Ces radiol. 2012, 66(3):282-288

Staging of the urothelial tumorsReview article

Jiří Ferda¹, Jan Kastner¹, Eva Ferdová¹, Hynek Mírka¹, Jan Baxa¹, Milan Hora², Ondřej Hes³, Jindřich Fínek⁴, Boris Kreuzberg¹

¹ Klinika zobrazovacích metod LF UK a FN, Plzeň

² Urologická klinika LF UK a FN, Plzeň

³ Šiklův ústav patologické anatomie LF UK a FN, Plzeň

⁴ Onkologické a radioterapeutické oddělení LF UK a FN, Plzeň

Urothelial carcinomas need complex approach during staging, because of they may be typically multi-focal, locally aggressive behavior and potential remote dissemination. The possibilities of complex imaging cover MDCT, MRI and ¹⁸F-FDG-PET/CT. In the assessment of the tumors, it is most important to distinguish the invasive spread of the tumor to the surrounding fatty tissue or into renal parenchyma or into neighboring organs respectively. Local invasion could be evaluated by MDCT or MRI with the relatively high accuracy. ¹⁸F-FDG-PET/CT is the optimal method able to search on the remote metastases. It offers depiction of the metastases in lymph nodes, in the skeleton, liver or lung parenchyma. The advantages of three-dimensional modeling are used in the pre-operative assessment of the renal vasculature or urotract.

Keywords: urothelial carcinoma, urinary bladder carcinoma, MDCT, MRI, ¹⁸F-FDG-PET/CT

Grants and funding:

Projekt byl podpořen Programem rozvoje vědních oborů Karlovy Univerzity (projekt P36).

Accepted: August 15, 2012; Published: September 1, 2012  Show citation