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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: Interobserver agreement for the Vesical Imaging-Reporting and Data System (VI-RADS) in differentiating non-muscle-invasive and muscle-invasive urinary bladder tumors

Fig. 4

A T2-WI shows a tumor at the left lateral wall of the bladder near the vesicoureteric junction with interruption of the low SI muscularis propria and mild ureteric dilatation (arrow). The VI-RADS score for SC category was 4. B, C Axial DCE with early and delayed phases shows tumor at left lateral wall with no early enhancement of the muscularis propria (arrow). The VI-RADS score for CE category was 3. D, E Axial DW image and ADC map show minimal restricted diffusion, no clear interruption of the muscle layer (arrows). The VI-RADS score for DW category was 3. Final VI-RADS score is 3, denoting that the presence of muscle invasion is equivocal. Pathology proved high TCC with invasion of the muscularis propria

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