Clinical application of bladder MRI and the Vesical Imaging-Reporting And Data System

Valeria Panebianco, Alberto Briganti, Thierry N. Boellaard, James Catto, Eva Comperat, Jason Efstathiou, Antoine G. van der Heijden, Gianluca Giannarini, Rossano Girometti, Laura Mertens, Mitsuru Takeuchi, Valdair F. Muglia, Yoshifumi Narumi, Giacomo Novara, Martina Pecoraro, Morgan Roupret, Francesco Sanguedolce, Daniele Santini, Shahrokh F. Shariat, Giuseppe SimoneHebert A. Vargas, Sungmin Woo, Jelle Barentsz, J. Alfred Witjes

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Diagnostic work-up and risk stratification in patients with bladder cancer before and after treatment must be refined to optimize management and improve outcomes. MRI has been suggested as a non-invasive technique for bladder cancer staging and assessment of response to systemic therapy. The Vesical Imaging-Reporting And Data System (VI-RADS) was developed to standardize bladder MRI image acquisition, interpretation and reporting and enables accurate prediction of muscle-wall invasion of bladder cancer. MRI is available in many centres but is not yet recommended as a first-line test for bladder cancer owing to a lack of high-quality evidence. Consensus-based evidence on the use of MRI-VI-RADS for bladder cancer care is needed to serve as a benchmark for formulating guidelines and research agendas until further evidence from randomized trials becomes available.
Original languageEnglish
Pages (from-to)243-251
Number of pages9
JournalNature Reviews Urology
Issue number4
Publication statusPublished - 1 Apr 2024

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