-
Something wrong with this record ?
Magnetic resonance imaging as an adjunct diagnostic tool in computed tomography defined Bosniak IIF-III renal cysts: a multicenter study
T. Pitra, K. Pivovarcikova, R. Tupy, R. Alaghehbandan, T. Barakova, I. Travnicek, K. Prochazkova, T. Klatte, P. Chlosta, O. Hes, M. Hora,
Language English Country Germany
Document type Journal Article, Multicenter Study
- MeSH
- Kidney Diseases, Cystic diagnostic imaging pathology MeSH
- Cysts MeSH
- Humans MeSH
- Magnetic Resonance Imaging * MeSH
- Kidney Neoplasms MeSH
- Tomography, X-Ray Computed MeSH
- Retrospective Studies MeSH
- Check Tag
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- Czech Republic MeSH
- Poland MeSH
- Austria MeSH
INTRODUCTION: CT imaging is the standard examination for renal cystic lesions and defines the Bosniak category, which dictates further management. Given that Bosniak II/IIF/III renal cystic lesions can potentially harbor renal cell carcinoma (RCC), additional diagnostic modalities may be required in management decision making. AIM: To determine the value of additional magnetic resonance imaging in CT-defined Bosniak IIF-III renal cystic lesions. MATERIALS AND METHODS: This a multicenter retrospective study of 46 consecutive patients, diagnosed with cystic renal lesions between 2009 and 2016. The inclusion criteria were: (1) cystic renal lesion classified as Bosniak IIF-III on CT, (2) a subsequent MRI examination, and (3) documented outcome via surgery for cystic renal mass or follow-up. RESULTS: 46 patients (35 males, 11 females) were included. The mean size of the cystic lesion was 3.92 cm (0.7-10 cm). According to the CT findings, Bosniak IIF and III were found in 12 (26.1%) and 34 (73.9%) cases. Reclassification of Bosniak category was done after MRI examination in 31 cases (67.4%). An upgrade rate of 58.7% (27 cases) to a higher category was made, while the downgrade rate to a lower category was achieved in 4 cases (8.7%). As a result, significant therapeutic management change was made in 12/31 patients (38.7%), of whom 8 underwent subsequent surgery. CONCLUSION: MRI study may reduce the use of Bosniak IIF category (in comparison with CT), which has a direct impact on therapeutic management (surgery vs. surveillance) in a significant proportion of patients.
Department of Urology Jagiellonian University Medical College Kraków Poland
Department of Urology Medical University of Vienna Vienna Austria
References provided by Crossref.org
- 000
- 00000naa a2200000 a 4500
- 001
- bmc19012879
- 003
- CZ-PrNML
- 005
- 20190408082011.0
- 007
- ta
- 008
- 190405s2018 gw f 000 0|eng||
- 009
- AR
- 024 7_
- $a 10.1007/s00345-018-2176-z $2 doi
- 035 __
- $a (PubMed)29383479
- 040 __
- $a ABA008 $b cze $d ABA008 $e AACR2
- 041 0_
- $a eng
- 044 __
- $a gw
- 100 1_
- $a Pitra, Tomas $u Department of Urology, Medical Faculty, Charles University, Charles University Hospital Plzen, E. Beneše 13, 305 99, Plzeň, Czech Republic. pitrat@fnplzen.cz.
- 245 10
- $a Magnetic resonance imaging as an adjunct diagnostic tool in computed tomography defined Bosniak IIF-III renal cysts: a multicenter study / $c T. Pitra, K. Pivovarcikova, R. Tupy, R. Alaghehbandan, T. Barakova, I. Travnicek, K. Prochazkova, T. Klatte, P. Chlosta, O. Hes, M. Hora,
- 520 9_
- $a INTRODUCTION: CT imaging is the standard examination for renal cystic lesions and defines the Bosniak category, which dictates further management. Given that Bosniak II/IIF/III renal cystic lesions can potentially harbor renal cell carcinoma (RCC), additional diagnostic modalities may be required in management decision making. AIM: To determine the value of additional magnetic resonance imaging in CT-defined Bosniak IIF-III renal cystic lesions. MATERIALS AND METHODS: This a multicenter retrospective study of 46 consecutive patients, diagnosed with cystic renal lesions between 2009 and 2016. The inclusion criteria were: (1) cystic renal lesion classified as Bosniak IIF-III on CT, (2) a subsequent MRI examination, and (3) documented outcome via surgery for cystic renal mass or follow-up. RESULTS: 46 patients (35 males, 11 females) were included. The mean size of the cystic lesion was 3.92 cm (0.7-10 cm). According to the CT findings, Bosniak IIF and III were found in 12 (26.1%) and 34 (73.9%) cases. Reclassification of Bosniak category was done after MRI examination in 31 cases (67.4%). An upgrade rate of 58.7% (27 cases) to a higher category was made, while the downgrade rate to a lower category was achieved in 4 cases (8.7%). As a result, significant therapeutic management change was made in 12/31 patients (38.7%), of whom 8 underwent subsequent surgery. CONCLUSION: MRI study may reduce the use of Bosniak IIF category (in comparison with CT), which has a direct impact on therapeutic management (surgery vs. surveillance) in a significant proportion of patients.
