Evidence map›Paper›PMID 37994331›Full record

ArticleCurrent urology2023

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.

Seyed Behzad Jazayeri, Hojat Dehghanbanadaki, Mahdie Hosseini, Pourya Taghipour, Michael W Bacchus, Elizabeth A Di Valerio, Elnaz Sarabchian, K C Balaji, Mark Bandyk

Abstract read
In one paragraph

Article in Current urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Seyed Behzad JazayeriDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.
Hojat DehghanbanadakiDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.
Mahdie HosseiniDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.
Pourya TaghipourDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.
Michael W BacchusDepartment of Urology, University of Florida College of Medicine, Gainesville, FL, USA.
Elizabeth A Di ValerioDepartment of Urology, University of Florida College of Medicine, Gainesville, FL, USA.
Elnaz SarabchianDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.
K C BalajiDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.
Mark BandykDepartment of Urology, University of Florida College of Medicine, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

Bladder cancerMagnetic resonance imagingMeta-analysisVesical Imaging–Reporting and Data System

Identifiers

PMID37994331
PMCPMC10662806

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