Principles of Imaging for Bladder/Urothelial Cancer (MIBC)

Question 1

Preferred imaging of the chest for staging

Answer 1

CT scan with and without contrast

Question 2

When is FDG-PET/CT beneficial? (in what stages?)

Answer 2

T2 and cT3 and up

Question 3

Preferred imaging of the chest for follow up?

Answer 3

Chest CT pa rin

Question 4

For cT4b disease, what is the preferred chest imaging?

Answer 4

Chest CT pa rin

Question 5

Is FDG-PET/CT used to delineate the anatomy of the UUT?

Answer 5

No

Question 6

GFR requirement for MRU?

Answer 6

> 30 GFR

Question 7

What imaging will you request a patient who cannot tolerate iodinated or gadolinium based contrast?

Answer 7

Renal US with or without RGP

Question 8

For suspected upper tract lesions, aside from radiography, what procedure can you request?

Answer 8

Ureteroscopy

Question 9

Schedule for upper tract and abdominopelvic imaging?

Answer 9

3-6 month intervals for 2 years, then abdominopelvic imaging annually for up to 5 years and as indicated thereafter

Question 10

In what subset of patients do you order bone scan?

Answer 10

Symptomatic or high risk patients, also those with laboratory indicators of bone mets

Question 11

Preferred brain imaging for symptomatic or selected high risk patients?

Answer 11

MRI