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Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Diagnostic performance of 3-tesla multiparametric MRI for assessment of the bladder cancer T stage and histologic grade

Fig. 5

A 64-year-old male patient presented with history of recurrent hematuria. Axial T2 WI (a) showed an intra-vesical soft tissue mass arising from bladder dome and left lateral wall expressing intermediate signal intensity with interruption of the hypointense underlying muscle layer and no obvious infiltration of the perivesical fat. Axial ADC map (b) showed low SI of the lesion with ADC value = 0.7 × 10−3 mm2/s, consistent with high-grade tumor. Axial DW-MRI (b1000) (c) showed restricted diffusion of the mass with invasion of the muscle layer. Sagittal post contrast T1WI FAT-SAT image (d) showed early enhancement of the mass with focal involvement of underlying muscle layer. Perfusion image (e) and time-intensity curve (f) showed grade 3 curve with early enhancement and rapid washout. The patient underwent radical cystectomy, and the histopathology was high-grade adenocarcinoma; MP-MRI features suggest high-grade stage T2 muscle-invasive urinary bladder carcinoma, and histopathological assessment confirmed the diagnosis

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