CEUS-diagnosis of solid renal tumors

Der Radiologe
K StockK Holzapfel

Abstract

Renal lesions are detected earlier, often as a result of ultrasound examinations. However, the imaging-based differential diagnosis of different tumour entities remains challenging STANDARD RADIOLOGICAL METHODS: All renal tumours >1 cm should be evaluated for malignancy by computed tomography (CT) or magnetic resonance imaging (MRI). If an angiomyolipoma diagnosis cannot be established with imaging, further diagnostics are appropriate or if malignant progression is suspected, then multidisciplinary discussion for TNM-staging based uro-oncologic therapy is usual. Contrast-enhanced ultrasound (CEUS) gives clear information about the microperfusion of renal tumours. CEUS is helpful for the differentiation of renal cysts and especially papillary renal cell carcinomas. Moreover, CEUS advances renal tumour detection compared to B‑mode and Doppler ultrasound per se. Cortical pseudolesions may be confidently ruled out using CEUS. Clear differentiation of benign and malignant renal lesions >1 cm remains challenging, and only in rare cases is it possible with CEUS alone. Nevertheless CEUS is, in combination with other ultrasound techniques, eminently suitable for diagnosing focal pyelonephritis, renal abscesses and suspected renal lympho...Continue Reading

References

Sep 1, 1991·Acta Radiologica·T TikkakoskiM Apaja-Sarkkinen
Oct 1, 1984·Radiology·M J QuinnF B Fromowitz
Nov 10, 1998·Radiology·M JinzakiJ Hata
Nov 20, 2003·Urology·David A DucheneKenneth S Koeneman
Nov 25, 2003·The Journal of Urology·Igor FrankHorst Zincke
May 24, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Li FanWu Ying
Feb 11, 2009·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·T HaendlT Bernatik
Mar 17, 2009·The Journal of Urology·R Houston ThompsonPaul Russo
Jun 15, 2011·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·J TumaC F Dietrich
Jun 28, 2011·AJR. American Journal of Roentgenology·Stacy D O'ConnorStuart G Silverman
Feb 28, 2013·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Ying WuXiao Jia
Mar 26, 2013·AJR. American Journal of Roentgenology·Sinan TanHalil Arslan
Sep 23, 2014·Korean journal of urology·Tae Hoon OhIll Young Seo
Oct 21, 2015·Clinical Hemorheology and Microcirculation·J RübenthalerD A Clevert
Nov 26, 2016·Clinical Hemorheology and Microcirculation·J RübenthalerD A Clevert
May 17, 2017·Aktuelle Urologie·Konrad StockUwe Heemann
Jul 21, 2017·AJR. American Journal of Roentgenology·Byung Kwan Park
Aug 6, 2017·European Radiology·Robert S LimNicola Schieda
Mar 7, 2018·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·Paul S SidhuHessel Wijkstra

❮ Previous
Next ❯

Citations

May 26, 2018·Der Radiologe·S Delorme, D-A Clevert
Nov 28, 2019·Der Urologe. Ausg. A·K F StockM Autenrieth

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.