%, 100% respectively. Conclusion: DW-MRI is a safe, quick accurate sequence that can accurately detect and local stage urinary bladder carcinoma. In addition, DW images can predict the histological grade of the tumor decreasing the need for biopsy.

DOI

10.21608/mjcu.2021.203307

Keywords

MRI (magnetic resonance imaging), DWI (dif-fusion weighted images)

Authors

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MONA A.M.A. NAGI, M.D.;

Last Name

HANAA A. AHMED, M.D.

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First Name

DHURGHAM

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HAYDER WALI, M.Sc.

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Affiliation

The Department of Radiology, Faculty of Medicine, Ain-Shams* and Dhi-Qar** Universities

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Volume

89

Article Issue

September

Related Issue

22431

Issue Date

2021-09-01

Receive Date

2021-06-05

Publish Date

2021-09-01

Page Start

1,935

Page End

1,943

Print ISSN

0045-3803

Online ISSN

2536-9806

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https://mjcu.journals.ekb.eg/article_203307.html

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https://mjcu.journals.ekb.eg/service?article_code=203307

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67

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Journal

Publication Title

The Medical Journal of Cairo University

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https://mjcu.journals.ekb.eg/

MainTitle

Value of Diffusion Weighted Magnetic Resonance Imaging (DW-MRI) and ADC in Evaluation of Urinary Bladder Carcinoma

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Article

Created At

22 Jan 2023