Diffusion-Weighted Magnetic Resonance Imaging: A New Tool for the Diagnosis of Bladder Pain Syndrome/Interstitial Cystitis
| Autor: | A. Charlanes, Frédérique Le Breton, Frank Boudghene, Gérard Amarenco, P. Manceau, Marylène Jousse, Calin Ciofu, Camille Chesnel |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Pelvic pain syndrome medicine.medical_specialty Bladder Pain Syndrome Urology Urinary Bladder Cystitis Interstitial 030232 urology & nephrology Pelvic Pain urologic and male genital diseases Sensitivity and Specificity 03 medical and health sciences 0302 clinical medicine medicine Humans Aged Retrospective Studies Urinary bladder medicine.diagnostic_test business.industry Pelvic pain Significant difference Interstitial cystitis Magnetic resonance imaging Syndrome Middle Aged medicine.disease Magnetic Resonance Imaging Diffusion-Weighted Magnetic Resonance Imaging Diffusion Magnetic Resonance Imaging medicine.anatomical_structure 030220 oncology & carcinogenesis Female Chronic Pain medicine.symptom business hormones hormone substitutes and hormone antagonists |
| Zdroj: | Urologia Internationalis. 102:109-112 |
| ISSN: | 1423-0399 0042-1138 |
| DOI: | 10.1159/000493507 |
| Popis: | Objectives: To determine whether diffusion-weighted magnetic resonance imaging (DWMRI), a noninvasive procedure, can contribute to the diagnosis of bladder pain syndrome/interstitial cystitis (BPS/IC). Methods: The pelvic DWMRI of patients with chronic pelvic pain syndrome was selected between January 2012 and June 2017. A radiologist analyzed the bladder wall signal; he was blinded to the patients’ clinical data. According to the 2008 European Society for the Study of Bladder Pain Syndrome/Interstitial Cystitis criteria, 2 groups of patients were determined: BPS/IC and no BPS/IC. The association between BPS/IC and the wall signal intensity was compared. Results: In the 106 patients included, 82 had criteria for BPS/IC and 24 did not. A significant difference in the distribution of the signal was found between the 2 groups (p = 0.01). High signal intensity of the bladder wall was related to the presence of a BPS/IC with a sensitivity of 28% and a specificity of 88%. No signal intensity of the bladder wall was related to the absence of a BPS/IC with a sensitivity of 96% and a specificity of 29%. Conclusions: In DWMRI, high bladder wall signal intensity helps to affirm a BPS/IC, whereas the absence of signal helps to exclude the diagnosis. Further studies are needed to confirm these preliminary results. |
| Databáze: | OpenAIRE |
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