Editing Muscle-Invasive Bladder Cancer (section)

===Imaging ===
* Goals of imaging in MIBC are to determine:
*#Feasibility and safety of removing of the bladder
*#Presence of hydronephrosis
*#Presence of upper tract disease
*#Local extent of the disease
*# Presence of pelvic or retroperitoneal lymph node metastases
*#Visceral/distant metastatic sites
*'''<span style="color:#ff0000">Regional</span>'''
** '''<span style="color:#ff0000">Cross-sectional imaging of the abdomen/pelvis with IV contrast</span>''' (if not contraindicated)
* '''<span style="color:#ff0000">Metastasis</span>'''
**'''<span style="color:#ff0000">Chest (CT or CXR)</span>'''
***'''Prior smokers may benefit from a chest CT;''' non-smokers should have a minimum of a chest x-ray (with posterior-anterior and lateral images).****Non-smokers also may benefit from CT imaging to evaluate for metastatic cancer.
**Bone scan
***Indications (2):
***#Elevated alkaline phosphatase
***#Presence of bone pain symptoms
** PET imaging
***Indications (2):
***#Abnormal chest, abdominal, or pelvic imaging that requires further evaluation
***#Biopsy of a suspicious lymph node is not feasible