Imaging bladder cancer

Current Opinion in Urology
Nigel C Cowan, Jeremy P Crew

Abstract

To review recent developments in imaging for bladder cancer (BCa) diagnosis and staging. Recent technical advances in multidetector computed tomography (CT) and, especially, CT urography make CT the preferred imaging modality for diagnosis and staging of BCa. CT urography combined with cystoscopy is emerging as the diagnostic imaging pathway of choice for investigating haematuria. CT provides information about local, lymph node and distant spread in a single examination. Imaging for BCa should only be performed when it makes a difference to patient management. CT is the preferred imaging modality for diagnosing and staging urothelial cancer. Magnetic resonance (MR) imaging is superior for evaluation of the depth of tumour invasion into the bladder wall, but this knowledge may not ultimately affect treatment as feasibility for radical cystectomy depends on staging by a combination of clinical, histopathological and imaging findings. Radical cystectomy may include resection of adjacent organs and regional lymph nodes. The current purpose of CT or MR imaging is to detect T3b disease or higher and, especially, locoregional lymph node metastases. In the future, MR imaging with ultrasmall superparamagnetic iron oxide contrast agents ...Continue Reading

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Citations

Sep 4, 2012·International Urology and Nephrology·Hu-Yang XieDing-Wei Ye
Apr 14, 2012·Radiologic Clinics of North America·Samdeep MouliPaul Nikolaidis
Oct 29, 2011·European Urology·Shahrokh F ShariatMithat Gonen
Apr 17, 2012·BJU International·David A GreenShahrokh F Shariat
Jan 28, 2017·Indian Journal of Surgical Oncology·Suprita R Krishna, Badrinath R Konety
Sep 26, 2021·Journal of Basic and Clinical Physiology and Pharmacology·Felice CrocettoDaniela Terracciano
Aug 5, 2011·Current Opinion in Urology

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