Diagnostic accuracy of vesical imaging-reporting and data system (VI-RADS) in suspected muscle invasive bladder cancer: A systematic review and diagnostic meta-analysis

Jazayeri, Seyed Behzad; Dehghanbanadaki, Hojat; Hosseini, Mahdie; Taghipour, Pourya; Alam, Muhammad Umar; Balaji, K.C.; Bandyk, Mark

doi:10.1016/j.urolonc.2021.11.008

Cited by 11 publications

(7 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a previous study, our group showed that a VI-RADS of 3 would be the optimal cutoff for the detection of MIBC with a pooled sensitivity and specificity of 89% (95% CI, 87%-91%) and 84% (95% CI, 80%-87%), respectively. [21] Similarly, in this meta-analysis, we demonstrated that VI-RADS at a cutoff of 3 had higher accuracy than that at a cutoff point of 4 for differentiating T1 from T2 urothelial lesions (AUC = 0.93 for VI-RADS ≥3 vs. AUC = 0.75 for VI-RADS ≥4). Although our results show that VI-RADS has a higher pooled specificity at the cutoff point of 4, a VI-RADS ≥3 is preferable in clinical practice for differentiating T2 from T1 bladder tumors because of its higher sensitivity.…”

Section: Discussionsupporting

confidence: 61%

Can magnetic resonance imaging differentiate muscle invasion (T2) and lamina propria invasion (T1) urothelial carcinoma of the bladder? A systematic review and meta-analysis of Vesical Imaging-Reporting and Data System accuracy

et al. 2023

Self Cite

View full text Add to dashboard Cite

Background Vesical Imaging-Reporting and Data System (VI-RADS) was developed as a structured reporting tool to anticipate the possibility of muscle invasion. This study is aimed to investigate the diagnostic accuracy of VI-RADS for discriminating T2 from T1 bladder cancer. Materials and methods Scopus, Web of Science, PubMed, and Embase were searched on October 4, 2021, for studies with the following characteristics: (1) bladder cancer patient population, (2) VI-RADS as an index test, (3) retransurethral resection of bladder tumor/cystectomy as a reference, and (4) adequate VI-RADS score data for T1 and T2 lesions. The analyses were performed using the binary regression model of MIDAS in Stata. Results Six studies with 624 magnetic resonance imaging reports were included. The receiver operating characteristics curve for differentiation of T2 from T1 bladder cancer showed an area under the curve of 0.93 (95% confidence interval [CI], 0.91–0.95) for a VI-RADS ≥3 and 0.75 (95% CI, 0.71–0.79) for a VI-RADS ≥4. A VI-RADS ≥3 showed high sensitivity of 93% (95% CI, 85%–97%), specificity of 61% (95% CI, 30%–86%), positive likelihood ratio of 2.4 (95% CI, 1.1–5.3), and negative likelihood ratio of 0.11 (95% CI, 0.05–0.24). A total of 10.4% of T2 lesions were scored as VI-RADS 2, while 10% of T1 lesions were scored as VI-RADS 4 or 5. Conclusions The VI-RADS ≥3 has high accuracy and sensitivity for detecting muscle invasion in borderline populations of T1 or T2 bladder cancer. Thus, the VI-RADS could be a good non-invasive screening test for the detection of T2 urothelial lesions.

show abstract

Section: Discussionsupporting

confidence: 61%

Can magnetic resonance imaging differentiate muscle invasion (T2) and lamina propria invasion (T1) urothelial carcinoma of the bladder? A systematic review and meta-analysis of Vesical Imaging-Reporting and Data System accuracy

et al. 2023

Self Cite

View full text Add to dashboard Cite

show abstract

“…The VI-RADS score provides a new method for assessing muscle invasion in bladder cancer and sheds new light for clinical decision-making by surgeons. Our earlier study [3] veri ed that the VI-RADS scoring system has good diagnostic value in predicting the degree of tumor invasion, and several subsequent meta-analyses also further con rmed the ability of the VI-RADS score to reliably diagnose MIBC at a VI-RADS score cutoff of 4, with a speci city above 0.9 [4][5][6][7]. A recent study[8] also indicated that VI-RADS can be used to accurately predict muscle invasion for bladder tumors occurring at the ureteral ori ce.…”

Section: Discussionmentioning

confidence: 69%

Resection of Bladder Tumors at the Ureteral Orifice Using a Hook Plasma Electrode: A Case Report

