Skip to main content

Abstract

This chapter reviews recent advances in the imaging of renal masses, primarily using computed tomography (CT) and magnetic resonance imaging (MRI). The focus is on developments in the use of imaging to differentiate benign from malignant renal lesions and to assess patients following treatment for a renal mass.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Cohan RH, Sherman LS, Korobkin M et al (1995) Renal masses: assessment of corticomedullary-phase and nephrographicphase CT scans. Radiology 196:445–451

    CAS  PubMed  Google Scholar 

  2. Birnbaum BA, Jacobs JE (1996) Multiphasic renal CT: comparison of renal mass enhancement during the corticomedullary and nephrographic phases. Radiology 200:753–758

    CAS  PubMed  Google Scholar 

  3. Hecht EM, Israel GM, Krinsky GA et al (2004) Renal masses: quantitative analysis of enhancement with signal intensity measurements versus qualitative analysis of enhancement with image subtraction for diagnosing malignancy at MR imaging. Radiology 232:373–378

    Article  PubMed  Google Scholar 

  4. Patel NS, Poder L, Wang ZJ et al (2009) The characterization of small hypoattenuating renal masses on contrast enhanced CT. Clin Imag 33:295–300

    Article  Google Scholar 

  5. Choyke PL (2003) Imaging of hereditary renal cancer. Radiol Clin North Am 41:1037–1051

    Article  PubMed  Google Scholar 

  6. Bosniak MA, Birnbaum BA, Krinsky GA, Waisman J (1995) Small renal parenchymal neoplasms: further observations on growth. Radiology 197:589–597

    CAS  PubMed  Google Scholar 

  7. Zhang J, Kang SK, Wang L et al (2009) Distribution of renal tumor growth rates determined by using serial volumetric CT measurements. Radiology 250:137–144

    Article  PubMed  Google Scholar 

  8. Pahernik S, Ziegler S, Roos F et al (2007) Small renal tumors: correlation of clinical and pathological features with tumor size. J Urol 178:414–417

    Article  PubMed  Google Scholar 

  9. Bosniak MA (1986) The current radiological approach to renal cysts. Radiology 158:1–10

    CAS  PubMed  Google Scholar 

  10. Israel GM, Bosniak MA (2005) How I do it: evaluating renal masses. Radiology 236:441–450

    Article  PubMed  Google Scholar 

  11. Gabr AH, Gdor Y, Roberts WW, Wolf JS (2008) Radiographic surveillance of minimally and moderately complex renal cysts. Br J Urol Int 103:1116–1119

    Google Scholar 

  12. Israel GM, Hindman N, Bosniak MA (2004) Evaluation of cystic renal masses: comparison of CT and MR imaging by using the Bosniak classification system. Radiology 231:365–371

    Article  PubMed  Google Scholar 

  13. Farrelly C, Delaney H, McDermott R, Malone D (2008) Do all non-calcified echogenic renal lesions found on ultrasound need further evaluation with CT? Abdominal Imaging 33:44–47

    Article  PubMed  Google Scholar 

  14. Helenon O, Chretien Y, Paraf F et al (1993) Renal cell carcinoma containing fat: demonstration with CT. Radiology 188:429–430

    CAS  PubMed  Google Scholar 

  15. Simpson E, Patel U (2006) Diagnosis of angiomyolipoma using computed tomography-region of interest ≤10 HU or 4 adjacent pixels ≤10 HU are recommended as the diagnostic thresholds. Clin Radiol 61:410–416

    Article  CAS  PubMed  Google Scholar 

  16. Israel GM, Hindman N, Hecht E, Krinsky G (2005) The use of opposed-phase chemical shift MRI in the diagnosis of renal angiomyolipomas. AJR Am J Roentgenol 194:1868–1872

    Google Scholar 

  17. Israel GM, Bosniak MA, Slywotzky CM et al (2002) CT differentiation of large exophytic renal angiomyolipomas and perirenal liposarcomas. AJR Am J Roentgenol 179:769–773

    PubMed  Google Scholar 

  18. Ellingson JJ, Coakley FV, Joe BN et al (2008) Computed tomographic distinction of perirenal liposarcoma from exophytic angiomyolipoma: a feature analysis study. J Comput Assist Tomogr 32:548–552

    Article  PubMed  Google Scholar 

  19. Jinzaki M, Silverman SG, Tanimoto A et al (2005) Angiomyolipomas that do not contain fat attenuation at unenhanced CT. Radiology 234:311

    Article  PubMed  Google Scholar 

  20. Catalano OA, Samir AE, Sahani DV, Hahn PF (2008) Pixel distribution analysis: can it be used to distinguish clear cell carcinomas from angiomyolipomas with minimal fat? Radiology 247:738–746

    Article  PubMed  Google Scholar 

  21. Simpfendorfer C, Herts BR, Motta-Ramirez GA et al (2009) Angiomyolipoma with minimal fat on MDCT: can counts of negative attenuation pixels aid diagnosis? AJR Am J Roentgenol 192:438–443