- 650 _2
- $a cysty $7 D003560
- 650 _2
- $a ženské pohlaví $7 D005260
- 650 _2
- $a lidé $7 D006801
- 650 _2
- $a cystická onemocnění ledvin $x diagnostické zobrazování $x patologie $7 D052177
- 650 _2
- $a nádory ledvin $7 D007680
- 650 12
- $a magnetická rezonanční tomografie $7 D008279
- 650 _2
- $a mužské pohlaví $7 D008297
- 650 _2
- $a retrospektivní studie $7 D012189
- 650 _2
- $a počítačová rentgenová tomografie $7 D014057
- 651 _2
- $a Rakousko $7 D001317
- 651 _2
- $a Česká republika $7 D018153
- 651 _2
- $a Polsko $7 D011044
- 655 _2
- $a časopisecké články $7 D016428
- 655 _2
- $a multicentrická studie $7 D016448
- 700 1_
- $a Pivovarcikova, Kristyna $u Department of Pathology, Medical Faculty, Charles University, Charles University Hospital Plzen, Plzeň, Czech Republic.
- 700 1_
- $a Tupy, Radek $u Department of Radiology, Medical Faculty, Charles University, Charles University Hospital Plzen, Plzeň, Czech Republic.
- 700 1_
- $a Alaghehbandan, Reza $u Department of Pathology, Faculty of Medicine, University of British Columbia, Royal Columbian Hospital, Vancouver, BC, Canada.
- 700 1_
- $a Barakova, Tana $u Department of Radiology, Medical Faculty, Charles University, Charles University Hospital Plzen, Plzeň, Czech Republic.
- 700 1_
- $a Travnicek, Ivan $u Department of Urology, Medical Faculty, Charles University, Charles University Hospital Plzen, E. Beneše 13, 305 99, Plzeň, Czech Republic.
- 700 1_
- $a Prochazkova, Kristyna $u Department of Urology, Medical Faculty, Charles University, Charles University Hospital Plzen, E. Beneše 13, 305 99, Plzeň, Czech Republic.
- 700 1_
- $a Klatte, Tobias $u Department of Urology, Medical University of Vienna, Vienna, Austria.
- 700 1_
- $a Chlosta, Piotr $u Department of Urology, Jagiellonian University Medical College, Kraków, Poland.
- 700 1_
- $a Hes, Ondrej $u Department of Pathology, Medical Faculty, Charles University, Charles University Hospital Plzen, Plzeň, Czech Republic.
- 700 1_
- $a Hora, Milan $u Department of Urology, Medical Faculty, Charles University, Charles University Hospital Plzen, E. Beneše 13, 305 99, Plzeň, Czech Republic.
- 773 0_
- $w MED00004739 $t World journal of urology $x 1433-8726 $g Roč. 36, č. 6 (2018), s. 905-911
- 856 41
- $u https://pubmed.ncbi.nlm.nih.gov/29383479 $y Pubmed
- 910 __
- $a ABA008 $b sig $c sign $y a $z 0
- 990 __
- $a 20190405 $b ABA008
- 991 __
- $a 20190408082024 $b ABA008
- 999 __
- $a ok $b bmc $g 1392189 $s 1051184
- BAS __
- $a 3
- BAS __
- $a PreBMC
- BMC __
- $a 2018 $b 36 $c 6 $d 905-911 $e 20180130 $i 1433-8726 $m World journal of urology $n World J Urol $x MED00004739
- LZP __
- $a Pubmed-20190405
