Indeterminate Renal Mass

Procedure Appropriateness Category Relative Radiation Level US abdomen with IV contrast Usually Appropriate O MRI abdomen without and with IV contrast Usually Appropriate O CT abdomen without and with IV contrast Usually Appropriate ☢☢☢☢ US kidneys retroperitoneal May Be Appropriate O MRI abdomen without IV contrast May Be Appropriate O CT abdomen with IV contrast May Be Appropriate ☢☢☢ CT abdomen without IV contrast May Be Appropriate ☢☢☢ CTU without and with IV contrast May Be Appropriate ☢☢☢☢ Arteriography kidney Usually Not Appropriate ☢☢☢ Radiography intravenous urography Usually Not Appropriate ☢☢☢ Biopsy renal mass Usually Not Appropriate Varies MRU without and with IV contrast Usually Not Appropriate O

[1]  R. Lamba,et al.  Prevalence of Solid Tumors in Incidentally Detected Homogeneous Renal Masses Measuring > 20 HU on Portal Venous Phase CT. , 2018, AJR. American journal of roentgenology.

[2]  J. Cadeddu,et al.  Diagnostic Performance and Interreader Agreement of a Standardized MR Imaging Approach in the Prediction of Small Renal Mass Histology. , 2018, Radiology.

[3]  S. Silverman,et al.  Expanding the Definition of a Benign Renal Cyst on Contrast-enhanced CT: Can Incidental Homogeneous Renal Masses Measuring 21-39 HU be Safely Ignored? , 2017, Academic radiology.

[4]  S. Silverman,et al.  Management of the Incidental Renal Mass on CT: A White Paper of the ACR Incidental Findings Committee. , 2017, Journal of the American College of Radiology : JACR.

[5]  Mark W. Ball,et al.  Correlation of 99mTc-sestamibi uptake in renal masses with mitochondrial content and multi-drug resistance pump expression , 2017, EJNMMI Research.

[6]  Alfredo E Farjat,et al.  Characterization of Incidental Renal Mass With Dual-Energy CT: Diagnostic Accuracy of Effective Atomic Number Maps for Discriminating Nonenhancing Cysts From Enhancing Masses. , 2017, AJR. American journal of roentgenology.

[7]  W. Shabana,et al.  Is Ultrasound Useful for Further Evaluation of Homogeneously Hyperattenuating Renal Lesions Detected on CT? , 2017, AJR. American journal of roentgenology.

[8]  A. Rosenkrantz,et al.  Do Incidental Hyperechoic Renal Lesions Measuring Up to 1 cm Warrant Further Imaging? Outcomes of 161 Lesions. , 2017, AJR. American journal of roentgenology.

[9]  M. Lockhart,et al.  Contrast‐Enhanced Ultrasound Classification of Previously Indeterminate Renal Lesions , 2017, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[10]  M. Karlsson,et al.  Visual evaluation and differentiation of renal oncocytomas from renal cell carcinomas by means of 99mTc-sestamibi SPECT/CT , 2017, EJNMMI Research.

[11]  R. Nelson,et al.  Characterization of Small Focal Renal Lesions: Diagnostic Accuracy with Single-Phase Contrast-enhanced Dual-Energy CT with Material Attenuation Analysis Compared with Conventional Attenuation Measurements. , 2017, Radiology.

[12]  G. Israel,et al.  Differentiating Renal Neoplasms From Simple Cysts on Contrast-Enhanced CT on the Basis of Attenuation and Homogeneity. , 2017, AJR. American journal of roentgenology.

[13]  A. Rosenkrantz,et al.  Visual Assessment of the Intensity and Pattern of T1 Hyperintensity on MRI to Differentiate Hemorrhagic Renal Cysts From Renal Cell Carcinoma. , 2017, AJR. American journal of roentgenology.

[14]  H. Hricak,et al.  Differentiation of Clear Cell Renal Cell Carcinoma From Other Renal Cortical Tumors by Use of a Quantitative Multiparametric MRI Approach. , 2017, AJR. American journal of roentgenology.

[15]  J. Kim,et al.  Diagnostic accuracy of contrast-enhanced computed tomography and contrast-enhanced magnetic resonance imaging of small renal masses in real practice: sensitivity and specificity according to subjective radiologic interpretation , 2016, World Journal of Surgical Oncology.

[16]  Christian B. van der Pol,et al.  Evaluation of T1-Weighted MRI to Detect Intratumoral Hemorrhage Within Papillary Renal Cell Carcinoma as a Feature Differentiating From Angiomyolipoma Without Visible Fat. , 2016, AJR. American journal of roentgenology.

[17]  B. K. Park,et al.  Evaluation of hyperdense renal lesions incidentally detected on single-phase post-contrast CT using dual-energy CT. , 2016, The British journal of radiology.