    Article  PubMed  Google Scholar 

  22. Kim JK, Kim HS, Jang YJ et al (2006) Renal angiomyolipoma with minimal fat: differentiation from other neoplasms at double-echo chemical shift FLASH MR imaging. Radiology 239:274–280

    Google Scholar 

  23. Tuncali K, van Sonnenberg E, Shankar S et al (2004) Evaluation of patients referred for percutaneous ablation of renal tumors: importance of a preprocedural diagnosis. AJR Am J Roentgenol 183:575–582

    PubMed  Google Scholar 

  24. Frank I, Blute ML, Cheville JC et al (2003) Solid renal tumors: an analysis of pathological features related to tumor size. J Urol 2217–2220

    Google Scholar 

  25. Choudhary S, Rajesh A, Mayer NJ et al (2009) Renal oncocytoma: CT features cannot reliably distinguish oncocytoma from other renal neoplasms. Clin Radiol 64:517–522

    Article  CAS  PubMed  Google Scholar 

  26. Chawla SN, Crispen PL, Hanlon AL et al (2006) The natural history of observed enhancing renal masses: meta-analysis and review of the world literature. J Urol 175:425–431

    Article  PubMed  Google Scholar 

  27. Shah RB, Bakshi N, Hafez KS et al (2005) Image-guided biopsy in the evaluation of renal mass lesions in contemporary urological practice: indications, adequacy, clinical impact, and limitations of the pathological diagnosis. Hum Pathol 36:1309–1315

    PubMed  Google Scholar 

  28. Hes O, Michal M, Kuroda N et al (2007) Vimentin reactivity in renal oncocytoma: immunohistochemical study in 234 cases. Arch Pathol Lab Med 131:1782–1788

    PubMed  Google Scholar 

  29. Prasad S, Surabhi VR, Menias CO et al (2007) Benign renal neoplasms in adults: cross-sectional imaging findings. AJR Am J Roentgenol 190:158–164

    Article  Google Scholar 

  30. Yamada T, Endo M, Tsuboi M et al (2008) Differentiation of pathologic subtypes of papillary renal cell carcinoma on CT. AJR Am J Roentgenol 191:1559–1563

    Article  PubMed  Google Scholar 

  31. Oliva MR, Glickman JN, Zou KH et al (2009) Renal cell carcinoma: T1 and T2 signal intensity characteristics of papillary and clear cell types correlated with pathology. AJR Am J Roentgenol 192:1524–1530

    Article  PubMed  Google Scholar 

  32. Sun MRM, Ngo L, Genega EM et al (2009) Renal cell carcinoma: dynamic contrast-enhanced MR imaging for differentiation of tumor subtypes-correlation with pathologic findings. Radiology 250:793–802

    Article  PubMed  Google Scholar 

  33. Taouli B, Thakur RK, Mannelli L et al (2009) Renal lesions: characterization with diffusion-weighted imaging versus contrast-enhanced MR imaging. Radiology 251:398–407

    Article  PubMed  Google Scholar 

  34. Ng CS, Wood CG, Silverman PM et al (2008) Renal cell carcinoma: diagnosis, staging, and surveillance. AJR Am J Roentgenol 191:1220–1232

    Article  PubMed  Google Scholar 

  35. Wile GE, Leyendecker JR, Krehbiel KA et al (2007) CT and MR imaging after imaging-guided thermal ablation of renal neoplasms. Radiographics 27:325–339

    Article  PubMed  Google Scholar 

  36. Davenport M, Caoili EM, Cohan RH et al (2009) MR and CT characteristics of successfully ablated renal masses status-post radiofrequency ablation. AJR Am J Roentgenol 192:1571–1578

    Article  PubMed  Google Scholar 

  37. Rutherford EE, Cast JEI, Breen DJ (2008) Immediate and long-term CT appearances following radiofrequency ablation of renal tumours. Clin Radiol 63:220–230

    Article  CAS  PubMed  Google Scholar 

  38. Kawamoto S, Solomon SB, Bluemke DA, Fishman EK (2009) Computed tomography and magnetic resonance imaging appearance of renal neoplasms after radiofrequency ablation and cryoablation. Semin Ultrasound CT MRI 30:67–77

    Article  Google Scholar 

  39. Masterson TA, Russo P (2008) A case of port-site recurrence and locoregional metastasis after laparoscopic partial nephrectomy. Nat Clin Prac 5:345–349

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Verlag Italia

About this chapter

Cite this chapter

Cohan, R.H., Zagoria, R.J. (2010). Renal Tumors. In: Hodler, J., Zollikofer, C.L., Von Schulthess, G.K. (eds) Diseases of the Abdomen and Pelvis 2010–2013. Springer, Milano. https://doi.org/10.1007/978-88-470-1637-8_14

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-1637-8_14

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-1636-1

  • Online ISBN: 978-88-470-1637-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics