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Egyptian Journal of Radiology and Nuclear Medicine
Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

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

Fig. 5

A high-grade MIBC. There are multiple lesions. The index lesion seen papillary with thickened inner layer, TCL > 3 cm, 86.17 cm3 in volume, with right distal ureteric backpressure, the minimum ADC by selected ROI 0.4 × 10–3 mm2/s and the final VI RADS score 4. A Axial T2WI FSE, B axial T1WI fat suppression post-contrast, C axial DWI at b-value 1000 and D axial ADC map all with red arrows pointing to focal mural invasion by tumor tissue, E distal right ureter dilated, F tumor segmentation at one slice, G calculation of the volumetric values. H High-power histopathological image showing high-grade urothelial carcinoma invading the lamina propria (200X)

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