[18]  Qing Lu,et al.  Quantitative evaluation of contrast-enhanced ultrasound for differentiation of renal cell carcinoma subtypes and angiomyolipoma. , 2016, European journal of radiology.

[19]  Mark W. Ball,et al.  Prospective Evaluation of (99m)Tc-sestamibi SPECT/CT for the Diagnosis of Renal Oncocytomas and Hybrid Oncocytic/Chromophobe Tumors. , 2016, European urology.

[20]  A. Chung,et al.  Comparison of Contrast-Enhanced Multiphase Renal Protocol CT Versus MRI for Diagnosis of Papillary Renal Cell Carcinoma. , 2016, AJR. American journal of roentgenology.

[21]  E. Abel Percutaneous biopsy facilitates modern treatment of renal masses , 2016, Abdominal Radiology.

[22]  G. Israel,et al.  Homogeneous T1 Hyperintense Renal Lesions with Smooth Borders: Is Contrast-enhanced MR Imaging Needed? , 2016, Radiology.

[23]  B. Leibovich,et al.  Small (<4 cm) Renal Mass: Differentiation of Angiomyolipoma without Visible Fat from Renal Cell Carcinoma Utilizing MR Imaging. , 2016, Radiology.

[24]  G. Cron,et al.  MRI evaluation of small (<4cm) solid renal masses: multivariate modeling improves diagnostic accuracy for angiomyolipoma without visible fat compared to univariate analysis , 2016, European Radiology.

[25]  Shuai Leng,et al.  Small (< 4 cm) Renal Masses: Differentiation of Angiomyolipoma Without Visible Fat From Renal Cell Carcinoma Using Unenhanced and Contrast-Enhanced CT. , 2015, AJR. American journal of roentgenology.

[26]  A. Finelli,et al.  Accuracy of Contrast-enhanced US for Differentiating Benign from Malignant Solid Small Renal Masses. , 2015, Radiology.

[27]  M. Griswold,et al.  Outcomes and complications related to the management of Bosniak cystic renal lesions. , 2015, AJR. American journal of roentgenology.

[28]  S. Silverman,et al.  Incompletely characterized incidental renal masses: emerging data support conservative management. , 2015, Radiology.

[29]  Choung-Soo Kim,et al.  Role of MRI in indeterminate renal mass: diagnostic accuracy and impact on clinical decision making , 2015, International Urology and Nephrology.

[30]  C. Nicolau,et al.  Prospective evaluation of CT indeterminate renal masses using US and contrast-enhanced ultrasound , 2015, Abdominal Imaging.

[31]  Min Bai,et al.  Quantification of enhancement of renal parenchymal masses with contrast-enhanced ultrasound. , 2014, Ultrasound in medicine & biology.

[32]  Wenping Wang,et al.  Contrast-enhanced ultrasonography for evaluation of cystic renal mass: in comparison to contrast-enhanced CT and conventional ultrasound , 2014, Abdominal Imaging.

[33]  E. Samei,et al.  Impact of dual-energy multi-detector row CT with virtual monochromatic imaging on renal cyst pseudoenhancement: in vitro and in vivo study. , 2014, Radiology.

[34]  E. Hecht,et al.  Follow-up for Bosniak category 2F cystic renal lesions. , 2014, Radiology.

[35]  B. Krauss,et al.  Accuracy of contrast-enhanced dual-energy MDCT for the assessment of iodine uptake in renal lesions. , 2014, AJR. American journal of roentgenology.

[36]  Richard G. Barr,et al.  Evaluation of indeterminate renal masses with contrast-enhanced US: a diagnostic performance study. , 2014, Radiology.

[37]  A. Rosenkrantz,et al.  Complex cystic renal masses: comparison of cyst complexity and Bosniak classification between 1.5 T and 3 T MRI. , 2014, European journal of radiology.

[38]  J. Ellis,et al.  In vivo predictors of renal cyst pseudoenhancement at 120 kVp. , 2014, AJR. American journal of roentgenology.

[39]  S. Silverman,et al.  Simple cyst-appearing renal masses at unenhanced CT: can they be presumed to be benign? , 2013, Radiology.

[40]  J. Ellis,et al.  Differentiation of papillary renal cell carcinoma subtypes on CT and MRI. , 2013, AJR. American journal of roentgenology.

[41]  Daniel Margolis,et al.  Clear cell renal cell carcinoma: discrimination from other renal cell carcinoma subtypes and oncocytoma at multiphasic multidetector CT. , 2013, Radiology.

[42]  Y. Ding,et al.  Homogeneous high attenuation renal cysts and solid masses--differentiation with single phase dual energy computed tomography. , 2013, Clinical radiology.

