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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 3 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 3

From: A proposed inclusion of magnetic resonance imaging features to the VI RADS to enhance its accuracy in predicting muscle invasion

Fig. 3

A high-grade MIBC. It is a single non-papillary lesion with no thickened inner layer, TCL > 3 cm, 70 cm3 in volume, with distal ureteric backpressure, the minimum ADC by selected ROI 0.45 × 10–3 mm2/s and the final VI RADS score 4. A Axial T2WI FSE with red arrow pointing to dilated distal left ureter, B axial T1WI fat suppression post-contrast with white arrow pointing to non-enhancing intravesical hematoma, C axial DWI at b-value 1000, D axial ADC map, E tumor segmentation at one slice, F calculation of the volumetric values. G Histopathological image showing high-grade urothelial carcinoma invading the lamina propria with ulceration of the surface (40X), H invasion of the muscularis propria (M) (40X)

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