305760

Role of MRI in Detection and Staging of Urinary Bladder Malignancy using VI-RADS.

Article

Last updated: 04 Jan 2025

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Abstract

Background: The Vesical Imaging Reporting and Data System (VI-RADS) is a novel MRI-based scoring system that has been proposed to standardize the interpretation of bladder MRI and improve its diagnostic accuracy. This study aimed to evaluate the role of MRI using Multiparametric and DWI in detection, evaluation and staging of urinary bladder malignancy using various MRI sequences that play an important role in post-treatment surveillance. Methods: This cross-sectional observational study included 30 patients with suspected urinary bladder masses who met the inclusion criteria and did not meet the exclusion criteria. All patients underwent complete history taking, general clinical examination, pelvi-abdominal ultrasound and/or CT, and MRI using a 1.5T machine. The newly developed Vesical Imaging Reporting and Data System (VI-RADS) score was used to analyze and classify the MRI images. The final histopathological results were achieved by surgical specimen or cystoscopy-guided biopsy and served as the gold standard. Results: ROC curve analysis revealed that MRI could be excellent test of diagnosis of Malignancy of bladder mass with 96.2% sensitivity and 100% specificity (AUC, 0.98 and 95% CI, 0.93-1). There was Strong agreement between VIRAD and Cystoscopic-Biopsy In detection of stage 1 tumor grading, stage 2, stage 3, stage 4 and stage 5 (Kappa= 0.89, 1, 0.65, 0.81, 0.92, respectively with p-value

DOI

10.21608/bmfj.2023.207564.1805

Keywords

MRI, detection, Staging, Urinary bladder, Malignancy

Authors

First Name

Hamada

Last Name

Tolba

MiddleName

Mohamed

Affiliation

Assistant Professor of Diagnostic and Interventional Radiology, Faculty of Medicine, Benha University

Email

hamadakhater301@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Mohamed

MiddleName

Elsayed

Affiliation

Lecturer of Diagnostic and Interventional Radiology, Faculty of Medicine, Benha University

Email

a.shaalan1973@gmail.com

City

-

Orcid

-

First Name

Hisham

Last Name

Farid

MiddleName

Ahmed

Affiliation

Department of Radiodiagnosis Faculty of medicine , Benha University

Email

hishamfarid9130@gmail.com

City

-

Orcid

-

Volume

40

Article Issue

Special issue (Radiology)

Related Issue

42302

Issue Date

2023-07-01

Receive Date

2023-04-27

Publish Date

2023-07-01

Page Start

236

Page End

246

Print ISSN

1110-208X

Online ISSN

2357-0016

Link

https://bmfj.journals.ekb.eg/article_305760.html

Detail API

https://bmfj.journals.ekb.eg/service?article_code=305760

Order

427

Type

Original Article

Type Code

787

Publication Type

Journal

Publication Title

Benha Medical Journal

Publication Link

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

MainTitle

Role of MRI in Detection and Staging of Urinary Bladder Malignancy using VI-RADS.

Details

Type

Article

Created At

24 Dec 2024