Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?

Aim. To correlate findings of conventional cystoscopy with CT virtual cystoscopy (CTVC) in detecting bladder tumors and to evaluate accuracy of virtual cystoscopy in early detection of bladder cancer. Material and Method. From June 2013 to June 2014, 50 patients (46 males, four females) with history...

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Main Authors: Sachin Abrol, Ankush Jairath, Sanika Ganpule, Arvind Ganpule, Shashikant Mishra, Ravindra Sabnis, Mahesh Desai
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2015/926590
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author Sachin Abrol
Ankush Jairath
Sanika Ganpule
Arvind Ganpule
Shashikant Mishra
Ravindra Sabnis
Mahesh Desai
author_facet Sachin Abrol
Ankush Jairath
Sanika Ganpule
Arvind Ganpule
Shashikant Mishra
Ravindra Sabnis
Mahesh Desai
author_sort Sachin Abrol
collection DOAJ
description Aim. To correlate findings of conventional cystoscopy with CT virtual cystoscopy (CTVC) in detecting bladder tumors and to evaluate accuracy of virtual cystoscopy in early detection of bladder cancer. Material and Method. From June 2013 to June 2014, 50 patients (46 males, four females) with history and investigations suggestive of urothelial cancer, with mean age 62.76 ± 10.45 years, underwent CTVC by a radiologist as per protocol and subsequently underwent conventional cystoscopy (CPE) the same day or the next day. One urologist and one radiologist, blinded to the findings of conventional cystoscopy, independently interpreted the images, and any discrepant readings were resolved with consensus. Result. CTVC detected 23 out of 25 patients with bladder tumor(s) correctly. Two patients were falsely detected as negative while two were falsely labeled as positive in CTVC. Virtual and conventional cystoscopy were comparable in detection of tumor growth in urinary bladder. The sensitivity, specificity, positive predictive value, and negative predictive value of virtual cystoscopy were 92% each. Conclusion. CTVC correlates closely with the findings of conventional cystoscopy. Bladder should be adequately distended and devoid of urine at the time of procedure. However, more studies are required to define the role of virtual cystoscopy in routine clinical practice.
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spelling doaj-art-d9ddd09ceed14bc6866988e76eb965ed2025-08-20T02:21:25ZengWileyAdvances in Urology1687-63691687-63772015-01-01201510.1155/2015/926590926590Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?Sachin Abrol0Ankush Jairath1Sanika Ganpule2Arvind Ganpule3Shashikant Mishra4Ravindra Sabnis5Mahesh Desai6Muljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaMuljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaMuljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaMuljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaMuljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaMuljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaMuljibhai Patel Urological Hospital, Dr. Varendra Desai Road, Nadiad, Gujarat 387001, IndiaAim. To correlate findings of conventional cystoscopy with CT virtual cystoscopy (CTVC) in detecting bladder tumors and to evaluate accuracy of virtual cystoscopy in early detection of bladder cancer. Material and Method. From June 2013 to June 2014, 50 patients (46 males, four females) with history and investigations suggestive of urothelial cancer, with mean age 62.76 ± 10.45 years, underwent CTVC by a radiologist as per protocol and subsequently underwent conventional cystoscopy (CPE) the same day or the next day. One urologist and one radiologist, blinded to the findings of conventional cystoscopy, independently interpreted the images, and any discrepant readings were resolved with consensus. Result. CTVC detected 23 out of 25 patients with bladder tumor(s) correctly. Two patients were falsely detected as negative while two were falsely labeled as positive in CTVC. Virtual and conventional cystoscopy were comparable in detection of tumor growth in urinary bladder. The sensitivity, specificity, positive predictive value, and negative predictive value of virtual cystoscopy were 92% each. Conclusion. CTVC correlates closely with the findings of conventional cystoscopy. Bladder should be adequately distended and devoid of urine at the time of procedure. However, more studies are required to define the role of virtual cystoscopy in routine clinical practice.http://dx.doi.org/10.1155/2015/926590
spellingShingle Sachin Abrol
Ankush Jairath
Sanika Ganpule
Arvind Ganpule
Shashikant Mishra
Ravindra Sabnis
Mahesh Desai
Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?
Advances in Urology
title Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?
title_full Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?
title_fullStr Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?
title_full_unstemmed Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?
title_short Can CT Virtual Cystoscopy Replace Conventional Cystoscopy in Early Detection of Bladder Cancer?
title_sort can ct virtual cystoscopy replace conventional cystoscopy in early detection of bladder cancer
url http://dx.doi.org/10.1155/2015/926590
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