Photodynamic Diagnosis and Narrow-Band Imaging in the Management of Bladder Cancer: A Review

Photomed Laser Surg. 2017 Sep;35(9):459-464. doi: 10.1089/pho.2016.4217. Epub 2017 May 22.

Abstract

Background: Bladder cancer is the most common malignancy of the urinary tract. Its proper diagnosis and efficient treatment is still considered a challenge in urology today. White light cystoscopy is a gold standard for the diagnosis, follow-up, and endoscopic treatment of bladder cancer. To improve the efficacy of bladder cancer management, photodynamic diagnosis and narrow-band imaging have been introduced to the urological armamentarium.

Objective and methods: The article presents the current state of knowledge of technical solutions that are intended to improve the diagnosis and management of bladder cancer. A nonsystemic review of relevant PubMed literature was performed.

Results: Photodynamic diagnosis and narrow-band imaging improve the detection of bladder cancer and decrease recurrence rates of bladder tumors.

Conclusions: Although the high cost of the equipment may limit its introduction to everyday use, it is a cost-effective method of bladder cancer management for long-term follow-up.

Keywords: NBI; PDD; bladder cancer; narrow-band imaging; photodynamic diagnosis; review.

Publication types

  • Review

MeSH terms

  • Cystoscopy / methods*
  • Disease Management
  • Humans
  • Narrow Band Imaging / methods*
  • Neoplasm Invasiveness / pathology
  • Neoplasm Staging
  • Sensitivity and Specificity
  • Urinary Bladder Neoplasms / diagnostic imaging*
  • Urinary Bladder Neoplasms / pathology
  • Urinary Bladder Neoplasms / therapy