1. ACR Appropriateness Criteria® Post-Treatment Surveillance of Bladder Cancer: 2021 Update
- Author
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Jodi K. Maranchie, Ismail B. Turkbey, Adam T. Froemming, David J Halpern, Don C. Yoo, Oguz Akin, Lauren F Alexander, Brian C. Allen, Michael N. Patlas, Nicola Schieda, Expert Panel on Urological Imaging, Aytekin Oto, Lori Mankowski Gettle, Abhishek A. Solanki, Pat F. Fulgham, Aradhana M. Venkatesan, Mark E. Lockhart, and Bhavik N. Patel
- Subjects
medicine.medical_specialty ,Urinary bladder ,Bladder cancer ,business.industry ,Cancer ,Disease ,medicine.disease ,Appropriate Use Criteria ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Transitional cell carcinoma ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,medicine ,Radiology, Nuclear Medicine and imaging ,Intensive care medicine ,business ,Grading (tumors) ,Medical literature - Abstract
Urothelial cancer is the second most common cancer, and cause of cancer death, related to the genitourinary tract. The goals of surveillance imaging after the treatment of urothelial cancer of the urinary bladder are to detect new or previously undetected urothelial tumors, to identify metastatic disease, and to evaluate for complications of therapy. For surveillance, patients can be stratified into one of three groups: 1) nonmuscle invasive bladder cancer with no symptoms or additional risk factors; 2) nonmuscle invasive bladder cancer with symptoms or additional risk factors; and 3) muscle invasive bladder cancer. This document is a review of the current literature for urothelial cancer and resulting recommendations for surveillance imaging. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
- Published
- 2021