Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology

Objective: This study aimed to assess the local staging of bladder tumors in patients utilizing preoperative multiparametric MRI (mpMRI) and to demonstrate the clinical efficacy of this method through a comparative analysis with corresponding histopathological findings. Methods: Between November 202...

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Main Authors: Hasan Gungor, Ahmet Camtosun, Ibrahim Topcu, Leyla Karaca
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Asian Journal of Urology
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214388224000602
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author Hasan Gungor
Ahmet Camtosun
Ibrahim Topcu
Leyla Karaca
author_facet Hasan Gungor
Ahmet Camtosun
Ibrahim Topcu
Leyla Karaca
author_sort Hasan Gungor
collection DOAJ
description Objective: This study aimed to assess the local staging of bladder tumors in patients utilizing preoperative multiparametric MRI (mpMRI) and to demonstrate the clinical efficacy of this method through a comparative analysis with corresponding histopathological findings. Methods: Between November 2020 and April 2022, 63 patients with a planned cystoscopy and a preliminary or previous diagnosis of bladder tumor were included. All participants underwent mpMRI, and Vesical Imaging Reporting and Data System (VI-RADS) criteria were applied to assess the recorded images. Subsequently, obtained biopsies were histopathologically examined and compared with radiological findings. Results: Of the 63 participants, 60 were male, and three were female. Categorizing tumors with a VI-RADS score of >3 as muscle invasive, 84% were radiologically classified as having an invasive bladder tumor. However, histopathological results indicated invasive bladder tumors in 52% of cases. Sensitivity of the VI-RADS score was 100%; specificity was 23%; the negative predictive value was 100%; and the positive predictive value was 62%. Conclusion: The scoring system obtained through mpMRI, VI-RADS, proves to be a successful method, particularly in determining the absence of muscle invasion in bladder cancer. Its efficacy in detecting muscle invasion in bladder tumors could be further enhanced with additional studies, suggesting potential for increased diagnostic efficiency through ongoing research. The VI-RADS could enhance the selection of patients eligible for accurate diagnosis and treatment.
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spelling doaj-art-0f91775f9d8a477f9f6257d59dc347c62025-01-30T05:14:16ZengElsevierAsian Journal of Urology2214-38822025-01-011218792Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathologyHasan Gungor0Ahmet Camtosun1Ibrahim Topcu2Leyla Karaca3Department of Urology, Gaziantep City Hospital, Gaziantep, Turkey; Corresponding author.Department of Urology, Inonu University Faculty of Medicine, Malatya, TurkeyDepartment of Urology, Inonu University Faculty of Medicine, Malatya, TurkeyDepartment of Radiology, Inonu University Faculty of Medicine, Malatya, TurkeyObjective: This study aimed to assess the local staging of bladder tumors in patients utilizing preoperative multiparametric MRI (mpMRI) and to demonstrate the clinical efficacy of this method through a comparative analysis with corresponding histopathological findings. Methods: Between November 2020 and April 2022, 63 patients with a planned cystoscopy and a preliminary or previous diagnosis of bladder tumor were included. All participants underwent mpMRI, and Vesical Imaging Reporting and Data System (VI-RADS) criteria were applied to assess the recorded images. Subsequently, obtained biopsies were histopathologically examined and compared with radiological findings. Results: Of the 63 participants, 60 were male, and three were female. Categorizing tumors with a VI-RADS score of >3 as muscle invasive, 84% were radiologically classified as having an invasive bladder tumor. However, histopathological results indicated invasive bladder tumors in 52% of cases. Sensitivity of the VI-RADS score was 100%; specificity was 23%; the negative predictive value was 100%; and the positive predictive value was 62%. Conclusion: The scoring system obtained through mpMRI, VI-RADS, proves to be a successful method, particularly in determining the absence of muscle invasion in bladder cancer. Its efficacy in detecting muscle invasion in bladder tumors could be further enhanced with additional studies, suggesting potential for increased diagnostic efficiency through ongoing research. The VI-RADS could enhance the selection of patients eligible for accurate diagnosis and treatment.http://www.sciencedirect.com/science/article/pii/S2214388224000602Bladder tumorVesical Imaging Reporting and Data SystemMuscle invasionMultiparametric
spellingShingle Hasan Gungor
Ahmet Camtosun
Ibrahim Topcu
Leyla Karaca
Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology
Asian Journal of Urology
Bladder tumor
Vesical Imaging Reporting and Data System
Muscle invasion
Multiparametric
title Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology
title_full Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology
title_fullStr Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology
title_full_unstemmed Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology
title_short Evaluating the concordance between Vesical Imaging Reporting and Data System scores and bladder tumor histopathology
title_sort evaluating the concordance between vesical imaging reporting and data system scores and bladder tumor histopathology
topic Bladder tumor
Vesical Imaging Reporting and Data System
Muscle invasion
Multiparametric
url http://www.sciencedirect.com/science/article/pii/S2214388224000602
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AT ahmetcamtosun evaluatingtheconcordancebetweenvesicalimagingreportinganddatasystemscoresandbladdertumorhistopathology
AT ibrahimtopcu evaluatingtheconcordancebetweenvesicalimagingreportinganddatasystemscoresandbladdertumorhistopathology
AT leylakaraca evaluatingtheconcordancebetweenvesicalimagingreportinganddatasystemscoresandbladdertumorhistopathology