[43]  Bernhard Krauss,et al.  Distinguishing enhancing from nonenhancing renal masses with dual-source dual-energy CT: iodine quantification versus standard enhancement measurements , 2013, European Radiology.

[44]  S. Silverman,et al.  Virtual unenhanced CT images acquired from dual-energy CT urography: accuracy of attenuation values and variation with contrast material phase. , 2013, Clinical radiology.

[45]  Sutchin R. Patel,et al.  Renal cell carcinoma: attenuation values on unenhanced CT. , 2012, AJR. American journal of roentgenology.

[46]  S. Sohaib,et al.  Centrally infiltrating renal masses on CT: differentiating intrarenal transitional cell carcinoma from centrally located renal cell carcinoma. , 2012, AJR. American journal of roentgenology.

[47]  L. Ngo,et al.  Angiomyolipoma with minimal fat: can it be differentiated from clear cell renal cell carcinoma by using standard MR techniques? , 2012, Radiology.

[48]  M. Remzi,et al.  Rationale for percutaneous biopsy and histologic characterisation of renal tumours. , 2012, European urology.

[49]  David C. Miller,et al.  Understanding the role of percutaneous biopsy in the management of patients with a small renal mass. , 2012, Urology.

[50]  Kenneth J. Smith,et al.  The cost-effectiveness of immediate treatment, percutaneous biopsy and active surveillance for the diagnosis of the small solid renal mass: evidence from a Markov model. , 2012, The Journal of urology.

[51]  Andrew D. Smith,et al.  Bosniak category IIF and III cystic renal lesions: outcomes and associations. , 2012, Radiology.

[52]  David C. Alsop,et al.  Arterial spin labeling MR imaging for characterisation of renal masses in patients with impaired renal function: initial experience , 2012, European Radiology.

[53]  Richard H Cohan,et al.  Distinguishing enhancing from nonenhancing renal lesions with fast kilovoltage-switching dual-energy CT. , 2011, AJR. American journal of roentgenology.

[54]  R. Uzzo,et al.  Active surveillance: a potential strategy for select patients with small renal masses. , 2011, Future oncology.

[55]  J. McGahan,et al.  Is segmental enhancement inversion on enhanced biphasic MDCT a reliable sign for the noninvasive diagnosis of renal oncocytomas? , 2011, AJR. American journal of roentgenology.

[56]  A. Evans,et al.  Outcomes of small renal mass needle core biopsy, nondiagnostic percutaneous biopsy, and the role of repeat biopsy. , 2011, European urology.

[57]  P. Weibl,et al.  Interpersonal variability and present diagnostic dilemmas in Bosniak classification system , 2011, Scandinavian journal of urology and nephrology.

[58]  Matthew S Davenport,et al.  Diagnosis of renal angiomyolipoma with hounsfield unit thresholds: effect of size of region of interest and nephrographic phase imaging. , 2011, Radiology.

[59]  David H. Kim,et al.  Incidental finding of renal masses at unenhanced CT: prevalence and analysis of features for guiding management. , 2011, AJR. American journal of roentgenology.

[60]  E. Merkle,et al.  Detection of renal lesion enhancement with dual-energy multidetector CT. , 2011, Radiology.

[61]  Jeong Kon Kim,et al.  Value of T2-weighted MR imaging in differentiating low-fat renal angiomyolipomas from other renal tumors , 2011, Acta radiologica.

[62]  R. Leveillee,et al.  Differentiation of oncocytoma and renal cell carcinoma in small renal masses (<4 cm): the role of 4-phase computerized tomography , 2011, World Journal of Urology.

[63]  B. K. Park,et al.  Clinico-radio-pathologic features of a solitary solid renal mass at MDCT examination , 2010, Acta radiologica.

[64]  M. Harisinghani,et al.  Renal mass biopsy to guide treatment decisions for small incidental renal tumors: a cost-effectiveness analysis. , 2010, Radiology.

[65]  M. Macari,et al.  Single-Phase Dual-Energy CT Allows for Characterization of Renal Masses as Benign or Malignant , 2010, Investigative radiology.

[66]  Christopher G. Roth,et al.  Exophytic renal masses: angular interface with renal parenchyma for distinguishing benign from malignant lesions at MR imaging. , 2010, Radiology.

[67]  A. Ignee,et al.  The value of contrast enhanced ultrasound (CEUS) in the characterisation of patients with renal masses. , 2010, Clinical hemorheology and microcirculation.

[68]  A. Finelli,et al.  Small (≤4 cm) cortical renal tumors: characterization with multidetector CT , 2010, Abdominal Imaging.

[69]  B. Yeh,et al.  The characterization of small hypoattenuating renal masses on contrast-enhanced CT. , 2009, Clinical imaging.

