Skip to main content
SpringerLink
Log in

Onkologische Erkrankungen und postoperative Veränderungen der Harnblase und der ableitenden Harnwege

  • Chapter
Book cover Weiterbildung Radiologie

  • 1563 Accesses

Zusammenfassung

Malignome im Nierenbeckenkelchsystem oder in den Ureteren stellen eine diagnostische Herausforderung dar, der mittels mehrphasiger [CT (Computertomographie)-] Untersuchungsprotokolle begegnet werden kann. Neben dem direkten Tumornachweis erlaubt die Schnittbildgebung hier eine Umgebungsdiagnostik und kann im Sinne eines One-Stop-Shop sowohl zur Einordnung der Lokalsituation als auch zum Staging dienen. Urothelkarzinome sind überwiegend in der Harnblase lokalisiert. Die CT und in jüngster Zeit auch in verstärktem Maße die Magnetresonanztomographie (MRT) können auch hier zur Einteilung des TNM- Stadiums entscheidende Informationen beisteuern. Eine Kombination aus klinischen, histologischen, bildmorphologischen und funktionellen Parametern ermöglicht eine Risikostratifizierung und eine stadienadaptierte Therapie.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 17.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Bundesministerium für Gesundheit (2013) Daten des Gesundheitswesens. Berlin, http://www.bmg.bund.de/fileadmin/dateien/Publikationen/Gesundheit/Broschueren/Daten_des_Gesundheitswesens_2013.pdf

  2. Wang LJ, Wong YC, Huang CC et al (2010) Multidetector computerized tomography urography is more accurate than excretory urography for diagnosing transitional cell carcinoma of the upper urinary tract in adults with hematuria. J Urol 183(1 ):48–55

    Article  PubMed  Google Scholar 

  3. Sudakoff GS, Dünn DP, Guralnick ML et al (2008) Multidetector computerized tomography urography as the primary imaging modality for detecting urinary tract neoplasms in patients with asymptomatic hematuria. J Urol 179(3):862–867

    Article  PubMed  Google Scholar 

  4. Chlapoutakis K, Theocharopoulos N, Yarmenitis S, Damilakis J (2010) Performance ofcomputed tomographic urography in diagnosis of upper urinary tract urothelial carcinoma, in patients presenting with hematuria: systematic reviewand meta-analysis. Eur J Radiol 73(2):334–338

    Article  PubMed  Google Scholar 

  5. Roy C, Jeantroux J, Irani FG et al (2007) Accuracy of intermediate dose of furosemide injection to impro- ve multidetector row CT urography. Eur J Radiol 66(2):253–261

    Article  PubMed  Google Scholar 

  6. Mäher MM, Kalra MK, Rizzo S et al (2004) MultidetectorCT urography in imaging oftheurinarytract in pa- tients with hematuria. KoreanJ Radi- ol 5(1 ):1 -10

    Google Scholar 

  7. Juri H, Matsuki M, Inada Y et al (2013) Low-dose computed tomographic urography using adaptive iterative dose reduction 3-dimensional: com- parison with routine-dose computed tomography with filtered back projection. J Comput AssistTomogr 37(3):426–431

    Google Scholar 

  8. Leschka S, Stolzmann P, Baumüller S et al (2010) Performance of dual- energy CT with tin filter technology for the discrimination of renal cysts and enhancing masses. Acad Radiol 17(4)526–534

    Article  PubMed  Google Scholar 

  9. Raman SP, Horton KM, Fishman EK (2012) Transitional cell carcinoma of the upper urinary tract: optimi- zing image Interpretation with 3D reconstructions. Abdom Imaging 37(6):1129–1140

    Article  PubMed  Google Scholar 

  10. Raza SA, Sohaib SA, Sahdev A et al (2012) Centrally infiltrating renal masses on CT: differentiating intrarenal transitional cell carcinoma from centrally located renal cell carcinoma. AJR Am J Roentgenol 198(4):846–853

    Article  PubMed  Google Scholar 

  11. Bata P, Tarnoki DL, Tarnoki AD et al (2014) Transitional cell and clear cell renal carcinoma: differentiation of distinct histological types with mul- tiphaseCT. Acta Radiol 55(9):1112–1119

