Abstract
The evolution in diagnostic imaging modalities, mainly in computed tomography (CT) and magnetic resonance imaging (MRI), have made it possible to extend the applications of these techniques from diagnosis to staging and surgical planning. Nowadays, the possibility to present images on different planes with an intrinsic resolution close to that of the original axial sections allows presentation of the kidney on sagittal, coronal, and oblique planes. Three-dimensional reconstructions can be obtained with different methods and have attained excellent image quality. Multidetector spiral CT presently is the best technique for planning surgery, but MRI also enables high-quality images to be obtained if state-of-the-art equipment is available. This update reviews the current status and possibilities of diagnostic imaging modalities in planning surgery of renal tumors.
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References
J Zagoria (2000) ArticleTitleImaging of small renal masses: a medical success story. AJR 175 945–955 Occurrence Handle1:STN:280:DC%2BD3cvpvV2isw%3D%3D Occurrence Handle11000140
P Russo (2000) ArticleTitleRenal cell carcinoma: presentation, staging, and surgical treatment. Semin Oncol 27 160–176 Occurrence Handle1:STN:280:DC%2BD3c3ivFSrsA%3D%3D Occurrence Handle10768595
P Paparel O Rouviere M Lezrek et al. (2002) ArticleTitleTreatment of renal tumors with radiofrequency: preliminary results. Prog Urol 12 1194–1203 Occurrence Handle12545624
EM Remer BR Herts JC Veniero (2002) ArticleTitleImaging for nephron-sparing surgery. Semin Urol Oncol 20 180–191 Occurrence Handle10.1053/suro.2002.35330 Occurrence Handle12215972
A Debra MD Gervais J Francis et al. (2003) ArticleTitleRenal cell carcinoma: clinical experience and technical success with radio-frequency ablation of 42 tumors. Radiology 226 417–424 Occurrence Handle12563135
FJ McGovern BJ Wood SN Goldberg PR Mueller (1999) ArticleTitleRadiofrequency ablation of renal cell carcinoma via image-guided needle electrodes. J Urol 161 599–600 Occurrence Handle10.1097/00005392-199902000-00066 Occurrence Handle1:STN:280:DyaK1M7ht1KlsQ%3D%3D Occurrence Handle9915457
DA Gervais FJ McGovern BJ Wood et al. (2000) ArticleTitleRadio-frequency ablation of renal cell carcinoma: early clinical experience. Radiology 217 665–672 Occurrence Handle1:STN:280:DC%2BD3M%2FotVOgsg%3D%3D Occurrence Handle11110926
MC Walther TH Shawker SK Libutti et al. (2000) ArticleTitleA phase 2 study of radio frequency interstitial tissue ablation of localized renal tumors. J Urol 163 1424–1427 Occurrence Handle10.1097/00005392-200005000-00006 Occurrence Handle1:STN:280:DC%2BD3c3hs12quw%3D%3D Occurrence Handle10751849
MR Licht AC Novick (1993) ArticleTitleNephron sparing surgery for renal cell carcinoma. J Urol 149 1–7 Occurrence Handle1:STN:280:ByyC3cfltVw%3D Occurrence Handle8417184
F Steinbach M Stockle R Hohenfellner (1995) ArticleTitleClinical experience with nephron-sparing surgery in the presence of a normal contralateral kidney. Semin Urol Oncol 13 288–291 Occurrence Handle1:STN:280:BymC28jhsV0%3D Occurrence Handle8595553
SC Campbell AC Novick (1995) ArticleTitleSurgical technique and morbidity of elective partial nephrectomy. Semin Urol Oncol 13 281–287 Occurrence Handle1:STN:280:BymC28jhsVw%3D Occurrence Handle8595552
SE Lerner CA Hawkins ML Blute et al. (1996) ArticleTitleDisease outcome in patients with low stage renal cell carcinoma treated with nephron sparing or radical surgery. J Urol 155 1868–1873 Occurrence Handle10.1097/00005392-199606000-00012 Occurrence Handle1:STN:280:BymB3M3kslc%3D Occurrence Handle8618276
F Steinbach M Stockle R Hohenfellner (1995) ArticleTitleCurrent controversies in nephron-sparing surgery for renal-cell carcinoma. World J Urol 13 163–165 Occurrence Handle1:STN:280:BymD38fktVQ%3D Occurrence Handle7550388
MA Bosniak (1991) ArticleTitleThe small (3.0 cm) renal parenchyma tumor: detection, diagnosis, and controversies. Radiology 179 307–317 Occurrence Handle1:STN:280:By6C1MrkvFc%3D Occurrence Handle2014269
M Scialpi A Di Maggio M Midiri et al. (2000) ArticleTitleSmall renal masses: assessment of lesion characterization and vascularity on dynamic contrast-enhanced MR imaging with fat suppression. AJR 175 751–757 Occurrence Handle1:STN:280:DC%2BD3cvnsFaqtw%3D%3D Occurrence Handle10954462
R Tello BD Davison M O’Malley et al. (2000) ArticleTitleMR imaging of renal masses interpreted on CT to be suspicious. AJR 174 1017–1022 Occurrence Handle1:STN:280:DC%2BD3c3htVyjsg%3D%3D Occurrence Handle10749242
GM Israel GA Krinsky (2003) ArticleTitleMR imaging of the kidneys and adrenal glands. Radiol Clin North Am 41 145–159 Occurrence Handle12630690
VB Ho SF Allen MN Hood PL Choyke (2002) ArticleTitleRenal masses: quantitative assessment of enhancement with dynamic MR imaging. Radiology 224 695–700 Occurrence Handle12202701
Y Yamashita T Miyazaki Y Hatanaka M Takahashi (1995) ArticleTitleDynamic MRI of small renal cell carcinoma. J Comput Assist Tomogr 19 759–765 Occurrence Handle1:STN:280:BymD38vnvVE%3D Occurrence Handle7560322
L Dalla Palma R Pozzi-Mucelli S Magnaldi F Pozzi-Mucelli (1988) ArticleTitleDiagnostica per immagini dei tumori renali di piccole dimensioni. Radiol Med (Torino) 76 590–596 Occurrence Handle1:STN:280:BiaD1MbnslA%3D
G Vallencien LO Torres E Gurfinkel et al. (1990) ArticleTitleIncidental detection of renal tumors by abdominal ultrasonography. Eur Oncol 18 94–96
O Helenon JM Correas C Balleyguier et al. (2001) ArticleTitleUltrasound of renal tumors. Eur Radiol 11 1890–1901 Occurrence Handle10.1007/s003300101077 Occurrence Handle11702121
M Jinzaki K Ohkuma A Tanimoto et al. (1998) ArticleTitleSmall solid renal lesions: usefulness of power Doppler US. Radiology 209 543–550 Occurrence Handle1:STN:280:DyaK1M%2FisVOiuw%3D%3D Occurrence Handle9807587
E Quaia S Siracusano M Bertolotto et al. (2003) ArticleTitleCharacterization of renal tumours with pulse inversion harmonic imaging by intermittent high mechanical index technique: initial results. Eur Radiol 13 1402–1412 Occurrence Handle12764658
SC Campbell J Fichtner AC Novick et al. (1996) ArticleTitleIntraoperative evaluation of renal cell carcinoma: a prospective study of the role of ultrasonography and histopathological frozen sections. J Urol 155 1191–1195
Smith SJ, Bosniak MA, Megibow AJ, et al. Renal cell carcinoma: earlier discovery and increased detection. Radiology 198;170:699–703
CA Jamis-Dow PL Choyke SB Jennings et al. (1996) ArticleTitleSmall (< or = 3-cm) renal masses: detection with CT versus US and pathologic correlation. Radiology 198 785–788 Occurrence Handle1:STN:280:BymC1MvgvFU%3D Occurrence Handle8628872
MA Bosniak NM Rofsky (1996) ArticleTitleProblems in the detection and characterization of small renal masses. Radiology 198 638–641 Occurrence Handle1:STN:280:BymC1Mvgs1E%3D Occurrence Handle8628846
DH Szolar F Kammerhuber S Altziebler et al. (1997) ArticleTitleMultiphasic helical CT of the kidney: increased conspicuity for detection and characterization of small (< 3-cm) renal masses. Radiology 202 211–217 Occurrence Handle1:STN:280:ByiC2c7ps1c%3D Occurrence Handle8988213
HU Kauczor HC Schwickert F Schweden et al. (1994) ArticleTitleBolus-enhanced renal spiral CT: technique, diagnostic value and drawbacks. Eur J Radiol 18 153–157 Occurrence Handle10.1016/0720-048X(94)90327-1 Occurrence Handle1:STN:280:ByqD2crmt1E%3D Occurrence Handle7957283
RH Cohan LS Sherman M Korobkin et al. (1995) ArticleTitleRenal masses: assessment of corticomedullary-phase and nephrographic-phase CT scans. Radiology 196 445–451 Occurrence Handle1:STN:280:ByqA2czhtFQ%3D Occurrence Handle7617859
BA Birnbaum JE Jacobs P Ramchandani (1996) ArticleTitleMultiphasic renal CT: comparison of renal mass enhancement during the corticomedullary and nephrographic phases. Radiology 200 753–758 Occurrence Handle1:STN:280:BymA2cjosVM%3D Occurrence Handle8756927
RK Zeman A Zeiberg WS Hayes et al. (1996) ArticleTitleHelical CT of renal masses: the value of delayed scans. AJR 167 771–776 Occurrence Handle1:STN:280:BymA2M%2FgsFY%3D Occurrence Handle8751698
L Kopka U Fischer G Zoeller et al. (1997) ArticleTitleDual-phase helical CT of the kidney: value of the corticomedullary and nephrographic phase for evaluation of renal lesions and preoperative staging of renal cell carcinoma. AJR 169 1573–157 Occurrence Handle1:STN:280:DyaK1c%2FlsVykug%3D%3D Occurrence Handle9393168
BI Yuh RH Cohan (1999) ArticleTitleDifferent phases of renal enhancement: role in detecting and characterizing renal masses during helical CT. AJR 173 747–755 Occurrence Handle1:STN:280:DyaK1MzpslGitQ%3D%3D Occurrence Handle10470916
M Macari MA Bosniak (1999) ArticleTitleDelayed CT to evaluate renal masses incidentally discovered at contrast-enhanced CT: demonstration of vascularity with deenhancement. Radiology 213 674–680 Occurrence Handle1:STN:280:DC%2BD3c%2Fls1OisA%3D%3D Occurrence Handle10580938
BA Urban (1997) ArticleTitleThe small renal masses: what is the role of multiphasic helical scanning. Radiology 202 22–23 Occurrence Handle1:STN:280:ByiC2c7ptlE%3D Occurrence Handle8988185
BI Yuh RH Cohan (1999) ArticleTitleDifferent phases of renal enhancement: role in detecting and characterizing renal masses during helical CT. AJR 173 747–755 Occurrence Handle1:STN:280:DyaK1MzpslGitQ%3D%3D Occurrence Handle10470916
RC Smith M Verga S McCarthy AT Rosenfield (1996) ArticleTitleDiagnosis of acute flank pain: value of unenhanced helical CT. AJR 166 97–101 Occurrence Handle1:STN:280:BymC3M%2FltVI%3D Occurrence Handle8571915
PA Smith FF Marshall FM Corl EK Fishman (1999) ArticleTitlePlanning nephron-sparing renal surgery using 3D helical CT angiography. J Comput Assist Tomogr 23 649–654 Occurrence Handle10.1097/00004728-199909000-00001 Occurrence Handle1:STN:280:DyaK1Mvlt1Cksw%3D%3D Occurrence Handle10524840
DM Coll RG Uzzo HR Herts et al. (1999) ArticleTitle3-Dimensional volume rendered computerized tomography for preoperative evaluation and intraoperative treatment of patients undergoing nephron sparing surgery. J Urol 161 1097–1102 Occurrence Handle10.1097/00005392-199904000-00011 Occurrence Handle1:STN:280:DyaK1M7nvFyrsQ%3D%3D Occurrence Handle10081846
