Does 3D Ultrasound Enhance the Diagnosis of Bladder Tumours in Patients with Haematuria?

Abstract EN

Purpose.

Bladder cancer is a frequent cause of haematuria in elderly patients, and bladder ultrasound (US) is a valuable tool in diagnosing these malignancies.

We examined the accuracy of 3D bladder US in diagnosing bladder tumors in patients with haematuria.

Patients and Methods.

Twenty-one patients observed in the emergency department for haematuria underwent a kidney and bladder US.

Patients with normal or uncertain bladder US findings underwent a 3D US and a cystoscopy.

Results.

In 5 (23.8%) patients, the 3D US detected bladder tumours not seen in 2D US.

All these patients were found to have bladder tumours on cystoscopy.

Another 5 (23.8%) patients with uncertain findings on 2D US had normal 3D US and cystoscopy.

3D US showed a sensitivity of 83.3% and a specificity of 100% with a positive predicted value and negative predictive values of 100% and 93.8%, respectively.

Conclusion.

3D US was more sensitive than 2D US in diagnosing bladder tumours in patients with haematuria.