    Article  PubMed  Google Scholar 

  12. Vargas HA, Chaim J, Lefkowitz RA et al (2012) Renal cortical tumors: use of multiphasic contrast-enhanced MR imaging to differentiate benign and malignant histologic subtypes. Radiology 264(3):779–788

    Article  PubMed  Google Scholar 

  13. HadjidekovG, Hadjidekova S, Ton- chevZetal (2011) Assessing renal function in children with hydrone- phrosis - additional feature of MR urography. Radiol Oncol 45(4):248–258

    Google Scholar 

  14. Schindele D, Furth C, Liehr UB et al (2012) Magnetic resonance urography in pediatric urology. Urologe A 51 (12):1708–1713

    Article  CAS  PubMed  Google Scholar 

  15. Jones RA, Grattan-Smith JD, Little S (2011) Pediatric magnetic resonance urography. J Magn Reson Imaging 33(3)510–526

    Article  PubMed  Google Scholar 

  16. Kalb B, Sharma P, Salman Ket al (2010) Acute abdominal pain: is the- rea potential roleforMRI in the setting of the emergency department in a patient with renal calculi? J Magn Reson Imaging 32(5):1012–1023

    Article  PubMed  Google Scholar 

  17. SeminsMJ, FengZ, TrockBetal (2012) Evaluation of acute renal co- lic: a comparison of non-contrast CT versus 3-T non-contrast HASTE MR urography. Urolithiasis 41 (1 ):43–46

    Google Scholar 

  18. Mullins JK, Semins MJ, Hyams ES et al (2012) Half Fourier single-shottur- bo spin-echo magnetic resonance urographyforthe evaluation of su- spected renal colic in pregnancy. Urology 79(6):1252–1255

    Article  PubMed  Google Scholar 

  19. Wehrli NE, Kim MJ, Matza BW et al (2013) Utility of MRI features in differentiation of central renal cell Carcinoma and renal pelvic urothelial carcinoma. AJR Am J Roentgenol 201 (6):1260–1267

    Article  PubMed  Google Scholar 

  20. Lassel EA, Rao R, Schwenke C et al (2014) Diffusion-weighted imaging offocal renal lesions: a meta-analysis. Eur Radiol 24(1 ):241–249

    Article  CAS  PubMed  Google Scholar 

  21. Martingano P, Cavallaro MF, Bertolot- to M et al (2013) Magnetic resonance urography vs computed tomo- graphy urography in the evaluation of patients with haematuria. Radiol Med 118(7):1184–1198

    Article  PubMed  Google Scholar 

  22. Wu GY, Lu Q, Wu LM et al (2014) Comparison of computed tomogra- phic urography, magnetic resonance urography and the combination of diffusion weighted imaging in dia- gnosis of upper urinary tract cancer. Eur J Radiol 83(6):893–899

    Article  PubMed  Google Scholar 

  23. Takahashi N, Glöckner JF, Hartman RP et al (2010) Gadolinium enhan- ced magnetic resonance urography for upper urinary tract malignancy. J Urol 183(4):1330–1365

    Article  PubMed  Google Scholar 

  24. Silverman SG, Leyendecker JR, Amis ES Jr (2009) What is the current role ofCT urography and MR urography in the evaluation of the urinary tract? Radiology 250(2):309–323

    Article  PubMed  Google Scholar 

  25. Siegel R, Naishadham D, Jemal A (2013) Cancer statistics, 2013. CA Cancer J Clin 63(1 ):11 -30

    Article  PubMed  Google Scholar 

  26. Freedman ND, Silverman DT, Hollenbeck AR et al (2011) Association bet- ween smoking and riskof bladder cancer among men and women. JA- MA 306(7):737–745

    CAS  Google Scholar 

  27. Murphy WM, Grignon DJ, Perlman EJ (2004) Tumors of the kidney, bladder, and related urinary structures. AFIP Atlas of Tumor Pathology, Series 4. American Registry of Pathology, Washington DC

    Google Scholar 

  28. Prout GR Jr, Griffin PP, ShipleyWU (1979) Bladder carcinoma as a syste- mic disease. Cancer 43(6):2532–2539

    Article  PubMed  Google Scholar 

  29. Kirkali Z, ChanT, Manoharan M et al (2005) Bladder cancer: epidemiolo- gy, staging and grading, and diagno- sis. Urology 66(6 Suppl 1 ):4–34

    Article  PubMed  Google Scholar 

  30. Witjes JA, Comperat E, Cowan NC et al (2014) EAU guidelines on muscle- invasive and metastatic bladder cancer: summary of the 2013 guidelines. Eur Urol 65(4):778–792

    Article  PubMed  Google Scholar 

  31. Verma S, Rajesh A, Prasad SR et al (2012) Urinary bladder cancer: role of MR imaging. Radiographics 32(2):371 -387

    Article  PubMed  Google Scholar 

  32. Greene FL, Page DL, Fleming ID et al (eds) (2002) Urinary bladder. AJCC Cancer Staging Manual, 6th ed. Springer, New York

    Google Scholar 

  33. DuttaSC, Smith JA Jr, Shappell SB (2001) Clinical under staging of high risk nonmusde invasive urothelial carcinoma treated with radical cys- tectomy.J Urol 166(2):490–493

    Google Scholar 

  34. Grimm MO, Steinhoff C, Simon X et al (2003) Effect of routine repeat transurethral resection for superficial bladder cancer: a long-term observa- tional study. J Urol 170(2 Pt 1 ):433–437

    Article  PubMed  Google Scholar 

  35. Divrik RT, Yildirim U, Zorlu F, Ozen H (2006) The effect of repeat transurethral resection on recurrence and Progression rates in patients withTI tumors of the bladder who received intravesical mitomycin: a prospec- tive, randomized clinical trial.J Urol 175(5):1641–1644

    Article  CAS  PubMed  Google Scholar 

  36. Bryan PJ, Butler HE, LiPuma JF et al (1987) CT and MR imaging in staging bladder neoplasms. J Comput Assist Tomogr 11 (1 ):96–101

    Article  CAS  PubMed  Google Scholar 

  37. Husband JE, OlliffJF, Williams MP etal (1989) Bladder cancer: staging with CT and MR imaging. Radiology 173(2):435–440

    Article  CAS  PubMed  Google Scholar 

  38. Kim B, Semelka RC, Ascher SM et al (1994) Bladder tumor staging: comparison of contrast-enhanced CT, T1- andT2-weighted MR imaging, dynamic gadolinium-enhanced imaging, and late gadolinium-enhanced imaging. Radiology 193(1 ):239–245

    Article  CAS  PubMed  Google Scholar 

  39. El-AssmyA, Abou-El-Ghar ME, Mos- bah A et al (2009) Bladder tumour staging: comparison of diffusion- andT2-weighted MR imaging. Eur Radiol 19(7):1575–1581

    Google Scholar 

  40. Takeuchi M, Sasaki S, Ito M et al (2009) Urinary bladder cancer: diffusion-weighted MR imaging - accu- racy for diagnosing T stage and esti- mating histologic grade. Radiology 251 (1 ):112–121

    Article  PubMed  Google Scholar 

  41. Hafeez S, Huddart R (2013) Advances in bladder cancer imaging. BMC Med 11:10–4

    Article  Google Scholar 

  42. Bostrom PJ, Rhijn BWG van, Fleshner N et al (2010) Staging and staging errors in bladder cancer. Eur Urol Suppl 9(1):2–9

    Article  Google Scholar 

  43. Haas RJ de, Steyvers MJ, Futterer JJ (2013) Multiparametric MRI of the bladder: ready for clinical routine? AJR Am J Roentgenol 202(6):1187–1195

    Article  Google Scholar 

  44. Tekes A, Kamel IR, Imam K et al (2003) MR imaging features of tran- sitional cell carcinoma of the urinary bladder. AJR Am J Roentgenol 180(3):771 -777

    Article  PubMed  Google Scholar 

  45. Abou-El-Ghar ME, El-Assmy A, Refaie HF, EI-DiastyT (2009) Bladder cancer: diagnosis with diffusion-weighted MR imaging in patients with gross hematuria. Radiology 251 (2):415–421

