However, there is currently a lack of original research directly comparing the diagnostic usefulness of chest radiographs versus chest CT in this patient population. CT chest with contrast is preferred over CT chest without IV contrast when evaluating for metastatic disease and lymphadenopathy. CT Pelvis With IV Contrast There is no relevant literature to support the use of CT pelvis with IV contrast (separate from CTU) in the evaluation of MIBC. CTU and MRU are of greater usefulness because they allow for the comprehensive evaluation of the genitourinary tract, as well as the assessment of retroperitoneal and pelvic lymph nodes (see CTU and MRU sections). CT Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT pelvis without and with IV contrast (separate from CTU) in the evaluation of MIBC. CTU and MRU are of greater usefulness because they allow for the comprehensive evaluation of the genitourinary tract, as well as the assessment of retroperitoneal and pelvic lymph nodes (see CTU and MRU sections). CT Pelvis Without IV Contrast There is no relevant literature to support the use of CT pelvis without IV contrast (separate from CTU) in the evaluation of MIBC. CTU and MRU are of greater usefulness because they allow for the comprehensive evaluation of the genitourinary tract, as well as the assessment of retroperitoneal and pelvic lymph nodes (see CTU and MRU sections). CTU Without and With IV Contrast A recommended practice during primary evaluation and surgical treatment of urothelial bladder carcinoma is to image the upper tract if not previously done [5]. Synchronous upper tract tumors occur in 2% of patients at presentation, and 6% develop a metachronous lesion [89]. An abdomen-pelvis CTU protocol can help to detect upper urinary tract disease. Cross-sectional techniques such as CTU and MRU are superior to IVU for evaluating the renal collecting systems and ureters [37,38].
Pretreatment Staging of Urothelial Cancer. However, there is currently a lack of original research directly comparing the diagnostic usefulness of chest radiographs versus chest CT in this patient population. CT chest with contrast is preferred over CT chest without IV contrast when evaluating for metastatic disease and lymphadenopathy. CT Pelvis With IV Contrast There is no relevant literature to support the use of CT pelvis with IV contrast (separate from CTU) in the evaluation of MIBC. CTU and MRU are of greater usefulness because they allow for the comprehensive evaluation of the genitourinary tract, as well as the assessment of retroperitoneal and pelvic lymph nodes (see CTU and MRU sections). CT Pelvis Without and With IV Contrast There is no relevant literature to support the use of CT pelvis without and with IV contrast (separate from CTU) in the evaluation of MIBC. CTU and MRU are of greater usefulness because they allow for the comprehensive evaluation of the genitourinary tract, as well as the assessment of retroperitoneal and pelvic lymph nodes (see CTU and MRU sections). CT Pelvis Without IV Contrast There is no relevant literature to support the use of CT pelvis without IV contrast (separate from CTU) in the evaluation of MIBC. CTU and MRU are of greater usefulness because they allow for the comprehensive evaluation of the genitourinary tract, as well as the assessment of retroperitoneal and pelvic lymph nodes (see CTU and MRU sections). CTU Without and With IV Contrast A recommended practice during primary evaluation and surgical treatment of urothelial bladder carcinoma is to image the upper tract if not previously done [5]. Synchronous upper tract tumors occur in 2% of patients at presentation, and 6% develop a metachronous lesion [89]. An abdomen-pelvis CTU protocol can help to detect upper urinary tract disease. Cross-sectional techniques such as CTU and MRU are superior to IVU for evaluating the renal collecting systems and ureters [37,38].