Wang

et al. 2022

Preprint

View full text Add to dashboard Cite

Background The traditional surgical approach for non-muscle-invasive bladder cancer is transurethral resection of bladder tumors using annular plasma electrodes, but we have innovatively used a hook electrode and proposed a new surgical method. Case presentation We assessed a 31-year-old male patient diagnosed with bladder cancer whose pathological type was low-grade urothelial carcinoma. MRI examination suggested that the patient's bladder tumor was located in the right ureteral orifice, and the tumor stage was T1. Subsequently, we used a homemade hook electrode to enucleate the tumor en bloc on the basis of accurately finding a gap between the bottom of the tumor and normal tissue. Meanwhile, we exposed the complete intramural ureter from the bladder wall and finally removed it. Conclusions Through this case of a patient, we explored a resection method similar to "sculpting" and achieved good surgical results. The hook electrode is a surgical tool worth promoting, and using it helps us to remove tumors precisely from the bladder wall.

show abstract

“…Jazayeri ve arkadaşlarının 2021'de yayınladığı 22 çalışma ve 5414 MRG raporundan oluşan başka bir metaanalizde kas invazyonunu tahmin etmek için optimal VI-RADS eşik değeri 3 olarak belirlendiğinde %89 duyarlılık ve %84 özgüllük sağladığı gösterildi. Bu çalışmada VI-RADS 3 skorunun eşik değer olarak seçilmesinin çalışmalar arası heterojeniteyi azalttığı gösterilmiştir (14). Del Guidice ve arkadaşlarının 2022'de yayınladığı 20 çalışma ve 2477 hasta verilerinin incelendiği metaanalizde eşik değeri VI-RADS 3 iken duyarlılık %87, özgüllük %86; eşik değeri VI-RADS 4 iken duyarlılık %78, özgüllük %94 olduğu gösterilmiştir (15).…”

Section: Discussionunclassified

Mesane kanserinin kas invazyonunu öngörmede vezikal görüntüleme-raporlama ve veri sistemi (VI-RADS) skorlamasının etkinliğinin değerlendirilmesi

et al. 2022

View full text Add to dashboard Cite

Amaç: Biz bu çalışmada mesane kanserinin kas invazyonunu preoperatif tahmin etmede “Vesical Imaging Reporting and Data System” (VI-RADS) skorlama sisteminin doğruluğunu araştırmayı amaçladık.Gereç ve Yöntemler: Ağustos 2020 ile Mart 2022 arasında preoperatif mp-MRG çekilen mesane kanserli hastalar çalışmaya dahil edildi. Mesane tümörleri deneyimli bir üroradyolog tarafından VI-RADS skorlama sistemi ile değerlendirildi. VI-RADS skoru, kas invazyonunu belirlemek için postoperatif patoloji ile karşılaştırıldı. VI-RADS ≥3 ve VI-RADS ≥4 kesme noktası için duyarlılık, özgüllük, poizitif öngörü değeri (PÖD), negatif öngörü değeri (NÖD) ve doğruluk hesaplandı.Bulgular: Toplam 102 hastanın dördünde bening patoloji (Üç hastada sistitis sistika, bir hastada nefrojenik adenom) saptandı. Çalışmaya kalan 98 hasta dahil edildi. 38 hastada kasa invaziv ve 60 hastada ise kasa invaziv olmayan mesane kanseri saptandı. Kas invazyonunu belirlemede VI-RADS skorunun eşik değeri 3 olarak alındığında duyarlılık, özgüllük, PÖD, NÖD ve doğruluğu sırasıyla %92, %85, %94, %80 ve %88 olarak hesaplandı. Bununla beraber VI-RADS skorunun eşik değeri 4 olarak alındığında duyarlılık, özgüllük, PÖD, NÖD değeri ve doğruluğu sırasıyla %82, %95, %89, %91 ve %90 saptandı.Sonuç: Sonuç olarak mesane mp-MRG, VI-RADS kriterleri eşliğinde VI-RADS eşik değer 3 veya 4’ün kas invaziv mesane kanserinin saptanmasında başarılı bir yöntem olup tanısal performansı artırabilir.

show abstract

Diagnostic accuracy of vesical imaging-reporting and data system (VI-RADS) in suspected muscle invasive bladder cancer: A systematic review and diagnostic meta-analysis

Cited by 11 publications

References 41 publications

Can magnetic resonance imaging differentiate muscle invasion (T2) and lamina propria invasion (T1) urothelial carcinoma of the bladder? A systematic review and meta-analysis of Vesical Imaging-Reporting and Data System accuracy

Can magnetic resonance imaging differentiate muscle invasion (T2) and lamina propria invasion (T1) urothelial carcinoma of the bladder? A systematic review and meta-analysis of Vesical Imaging-Reporting and Data System accuracy

Resection of Bladder Tumors at the Ureteral Orifice Using a Hook Plasma Electrode: A Case Report

Mesane kanserinin kas invazyonunu öngörmede vezikal görüntüleme-raporlama ve veri sistemi (VI-RADS) skorlamasının etkinliğinin değerlendirilmesi

Contact Info

Product

Resources

About