Beta
140146

Role of Diffusion Weighted Magnetic Resonance Imaging (DW-MRI) and Apparent Diffusion Coefficient (ADC) in Evaluation of Urinary Bladder Cancer

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

-

Abstract

Background: Urinary bladder cancer (BC) is reported as the 2nd most common genitourinary cancer in males and the 9th most common in females. Accurate pre-surgical evaluation of the local stage of the bladder cancer is crucial in the treatment strategy. So it is very important to evaluate and no invasive imaging modality to help accurate staging of the disease. Purpose:To evaluate role of diffusion weighted MR imaging (DW-MRI) in detection, T-staging of urinary bladder carcinoma.Patients and methods: During the period between November 2018 and November 2019, 44 patients (36 males and 8 females) presenting with haematuria, lower urinary symptoms and urinary bladder mass detected by ultrasound, were enrolled prospectively. All patients underwent standard MRI protocol and diffusion weighted MR imaging of urinary followed by transurethral cystoscopy. Then transurethral resection of the bladder tumor (TURBT) or radical cystectomy according to the tumor staging with histological examination of resected specimens. Results:Correlation between MR and cystoscopy showing 100% sensitivity in detection of the lesions and as regard to MRI staging of bladder carcinoma and histopathological results the study revealed that 38 patients (86.3%) had the same T stage while 6 patients (13.6%) were overstaged.  Conclusion:DWI have very high sensitivity in detection of the bladder lesions with accurate predictions of the T staging of bladder carcinoma can be made by means of DWI.

DOI

10.21608/bmfj.2021.140146

Keywords

Diffusion weighted image, Urinary Bladder Cancer, Staging, DWI

Authors

First Name

Mohamed

Last Name

Abd El-Baset

MiddleName

-

Affiliation

Department of radiology Benha faculty of medicine, Benha University, Egypt

Email

-

City

-

Orcid

-

First Name

Ahmed

Last Name

Yousef

MiddleName

-

Affiliation

Department of radiology Benha faculty of medicine, Benha University, Egypt

Email

ahmedfaridyousef@yahoo.com

City

-

Orcid

-

First Name

Tarek

Last Name

Abd Elmoneim El-Diasty

MiddleName

-

Affiliation

Department of radiology, urology and nephrology center, Mansoura university, Egypt.

Email

-

City

-

Orcid

-

Volume

38

Article Issue

special issue (Radiology)

Related Issue

22631

Issue Date

2021-03-01

Receive Date

2021-01-16

Publish Date

2021-03-01

Page Start

34

Page End

40

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_140146.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=140146

Order

4

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

https://bmfj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023