Evidence map›Paper›PMID 40873374›Full record

ArticleKorean journal of radiology2025

Multiparametric MRI Features of Plasmacytoid Urothelial Carcinoma of the Urinary Bladder.

Yeo Eun Han, Deuk Jae Sung, Hyun Yee Cho, Kyung Sook Yang, Jae Wook Park, Ki Choon Sim, Na Yeon Han, Beom Jin Park, Min Ju Kim

Abstract read
In one paragraph

Article in Korean journal of radiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Current Status and Future Perspective for Bladder Cancer MR Imaging and the Vesical Imaging-Reporting and Data System (VI-RADS) in Japan: Challenges and Solutions.Magnetic resonance in medical sciences : MRMS : an official journal of Japan Society of Magnetic Resonance in Medicine · 2026
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4 · The record

Corrections and comments

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

9 authors.

Yeo Eun HanDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3922-9326
Deuk Jae SungDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea. urorad@korea.ac.kr.ORCID https://orcid.org/0000-0002-5025-3052
Hyun Yee ChoDepartment of Pathology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-3603-5750
Kyung Sook YangDepartment of Biostatistics, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3960-6072
Jae Wook ParkDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0009-0003-6718-8351
Ki Choon SimDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3344-8018
Na Yeon HanDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0001-8537-8165
Beom Jin ParkDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-7289-3683
Min Ju KimDepartment of Radiology, Anam Hospital, Korea University College of Medicine, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-0979-9835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePlasmacytoid urothelial carcinoma (PUC) is a rare aggressive bladder cancer subtype with limited imaging data owing to its low incidence. This study aimed to report the characteristic features of PUC on multiparametric MRI (mpMRI). MATERIALS AND

methodsWe retrospectively analyzed 13 patients with histologically confirmed PUC who underwent preoperative mpMRI between January 2019 and August 2024. Two blinded radiologists independently assessed tumor size, morphology, signal intensity, apparent diffusion coefficient (ADC) values, dynamic contrast enhancement patterns, contrast enhancement features, and invasive characteristics. Vesical imaging-reporting and data system (VI-RADS) scores were recorded. Interobserver agreement was evaluated using the kappa statistic.

resultsPUC predominantly exhibited diffuse (6/13, 46.2%) or localized (5/13, 38.5%) bladder wall thickening. Diffuse thickening was often associated with a linitis plastica-like appearance. On high b-value diffusion-weighted imaging (DWI), eight and seven cases depending on readers (61.5% and 53.8%, respectively) showed mild hyperintensity or isointensity, with a mean ADC value of 1.1 × 10⁻³ mm²/s. Dynamic contrast-enhanced MRI revealed progressive and prolonged enhancement in 10 cases (76.9%). VI-RADS scores ≥ 4 were observed in 11 cases (84.6%). Histopathological analysis showed that tumors with progressive and prolonged enhancement contained myxoid stroma and some fibrous tissue. Interobserver agreement was excellent for most imaging features, except for good agreement on DWI signal intensity.

conclusionPUC demonstrates notable mpMRI features, including localized or diffuse wall thickening (often with a linitis plastica-like appearance), muscle-invasive and advanced disease, progressive and prolonged enhancement patterns, and mild hyperintensity or isointensity on high b-value DWI. These features, which are potentially linked to the myxoid stromal composition of the tumor, suggest that mpMRI may serve as a noninvasive diagnostic tool for this aggressive malignancy. However, further studies with larger cohorts are required to confirm these findings.

Indexed as

Carcinoma, Transitional CellMultiparametric Magnetic Resonance ImagingUrinary Bladder NeoplasmsAgedAged, 80 and overContrast MediaDiffusion Magnetic Resonance ImagingFemaleHumansMaleMiddle AgedRetrospective StudiesUrinary BladderContrast MediaBladderCancerMagnetic resonance imagingPlasmacytoidUrothelial carcinoma

Identifiers

PMID40873374
PMCPMC12394820

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Registered trials

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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.