How I do it: evaluating renal masses.

@article{Israel2005HowID,
  title={How I do it: evaluating renal masses.},
  author={Gary M. Israel and Morton A. Bosniak},
  journal={Radiology},
  year={2005},
  volume={236 2},
  pages={
          441-50
        }
}
With modern computed tomography (CT) and magnetic resonance (MR) imaging equipment, the diagnosis of most renal masses is usually straightforward and accurate. The major question to be answered is whether the mass represents a surgical or nonsurgical lesion or, in some cases, if follow-up studies are necessary. This evaluation usually can be accomplished if a high-quality examination is performed, if the clinical history of the patient is kept in mind, if conditions that mimic a renal neoplasm… 
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432 Citations
Highly Influential Citations
26
Background Citations
85
Methods Citations
24

432 Citations

Pitfalls in renal mass evaluation and how to avoid them.
  • G. Israel, M. Bosniak
  • Medicine
    Radiographics : a review publication of the Radiological Society of North America, Inc
  • 2008
TLDR
To maximize detection and characterization of renal masses, the study should include images obtained before and after administration of intravenous contrast material, including images obtained during the nephrographic phase of enhancement.
Magnetic Resonance Imaging and the Use in Small Renal Masses
TLDR
MRI is a useful tool in evaluating an indeterminate small renal mass and can be used where CT is contraindicated and where active surveillance is the treatment of choice and radiation exposure is a concern.
Pitfalls of Imaging of the Kidneys
TLDR
The same difficult diagnoses can be encountered also in magnetic resonance imaging, although this modality, with the multiparametric imaging capabilities, seems to be less involved in the problematic renal masses.
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MR imaging in the characterization of small renal masses
TLDR
MR imaging is an effective method for characterizing small (<2 cm) renal masses found to be indeterminate by US or CT by differentiating benign from malignant small renal lesions.
Contemporary imaging of the renal mass.
DIAGNOSTIC IMAGING OF SMALL RENAL MASSES
TLDR
The imaging methods in the diagnosis of small renal tumors, and radiological characteristics of the three most common renal tumor entities (renal cell carcinoma, angiomyolipoma and oncocytoma) are described.
PICTORIAL ESSAY: Role of FDG PET/CT in imaging of renal lesions
TLDR
Both the anatomical and metabolic features which characterise these benign and malignant entities are described and the importance of viewing the CT component to identify the typical morphological features is emphasised.
Ultrasound, CT, and MR Imaging for Evaluation of Cystic Renal Masses
  • S. Zeng, M. Du, C. Dietrich
  • Medicine
    Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
  • 2021
TLDR
The Bosniak classification system provides a useful way to classify cystic masses and patients will benefit from multimodal diagnosis for lesions that are difficult to classify after a single examination.
CT imaging of solid renal masses: pitfalls and solutions.
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