{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T21:21:38Z","timestamp":1773782498666,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T00:00:00Z","timestamp":1733702400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Urology"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The efficacy of Vesical Imaging\u2013Reporting and Data System (VI\u2010RADS) for the second transurethral resection (TUR) has not been adequately validated. This study aimed to evaluate the utility of the VI\u2010RADS for high\u2010risk patients with non\u2010muscle\u2010invasive bladder cancer (NMIBC) who are candidates for a second TUR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 116 patients who received magnetic resonance imaging (MRI) prior to an initial TUR and underwent a second TUR for a diagnosis of high\u2010risk NMIBC at the initial TUR. MRI images were retrospectively classified according to VI\u2010RADS. Second TUR outcomes and recurrence\u2010free and progression\u2010free survival rates were compared with VI\u2010RADS scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety\u2010nine (91%) patients were diagnosed with T1 bladder cancer at the initial TUR. At the second TUR, residual cancer was found in 53 (49%) cases, including five (4.6%) cases of muscle invasion. With a median follow\u2010up of 41\u2009months, the 2\u2010year bladder recurrence\u2010free survival rate was 71% and the 2\u2010year progression\u2010free rate was 85%. By two radiologists' consensus, 30 (28%)\/49 (45%)\/16 (15%)\/10 (9.2%)\/4 (3.7%) cases were classified as VI\u2010RADS 1\/2\/3\/4\/5, respectively. Of five pT2 upstage cases, three were VI\u2010RADS 1, one was VI\u2010RADS 2, and one was VI\u2010RADS 3. There was no significant association between VI\u2010RADS and cancer residual rate and pT2 upstage rate in second TUR outcomes, and recurrence\u2010free and progression\u2010free survival rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In high\u2010risk NMIBCs, a certain number of residual cancers and pT2 upstage cases exist after the initial TUR, and a second TUR should be performed regardless of VI\u2010RADS scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.15638","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T06:44:02Z","timestamp":1733726642000},"page":"264-269","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The need for a second transurethral resection in high\u2010risk non\u2010muscle\u2010invasive bladder cancer based on the Vesicle Imaging\u2013Reporting and Data System"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4931-2489","authenticated-orcid":false,"given":"Yuki","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Urology Institute of Science Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2757-8083","authenticated-orcid":false,"given":"Soichiro","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Urology Institute of Science Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5285-0352","authenticated-orcid":false,"given":"Yuki","family":"Arita","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Radiology Keio University School of Medicine  Tokyo Japan"},{"name":"Department of Radiology Sloan Kettering Institute  New York New York 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