Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
Department of Diagnostic Radiology, Singapore General Hospital, Singapore.
Eur J Radiol. 2023 Mar;160:110666. doi: 10.1016/j.ejrad.2022.110666. Epub 2023 Jan 2.
Multiparametric magnetic resonance imaging (mpMRI) of the urinary bladder has shown high diagnostic performance in accurate staging of bladder cancer. Vesical Imaging Reporting and Data System (VI-RADS) scoring was developed in 2018 to standardize imaging and reporting of bladder cancer on mpMRI and is an excellent tool in preoperative T-staging of patients with high risk bladder cancer. However, there is no concise guide in the literature for practical use of VI-RADS in everyday clinical reporting. In this review, we describe our experience with mpMRI in pretreatment workup of bladder cancer, illustrate the imaging characteristics of VI-RADS categories 1 to 5 using case review, and discuss practical pearls and pitfalls in the use of mpMRI and VI-RADS in the hope of providing an accessible reference for radiologists in daily reporting.
多参数磁共振成像（mpMRI）在膀胱癌的准确分期方面显示出了较高的诊断性能。膀胱影像报告和数据系统（VI-RADS）评分于 2018 年制定，旨在对膀胱癌的 mpMRI 成像和报告进行标准化，是高危膀胱癌患者术前 T 分期的优秀工具。然而，文献中并没有关于 VI-RADS 在日常临床报告中实际应用的简明指南。在这篇综述中，我们描述了我们在膀胱癌预处理工作中使用 mpMRI 的经验，通过病例回顾说明了 VI-RADS 类别 1 至 5 的影像学特征，并讨论了在使用 mpMRI 和 VI-RADS 时的实用技巧和注意事项，希望为日常报告中的放射科医生提供一个易于理解的参考。
Zotero 插件