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Fig. 5 | Cancer Imaging

Fig. 5

From: Evaluating residual tumor after neoadjuvant chemotherapy for muscle-invasive urothelial bladder cancer: diagnostic performance and outcomes using biparametric vs. multiparametric MRI

Fig. 5

Sixty-four-year old woman with high grade muscle-invasive urothelial bladder cancer and small cell variant histology on transurethral resection. MRI performed after 4 cycles of neoadjuvant etoposide + cisplatin, showed minimal thickening on axial T2-weighted imaging at the site of resected tumor (A), no increased signal on axial diffusion-weighted imaging (B) but focal early nodular enhancement on sagittal post-contrast MRI (C). This was considered a negative biparametric and positive multiparametric MRI. At radical cystectomy, there was no residual tumor (ypT0). Patient was alive without recurrence at 1048 days after surgery

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