Contrast-enhanced ultrasound (CEUS) of cystic renal lesions in comparison to CT and MRI in a multicenter setting.

Lerchbaumer, Markus Herbert; Putz, Franz Josef; Rübenthaler, Johannes; Rogasch, Julian; Jung, Ernst-Michael; Clevert, Dirk-Andre; Hamm, Bernd; Makowski, Marcus; Fischer, Thomas

doi:10.3233/CH-190764

Benutzer: Gast

journal article

Titel:: Contrast-enhanced ultrasound (CEUS) of cystic renal lesions in comparison to CT and MRI in a multicenter setting.
Dokumenttyp:: Journal Article
Autor(en):: Lerchbaumer, Markus Herbert; Putz, Franz Josef; Rübenthaler, Johannes; Rogasch, Julian; Jung, Ernst-Michael; Clevert, Dirk-Andre; Hamm, Bernd; Makowski, Marcus; Fischer, Thomas
Abstract:: PURPOSE: Contrast-enhanced-ultrasound (CEUS) has been frequently used in assessment of cystic renal lesions. OBJECTIVE: The aim of this study was to investigate the Bosniak classification in CEUS compared to CT and MRI in a multi-center setting. METHODS: Bosniak classification in CEUS examinations of cystic renal lesions were compared to imaging findings in computed-tomography (ceCT) and magnetic-resonance-imaging (ceMRI). Imaging results were correlated to histopathological reports. All examinations were performed by experts (EFSUMB level 3) using up-to-date CEUS examination-protocols. RESULTS: Overall, 173 cystic renal lesions were compared to subgroups CT (n = 87) and MRI (n = 86). Using Bosniak-classification 64/87 renal cysts (73.6%) were rated equal compared to CT with upgrade of four lesions (4.6%) and downgrade of 19 lesions (21.8%) by CT (Intra-class-correlation [ICC] coefficient of 0.824 [p < 0.001]). CEUS compared to MRI, presenting different scoring especially in classes Bosniak IIF (n = 16/31) and Bosniak III (n = 16/28) with an ICC coefficient of 0.651 (p < 0.001). CONCLUSION: CEUS can visualize even finest septal and small nodular wall enhancement, which may result in an upgrade of cystic lesions into a higher Bosniak class compared to CT or MRI. Thus, a modification of the Bosniak classification on CEUS may reduce unnecessary biopsies and surgery.
Zeitschriftentitel:: Clin Hemorheol Microcirc
Jahr:: 2020
Band / Volume:: 75
Heft / Issue:: 4
Seitenangaben Beitrag:: 419-429
Volltext / DOI:: doi:10.3233/CH-190764
PubMed:: http://view.ncbi.nlm.nih.gov/pubmed/32039837
Print-ISSN:: 1386-0291
TUM Einrichtung:: Institut für Diagnostische und Interventionelle Radiologie
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