    Article  PubMed  Google Scholar 

  46. Wu LM, Chen XX, Xu JR etal (2013) Clinical value ofT2-weighted imaging combined with diffusion- weighted imaging in preoperativeT staging of urinary bladder cancer: a large-scale, multiobserver prospec- tive study on 3.0-T MRI. Acad Radiol 20(8):939–946

    Article  PubMed  Google Scholar 

  47. KobayashiS, Koga F, Yoshida S etal (2010) Diagnostic performance of diffusion-weighted magnetic resonance imaging in bladder cancer: potential Utility of apparent diffusion coefficient values as a biomarker to predict clinical aggressiveness. Eur Radiol 21 (10):2178–2186

    Google Scholar 

  48. Kobayashi S, Koga F, Kajino K et al (2014) Apparent diffusion coefficient value reflects invasive and proliferative potential of bladder cancer. J Magn Reson Imaging 39(1 ):172–178

    Article  PubMed  Google Scholar 

  49. Yoshida S, Koga F, Kobayashi S et al (2011) Role of diffusion-weighted magnetic resonance imaging in pre- dicting sensitivity to chemoradio- therapy in musde-invasive bladder cancer. IntJ RadiatOncol Biol Phys 83(1 ):e21 -e27

    Google Scholar 

  50. El-Assmy A, Abou-El-Ghar ME, Refaie HF etal (2012) Diffusion-weighted magnetic resonance imaging in follow-up of superficial urinary bladder carcinoma after transurethral resection: initial experience. BJU Int 110(11 Pt B):E622–E627

    Article  PubMed  Google Scholar 

  51. Wang HJ, Pui MH, GuoYet al (2014) Diffusion-weighted MRI in bladder carcinoma: the differentiation bet- ween tumor recurrence and benign changes after resection. Abdom Imaging 39(1):135–141

    Article  PubMed  Google Scholar 

  52. Tekes A, Kamel I, Imam K et al (2005) Dynamic MRI of bladder cancer: evaluation of staging accuracy. AJR Am J Roentgenol 184(1 ):121–127

    Article  PubMed  Google Scholar 

  53. Bradford TJ, Montie JE, HafezKS (2006) The role of imaging in the sur- veillance of urologic malignancies. Urol Clin North Am 33(3)377–396

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Institut für Klinische Radiologie und Nuklearmedizin, Medizinische Fakultät Mannheim, Universitätsmedizin Mannheim, Universität Heidelberg, Mannheim

    M.M. Ong, P. Riffel, J. Budjan, S.O. Schönberg & S. Haneder

  2. Klinik für Urologie, Medizinische Fakultät Mannheim, Universitätsmedizin Mannheim, Universität Heidelberg, Mannheim

    C. Bolenz

  3. Institut für Diagnostische und Interventionelle Radiologie, Universitätsklinik Köln, Köln

    S. Haneder

Authors
  1. M.M. Ong
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Riffel
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. J. Budjan
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. C. Bolenz
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S.O. Schönberg
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. S. Haneder
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für Radiologie, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg

    Stefan Delorme

  2. Zentralinstitut für Bildgebende Diagnostik, Karlsruhe

    Peter Reimer

  3. Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Homburg

    Wolfgang Reith

  4. KW Hilversum, The Netherlands

    Cornelia Schäfer-Prokop

  5. Klinik für Radiodiagnostik, AKH, Wien

    Claudia Schüller-Weidekamm

  6. Kinderklinik, Universitätsklinikum Freiburg, Freiburg

    Markus Uhl

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Ong, M., Riffel, P., Budjan, J., Bolenz, C., Schönberg, S., Haneder, S. (2015). Onkologische Erkrankungen und postoperative Veränderungen der Harnblase und der ableitenden Harnwege. In: Delorme, S., Reimer, P., Reith, W., Schäfer-Prokop, C., Schüller-Weidekamm, C., Uhl, M. (eds) Weiterbildung Radiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46785-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-46785-5_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46784-8

  • Online ISBN: 978-3-662-46785-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation