Predicting the Histology of Small Renal Masses Using Preoperative Dynamic Contrast-enhanced Magnetic Resonance Imaging
| Autor: | Jae Young Park, Kwang Woo Lee, Seong Jin Park, Jae Hyun Bae, Min Eui Kim, Jae Heon Kim |
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| Rok vydání: | 2012 |
| Předmět: |
Male
medicine.medical_specialty Cell type Kidney Cortex Urology Chromophobe Renal Cell Carcinoma Cell Contrast Media Statistics Nonparametric Renal cell carcinoma medicine Humans Carcinoma Renal Cell Aged medicine.diagnostic_test Receiver operating characteristic Papillary renal cell carcinomas business.industry Signal Processing Computer-Assisted Magnetic resonance imaging Middle Aged Image Enhancement medicine.disease Magnetic Resonance Imaging Kidney Neoplasms Clear cell renal cell carcinoma medicine.anatomical_structure ROC Curve Area Under Curve Female Radiology business |
| Zdroj: | Urology. 80:872-876 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2012.06.001 |
| Popis: | Objective To study whether magnetic resonance imaging can predict the histologic type of small renal cell carcinoma. Methods Dynamic contrast-enhanced magnetic resonance imaging was performed in 63 patients with computed tomography– or ultrasonography-suspected small (≤4 cm) renal cell carcinoma from February 2008 to February 2010. Percentage signal intensity change, tumor-to-cortex enhancement index during precontrast phase, corticomedullary phase, and nephrogenic phase were investigated. Results Among the 60 patients, 42 were proven to have clear cell renal cell carcinoma and 18 patients were proven to have non–clear cell renal cell carcinoma (10 patients with papillary renal cell carcinoma, 8 patients with chromophobe renal cell carcinoma). The percentage signal intensity change in the clear cell type was higher only in the corticomedullary phase (P = .002). The tumor-to-cortex enhancement index in the clear cell type was higher in the corticomedullary and nephrogenic phases (P = .007 and P = .041, respectively). The most valuable marker was percentage signal intensity change in the corticomedullary phase (area under the receiver operating characteristic curve 0.85). The cut-off value of percentage signal intensity change in the corticomedullary phase was 173%, and the sensitivity and specificity were 81% and 87.5%, respectively. Conclusion Dynamic contrast-enhanced magnetic resonance imaging could be useful for discriminating the clear cell type from non–clear cell type in small renal cell carcinoma with high sensitivity and specificity. |
| Databáze: | OpenAIRE |
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