Ogawa Teruyuki, Tyagi Pradeep, Ishizuka Osamu, Ueda Tomohiro, Chancellor Michael B, Chermansky Christopher J, Yoshimura Naoki
Department of Urology, Shinshu University School of Medicine, Matsumoto, Japan.
Department of Urology, University of Pittsburgh School of Medicine, Suite 700 Kaufmann Medical Building, 3471 Fifth Ave., Pittsburgh, PA, USA.
Curr Bladder Dysfunct Rep. 2019 Dec;14(4):301-307. doi: 10.1007/s11884-019-00556-1. Epub 2019 Dec 14.
In this review, the current literature of imaging of bladder pain syndrome and interstitial cystitis (BPS/IC) will be addressed. Topics include BPS/IC, cystoscopy, computed tomography, and magnetic resonance image (MRI).
There are no randomized clinical trials on imaging of BPS/IC. Recently, contrast-enhanced MRI could detect the brain alterations and the changes in bladder permeability, and detection of the latter is enhanced by intravesical injection of contrast agents.
MRI could advance the understanding of pathological changes in the brain and the bladder of BPS/IC patients. Especially, contrast-enhanced MRI has a potential to become a diagnostic tool although more evidences are necessary for clarifying the efficacy.
本综述将探讨膀胱疼痛综合征和间质性膀胱炎(BPS/IC)的当前影像学文献。主题包括BPS/IC、膀胱镜检查、计算机断层扫描和磁共振成像(MRI)。
目前尚无关于BPS/IC影像学的随机临床试验。最近,对比增强MRI能够检测脑部改变以及膀胱通透性的变化,膀胱内注射造影剂可增强对后者的检测。
MRI有助于增进对BPS/IC患者脑部和膀胱病理变化的理解。特别是,尽管需要更多证据来阐明其疗效,但对比增强MRI有潜力成为一种诊断工具。