The comparison between contrast-enhanced ultrasound and contrast-enhanced magnetic resonance imaging in diagnosing bladder urothelial carcinoma

作者全名："Fu, Wenyu; Liu, Dan; Xiong, Yongjiang; Liu, Chuan; Liu, Jiaji; Yi, Xinping; Zhao, Tao"

作者地址："[Fu, Wenyu; Xiong, Yongjiang; Liu, Jiaji; Yi, Xinping; Zhao, Tao] Chongqing Med Univ, Dept Urol, Yongchuan Hosp, 439 Xuanhua Rd, Chongqing 402160, Peoples R China; [Liu, Dan] Chongqing Med Univ, Dept Radiol, Yongchuan Hosp, 439 Xuanhua Rd, Chongqing 402160, Peoples R China; [Liu, Chuan] Chongqing Med Univ, Dept Urol, Affiliated Hosp 2, 74 Linjiang Rd, Chongqing 400010, Peoples R China"

通信作者："Zhao, T (通讯作者)，Chongqing Med Univ, Dept Urol, Yongchuan Hosp, 439 Xuanhua Rd, Chongqing 402160, Peoples R China."

来源：INTERNATIONAL UROLOGY AND NEPHROLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000887863000001

JCR分区：Q3

影响因子：1.8

年份：2023

卷号：55

期号：5

开始页：1073

结束页：1079

文献类型：Article

关键词：Bladder urothelial carcinoma; Muscular invasion; Contrast-enhanced ultrasound; Contrast-enhanced MRI

摘要："Purpose The surgical treatment of bladder urothelial carcinoma depends on whether the tumor has invaded the bladder muscular layer. Normal ultrasound and contrast-enhanced magnetic resonance imaging (contrast-enhanced MRI) are widely used in patients bear bladder tumors; the latter is also widely used in estimating the muscularis invasion of bladder cancer (BC). However, contrast-enhanced ultrasound (CEUS) is rarely used in this aspect. As the gold standard in diagnosing muscularis invasion remains being pathological examination, this study was set to find out whether there are differences between CEUS and contrast-enhanced MRI in diagnosing bladder malignant tumors and in diagnosing the muscularis invasion of the bladder urothelial carcinoma under the guide of the pathological results. Methods 160 patients from Yongchuan Hospital of Chongqing Medical University and The Second Affiliated Hospital of Chongqing Medical University were recruited from July 1st, 2021, to June 30th, 2022. Patients are arranged to undergo CEUS, contrast-enhanced MRI and then take a surgery. After surgery, we compare the results of CEUS, MRI and the pathological results, using software to run the statistical examinations. Results The accuracies of CEUS and contrast-enhanced MRI in diagnosing malignant bladder tumors were 85.90 and 84.62%, and they had no differences (P > 0.05). While the accuracies of CEUS and contrast-enhanced MRI in diagnosing the muscularis invasion were 84.62 and 76.92%, in which CEUS had a better sensitivity (P < 0.05). Conclusions We found that CEUS and contrast-enhanced MRI had no differences in diagnosing the different pathological types (benign or malignant) of BC, but CEUS holds a better sensitivity in diagnosing muscularis invasions of bladder urothelial carcinoma than the contrast-enhanced MRI."

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