Libri Oncologici (Jan 2022)
Vesical imaging reporting and data system (VI-RADS), a new modality in bladder cancer treatment
Abstract
Bladder carcinoma incidence is on the rise making it the tenth most common and thirteenth deadliest carcinoma in the world. Transurethral resection of bladder tumor (TURBT) following a cystoscopy is the golden standard for diagnosis and treatment, despite it missing about 25% of muscle invasion of the bladder wall. This leads to understaging and increase of bladder carcinomas with unfavorable prognosis and elevating mortality. To avoid understaging a new and complementary method is needed. A new system called Vesical imaging reporting and data system (VI-RADS), based on multi-parametric magnetic resonance imaging (mpMRI) which suggests the probability of muscle invasion, could greatly improve diagnosis and treatment of bladder cancer.