Bladder cancer: Can imaging change patient management? Journal Article


Authors: Beyersdorff, D.; Zhang, J.; Schoder, H.; Bochner, B.; Hricak, H.
Article Title: Bladder cancer: Can imaging change patient management?
Abstract: PURPOSE OF REVIEW: Recent technical advances have an impact on the management of patients with bladder cancer. RECENT FINDINGS: Intravenous pyelography has been largely replaced with multiphasic computed tomography urography performed on multislice computed tomography scanners. The new computed tomography technique allows direct and indirect detection of urothelial cancer throughout the urothelium and also identifies other causes of hemorrhage in patients presenting with hematuria. Thin-slice and multiplanar reconstructions have improved computed tomography staging of bladder cancer. In addition, computed tomography allows evaluation for lymphatic and distant metastases in a single examination. MRI continues to have a role in evaluating the depth of tumor invasion into the bladder wall but the assessment is difficult after transurethral resection of the bladder. SUMMARY: Multislice spiral computed tomography with a multiphase computed tomography urography protocol supplementing cystoscopy is currently considered the imaging modality of choice for examining patients with microscopic and gross hematuria. Computed tomography and MRI can visualize bladder cancer and perivesical infiltration, but MRI is superior for evaluation of the depth of invasion in the bladder wall. © 2008 Lippincott Williams & Wilkins, Inc.
Keywords: review; cancer patient; cancer staging; nuclear magnetic resonance imaging; follow up; neoplasm staging; computer assisted tomography; diagnostic imaging; bladder cancer; urinary bladder neoplasms; hematuria; cancer invasion; urothelium; prostatectomy; fluorodeoxyglucose f 18; computer assisted emission tomography; cystectomy; urinary bladder; urogenital tract tumor; bladder neoplasms; transurethral resection; choline c 11; urinary tract; tumor staging; genitourinary radiology; intravenous pyelography; intravenous urography
Journal Title: Current Opinion in Urology
Volume: 18
Issue: 1
ISSN: 0963-0643
Publisher: Lippincott Williams & Wilkins  
Date Published: 2008-01-01
Start Page: 98
End Page: 104
Language: English
DOI: 10.1097/MOU.0b013e3282f13aac
PUBMED: 18090497
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 7" - "Export Date: 17 November 2011" - "CODEN: CUOUE" - "Source: Scopus"
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MSK Authors
  1. Heiko Schoder
    550 Schoder
  2. Jingbo Zhang
    37 Zhang
  3. Hedvig Hricak
    421 Hricak
  4. Bernard Bochner
    469 Bochner
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