Evidence map›Paper›PMID 38717615›Full record

ArticleAbdominal radiology (New York)2024

Evaluation of magnetic resonance imaging for bladder cancer detection following transurethral resection of bladder tumour (TURBT).

Samir A Khwaja, Iztok Caglic, Nadeem Shaida, Alexandra J Colquhoun, William Turner, Tristan Barrett

Abstract read
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Article in Abdominal radiology (New York), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Samir A KhwajaDepartment of Radiology, Addenbrooke's Hospital and University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK.ORCID 0000-0002-2481-6800
Iztok CaglicDepartment of Radiology, Addenbrooke's Hospital and University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK.
Nadeem ShaidaDepartment of Radiology, Addenbrooke's Hospital and University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK.
Alexandra J ColquhounDepartment of Urology, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 2QQ, UK.
William TurnerDepartment of Urology, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 2QQ, UK.
Tristan BarrettDepartment of Radiology, Addenbrooke's Hospital and University of Cambridge, Hills Road, Cambridge, CB2 0QQ, UK. tristan.barrett@nhs.net.

Funding

Cancer Research UK Cambridge Institute, University of Cambridge C197/A16465NIHR Cambridge Biomedical Research Centre NIHR203312
6 · The paper itself

Abstract

purposeTo evaluate the performance of MRI for detection of bladder cancer following transurethral resection of bladder tumour (TURBT).

methodsThis single-centre retrospective study included forty-one consecutive patients with bladder cancer who underwent bladder MRI after TURBT. Two uroradiologists retrospectively assessed the presence of tumour using bladder MRI with and without DWI (diffusion weighted imaging) using a five-point Likert scale. Sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) were calculated and inter-reader agreement was assessed. Histopathology was used as the reference standard.

results24 out of 41 patients (58.5%) had no residual tumour or Tis (carcinoma in situ) after TURBT. Sensitivity, specificity, PPV and NPV for detection of tumour using T1WI (T1-weighted imaging) and T2WI (T2-weighted imaging) was 50.0%, 54.6%, 21.1%, and 81.8%, respectively and for T1WI, T2WI and DWI combined was 100%, 76.5%, 50.0% and 100%, respectively. Overestimation of tumour was more common than underestimation. MRI showed high accuracy for patients in whom there was no residual tumour (78.9%). Inter-reader agreement for tumour detection improved from fair (κ = 0.54) to moderate (κ = 0.70) when DWI was included.

conclusionNon-contrast MRI with DWI showed high sensitivity and relatively high specificity for detection of residual tumour after TURBT. Inter-reader agreement improved from fair to moderate with the addition of DWI. MRI can be useful after TURBT in order to guide further management.

Indexed as

Magnetic Resonance ImagingSensitivity and SpecificityUrinary Bladder NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesTransurethral Resection of BladderBladder cancerDiffusion weighted imaging (DWI)Magnetic resonance imagingStagingTransurethral resection of bladder tumour (TURBT)

Identifiers

PMID38717615
PMCPMC11286648

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.