ldtЛучевая диагностика и терапияDiagnostic radiology and radiotherapy2079-5343Baltic Medical Education Center10.22328/2079-5343-2017-4-16-24ldt-244Research ArticleОБЗОРДИАГНОСТИКА И СТАДИРОВАНИЕ РАКА МОЧЕВОГО ПУЗЫРЯDIAGNOSIS AND STAGING OF BLADDER CANCERКапринА. Д.KaprinA. D.

академик РАН, профессор, генеральный директор 

249036, г. Обнинск, ул. Королева, д. 4; тел.: +7 (495) 150-11-22

mail@nmirc.ruАлексеевБ. Я.AlekseevB. Ya.

профессор, доктор медицинских наук, заместитель генерального директора по научной работе

заместитель директора 

105425, г. Москва, 3-я Парковая ул., д. 51, стр. 1

uro.otvet@mail.ruРубцоваН. А.RubtsovaN. A.

доктор медицинских наук, заведующая отделом

отдел лучевой диагностики 

125284, г. Москва, 2-й Боткинский проезд, д. 3; тел.: +7 (495) 945-59-39

mnioi@mail.ruНюшкоК. М.NjushkoK. M.

кандидат медицинских наук, ведущий научный сотрудник

отделение онкоурологии

125284, г. Москва, 2-й Боткинский проезд, д. 3; тел.: +7 (495) 150-11-22

mnioi@mail.ruСеменоваИ. И.SemenovaI. I.

врач-рентгенолог

отделение рентгенодиагностических и радиоизотопных методов исследования 

129327, г. Москва, Ленская ул., д. 15; тел.: +7 (903) 583-95-38

drsemenova88@gmail.comШегайП. В.ShegaiP. V.

кандидат медицинских наук, научный сотрудник

отделение онкоурологии 

125284, г. Москва, 2-й Боткинский проезд, д. 3; тел.: +7 (495) 150-11-22

mnioi@mail.ruНациональный медицинский исследовательский радиологический центр; Московский научно-исследовательский институт им. П. А. Герцена — филиал Национального медицинского исследовательского радиологического центраРоссияNational Medical Research Radiological Center, Ministry of Health of the Russian Federation; P. A. Herzen Moscow Oncology Research Institute, Affiliated Department of National Medical Research Radiological Center, Ministry of Health of the Russian FederationRussian FederationНациональный медицинский исследовательский радиологический центр; Научно-исследовательский институт урологии и интервенционной радиологии им. Н. А. Лопаткина — филиал Национального медицинского исследовательского радиологического центраРоссияNational Medical Research Radiological Center, Ministry of Health of the Russian Federation; N. A. Lopatkin Research Institute of Urology and Intervention Radiology, Affiliated Department of National Medical Research Radiological Center, Ministry of Health of the Russian FederationRussian FederationМосковский научно-исследовательский институт им. П. А. Герцена — филиал Национального медицинского исследовательского радиологического центраРоссияP. A. Herzen Moscow Oncology Research Institute, Affiliated Department of National Medical Research Radiological Center, Ministry of Health of the Russian FederationRussian FederationГородская клиническая больница им. А. К. ЕрамишанцеваРоссияN. A. Lopatkin Research Institute of Urology and Intervention Radiology, Affiliated Department of National Medical Research Radiological Center, Ministry of Health of the Russian FederationRussian Federation201722022018041624Copyright © Каприн А.Д., Алексеев Б.Я., Рубцова Н.А., Нюшко К.М., Семенова И.И., Шегай П.В., 20182018Каприн А.Д., Алексеев Б.Я., Рубцова Н.А., Нюшко К.М., Семенова И.И., Шегай П.В.Kaprin A.D., Alekseev B.Y., Rubtsova N.A., Njushko K.M., Semenova I.I., Shegai P.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://radiag.bmoc-spb.ru/jour/article/view/244

Рак мочевого пузыря (РМП) является достаточно распространенной патологией в  структуре онкологической заболеваемости как в мире, так и в Российской Федерации, особенно у пожилых пациентов. Как известно, показатели 5-летней выживаемости и безрецидивного периода напрямую коррелируют со стадией опухолевого процесса, что определяет значимость адекватной оценки распространенности новообразований при планировании тактики лечения. В  статье представлен обзор научных работ, посвященных методам визуализации, которые используются для предоперационного стадирования РМП. В настоящее время наибольший интерес представ- ляет мультипараметрическая МРТ, обладающая рядом преимуществ перед другими методами визуализации, включая неинвазивность, высокую тканевую и пространственную визуализацию, а также отсутствие ионизи- рующего излучения. Появление данного метода способствовало повышению диагностической эффективности при оценке распространенности РМП. Однако сохраняется ряд нерешенных вопросов, связанных с ошибками интерпретации глубины инвазии и оценки зон регионарного лимфооттока, которые требуют детального изучения и анализа.

Urinary bladder cancer is a fairly common pathology in the structure of cancer morbidity, both in the world and in the Russian Federation, especially in elderly patients. As is well known, the 5-year survival and disease-free survival rates directly correlate with the stage of the tumor process, which determines the significance of an adequate assessment of the distribution of tumors for planning treatment approach. This article provides an overview of scientific studies on imaging techniques that are used for preoperatively staging of urinary bladder cancer. Currently, the most interesting is multiparametric-MRI, which has a number of advantages over other imaging methods including: non-invasiveness, high tissue and spatial visualization and the absence of ionizing radiation. The appearance of this method contributed to an increase in diagnostic effectiveness in assessing the distribution of urinary bladder cancer. However, there are a number of unresolved issues related to errors in interpreting the depth of invasion and evaluation of regional lymphatic outflow, which require detailed study and analysis. 

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The authors declare that there are no conflicts of interest present.