Diagnostic accuracy and discriminative power of biparametric versus multiparametric MRI in predicting muscle-invasive bladder cancer

Faculty Medicine Year: 2022
Type of Publication: ZU Hosted Pages:
Authors:
Journal: European Journal of Radiology Elsevier B.V Volume:
Keywords : Diagnostic accuracy , discriminative power , biparametric versus multiparametric    
Abstract:
Purpose: Investigate and compare the diagnostic accuracy and discriminative power of biparametric MRI (bp-MRI) and multiparametric MRI (mp-MRI) in predicting muscleinvasive bladder cancer (MIBC) based on Vesical Imaging-Reporting and Data System (VI-RADS) scoring and evaluate potentially influencing factors on both protocols’ accuracy. Method: This retrospective study included 54 bladder cancer (BC) patients who underwent bladder MRI and histo-pathological assessment. Three readers independently reviewed the MRI studies and assigned a 1–5 score for T2-weighted, diffusion-weighted, and dynamic contrast-enhanced images. Then, bp-MRI and mpMRI final VI-RADS scores were recorded for each BC. Diagnostic tables, chi-square test, kappa score (k), logistic regression, receiver operating characteristics (ROC) curves, areas under the curves (AUCs), and VI-RADS cut-off values were calculated. A Delong test was performed for ROC curve comparison. A P-value<0.05 was considered significant. Results: In predicting MIBC, bp-MRI and mp-MRI had comparable diagnostic accuracy with insignificant differences for the three readers (P = 0.364,0.718,0.702). Radiologists’ experience, and tumors’ size and morphology had insignificant effect on bp-MRI accuracy (P = 0.086, 0.392,0.294), respectively. Tumors’ size significantly influenced mp-MRI accuracy (P = 0.039). Bp-MRI and mp-MRI had comparable discriminative power with insignificant differences for all readers (P > 0.05). Using VIRADS > 3 cut-off value improved the discriminative power of bp-MRI. Excellent interreader agreement in VI-RADS scoring for bp-MRI (k range, 0.814–0.867) and mp-MRI (k range, 0.787–0.859) was observed.Conclusion: Bp-MRI and mp-MRI demonstrated comparable diagnostic accuracy and discriminative power in predicting MIBC. The accuracy of bp-MRI was not influenced by radiologists’ experience, or tumors’ size and morphology.
   
     
 
       

Author Related Publications

  • Elshaumaa Fathy Mohamed Handal Elshetry, "Post COVID-19 Head and Neck Mucormycosis: MR Imaging Spectrum and Staging", Elsevier Inc, 2022 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Neuroanatomical MRI study: reference values for the measurements of brainstem, cerebellar vermis, and peduncles", British Institute of Radiology, 2021 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Impact of Adding Mean Apparent Diffusion Coefficient (ADCmean) Measurements to O-RADS MRI Scoring For Adnexal Lesions Characterization: A Combined O-RADS MRI/ADCmean Approach", Elsevier Inc, 2023 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Reproducibility of MRI Diagnosis of Female Genital Anomalies", Sage Publications Inc, 2024 More
  • Elshaumaa Fathy Mohamed Handal Elshetry, "Clinical utility, reproducibility, and radiologist acceptance of ILD-RADS", Elsevier B.V, 2024 More

Department Related Publications

  • Faten Fawzy Mohamed Hafez, "ASSESSMENT OF HEPATIC AND PANCREATIC IRON OVERLOAD IN PEDIATRIC BETA-THALASSEMIC MAJOR PATIENTS BY T2* WEIGHTED GRADIENT ECHO MAGNETIC RESONANCE IMAGING", ى مجلة الشبكة الدولية لأبحاث أمراض الدم, 2013 More
  • Faten Fawzy Mohamed Hafez, "Apparent Diffusion Coefficient (ADC) Value as a Predictor for Myelin Loss/Preservation in Multiple Sclerosis (MS) Plaques with Different Enhancement Pattern in Correlation with Disease Activity القيمة المطلقة لمعامل الانتشار الظاهري كمنبئ ", THE EGYPTIAN JOURNAL OF RADIOLOGY AND NUCLEAR  MEDICINE 48 (2017) 991–997, 2017 More
  • Hosam Nabil Ali Attia Almassry , "Association of low serum Meteorin like (Metrnl) concentrations with worsening of glucose tolerance, impaired endothelial function and atherosclerosis", Elsevier, 2019 More
  • Said Bakry Elsayed Elsayed, "Comparison of Three Embolic Materials at Partial Splenic Artery Embolization for Hypersplenism: Clinical, Laboratory,and Radiological Outcomes مقارنــة بين ثلاث مواد صِمِّية في إصمام الشريان الطحالي الجزئي لفرط الطحال: النتائج السريرية والمخبرية والإشعاعية", Insights Imaging, 2021 More
  • Hanan AbdelHamid Ismail Hssan , "Correlation of Apparent Diffusion Coefficient to cognitive impairment in Relapsing remittent multiple sclerosis (plaque, peri-plaque and Normal appearing white matter) الارتباط بين معامل الانتشار الظاهري و ضعف الإدراك في مرض التصلب ا", elsevier, 2016 More
Tweet