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European Journal of Radiology
Elsevier B.V
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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.
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