DM Coll HR Herts WJ Davros et al. (2000) ArticleTitlePreoperative use of 3D volume rendering to demonstrate renal tumors and renal anatomy. Radiographics 20 431–438 Occurrence Handle1:STN:280:DC%2BD3c7otF2rug%3D%3D Occurrence Handle10715341
Sheth S, MD, Scatarige JC, Horton KM, MD, et al. Current concepts in the diagnosis and management of renal cell carcinoma: Role of multidetector CT and three-dimensional CT. Radiographics 2001;21:S237–S254
PT Johnson DG Heath DF Bliss et al. (1996) ArticleTitleThree-dimensional CT: real-time interactive volume rendering. AJR 167 581–583 Occurrence Handle1:STN:280:BymA2M%2FgtV0%3D Occurrence Handle8751655
CPN Dinney SA Awad JB Gajewski et al. (1992) ArticleTitleAnalysis of imaging modalities, staging systems, and prognostic indicators for renal cell carcinoma. Urology 36 22–29
JB Thrasher DF Paulson (1993) ArticleTitlePrognostic factors in renal cancer. Urol Clin North Am 20 247–26 Occurrence Handle1:STN:280:ByyB283mvF0%3D Occurrence Handle8493748
CD Johnson NR Dunnick RH Cohan FF Illescas (1987) ArticleTitleRenal adenocarcinoma: CT staging of 100 tumors. AJR 148 59–63 Occurrence Handle1:STN:280:BiiD2szgs1A%3D Occurrence Handle3491524
RE Bechtold RJ Zagoria (1997) ArticleTitleImaging approach to staging of renal cell carcinoma. Urol Clin North Am 24 507–522 Occurrence Handle1:STN:280:ByiH387osF0%3D Occurrence Handle9275976
SK Patel CM Stack DA Turner (1987) ArticleTitleMagnetic resonance imaging in staging of renal cell carcinoma. Radiographics 7 703–728 Occurrence Handle1:STN:280:BieB3cvjsVQ%3D Occurrence Handle3448651
RC Semelka JP Shoenut CM Magro et al. (1993) ArticleTitleRenal cancer staging: comparison of contrast-enhanced CT and gadolinium-enhanced fat-suppressed spin-echo and gradient-echo MR imaging. J Magn Reson Imaging 3 597–602 Occurrence Handle1:STN:280:ByyA2M%2Fjs1c%3D Occurrence Handle8347952
PL Choyke (1997) ArticleTitleDetection and staging of renal cancer. Magn Reson Imaging Clin North Am 5 29–47 Occurrence Handle1:STN:280:ByiC2M3jsFU%3D
ES Pretorius ES Siegelman P Ramchandani et al. (1999) ArticleTitleRenal neoplasms amenable to partial nephrectomy: MR imaging. Radiology 212 28–34 Occurrence Handle1:STN:280:DyaK1MzjsVWrug%3D%3D Occurrence Handle10405716
ES Pretorius ML Wickstrom ES Siegelman (2000) ArticleTitleMR imaging of renal neoplasms. Magn Reson Imaging Clin North Am 8 813–836 Occurrence Handle1:STN:280:DC%2BD3M7jslChsg%3D%3D
S Takahashi J Ueda T Furukawa et al. (1996) ArticleTitleRenal cell carcinoma: preoperative assessment for enucleative surgery with angiography, CT, and MRI. J Comput Assist Tomogr 20 863–870 Occurrence Handle10.1097/00004728-199611000-00001 Occurrence Handle1:STN:280:ByiD1cjosVA%3D Occurrence Handle8933783
Y Yamashita S Honda T Nishiharu et al. (1996) ArticleTitleDetection of pseudocapsule of renal cell carcinoma with MR imaging and CT. AJR 166 1151–1155 Occurrence Handle1:STN:280:BymC1Mjhs1c%3D Occurrence Handle8615260
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Pozzi-Mucelli, R., Rimondini, A. & Morra, A. Radiologic evaluation in planning surgery of renal tumors. Abdom Imaging 29, 312–319 (2004). https://doi.org/10.1007/s00261-003-0104-0
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DOI: https://doi.org/10.1007/s00261-003-0104-0