[70]  S. Boorjian,et al.  Natural history, growth kinetics, and outcomes of untreated clinically localized renal tumors under active surveillance , 2009, Cancer.

[71]  J. McKiernan,et al.  Increasing detection rate of benign renal tumors: evaluation of factors predicting for benign tumor histologic features during past two decades. , 2009, Urology.

[72]  A. Rajesh,et al.  Renal oncocytoma: CT features cannot reliably distinguish oncocytoma from other renal neoplasms. , 2009, Clinical radiology.

[73]  Bachir Taouli,et al.  Renal lesions: characterization with diffusion-weighted imaging versus contrast-enhanced MR imaging. , 2009, Radiology.

[74]  J. Patard,et al.  A population‐based comparison of survival after nephrectomy vs nonsurgical management for small renal masses , 2009, BJU international.

[75]  W. Roberts,et al.  Radiographic surveillance of minimally and moderately complex renal cysts , 2009, BJU international.

[76]  F. Kim,et al.  Renal cell carcinoma: dynamic contrast-enhanced MR imaging for differentiation of tumor subtypes--correlation with pathologic findings , 2009 .

[77]  M. Blute,et al.  The value of preoperative needle core biopsy for diagnosing benign lesions among small, incidentally detected renal masses , 2009 .

[78]  Brian R Herts,et al.  Management of the incidental renal mass. , 2008, Radiology.

[79]  E. Quaia,et al.  Comparison of contrast-enhanced sonography with unenhanced sonography and contrast-enhanced CT in the diagnosis of malignancy in complex cystic renal masses. , 2008, AJR. American journal of roentgenology.

[80]  K. Bensalah,et al.  Tumor size does not predict risk of metastatic disease or prognosis of small renal cell carcinomas. , 2008, The Journal of urology.

[81]  R. Uzzo,et al.  Excise, ablate or observe: the small renal mass dilemma--a meta-analysis and review. , 2008, The Journal of urology.

[82]  W. Kassouf,et al.  Active surveillance for selected patients with renal masses , 2007, Cancer.

[83]  Ari I. Jonisch,et al.  Can high-attenuation renal cysts be differentiated from renal cell carcinoma at unenhanced CT? , 2007, Radiology.

[84]  B. Hollenbeck,et al.  Five‐year survival after surgical treatment for kidney cancer , 2007, Cancer.

[85]  M. Beland,et al.  Diagnostic yield of 58 consecutive imaging-guided biopsies of solid renal masses: should we biopsy all that are indeterminate? , 2007, AJR. American journal of roentgenology.

[86]  B. K. Park,et al.  Assessment of cystic renal masses based on Bosniak classification: comparison of CT and contrast-enhanced US. , 2007, European journal of radiology.

[87]  Elaine M Caoili,et al.  Renal mass core biopsy: accuracy and impact on clinical management. , 2007, AJR. American journal of roentgenology.

[88]  Stephanie Daignault,et al.  Rising incidence of small renal masses: a need to reassess treatment effect. , 2007, Journal of the National Cancer Institute.

[89]  G. Nabi,et al.  INCIDENTAL RENAL TUMOURS: THE FREQUENCY OF BENIGN LESIONS AND THE ROLE OF PREOPERATIVE CORE BIOPSY , 2006, BJU international.

[90]  S. Silverman,et al.  Renal masses in the adult patient: the role of percutaneous biopsy. , 2006, Radiology.

[91]  Jeong Kon Kim,et al.  Renal angiomyolipoma with minimal fat: differentiation from other neoplasms at double-echo chemical shift FLASH MR imaging. , 2006, Radiology.

[92]  T. Grobner Gadolinium--a specific trigger for the development of nephrogenic fibrosing dermopathy and nephrogenic systemic fibrosis? , 2006, Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association.

[93]  G. Israel,et al.  How I do it: evaluating renal masses. , 2005, Radiology.

[94]  J. Kaouk,et al.  Laparoscopic partial nephrectomy for cystic masses. , 2005, The Journal of urology.

[95]  C. Siegel Renal Masses: Quantitative Analysis of Enhancement With Signal Intensity Measurements Versus Qualitative Analysis of Enhancement With Image Subtraction for Diagnosing Malignancy at MR Imaging. , 2005, The Journal of urology.

[96]  K. Zou,et al.  Evaluation of small (, 2004, AJR. American journal of roentgenology.

[97]  G. Israel,et al.  Evaluation of cystic renal masses: comparison of CT and MR imaging by using the Bosniak classification system. , 2004, Radiology.

[98]  H. Sasser,et al.  Clinical use of fluorodeoxyglucose F 18 positron emission tomography for detection of renal cell carcinoma. , 2004, The Journal of urology.

[99]  Jeong Kon Kim,et al.  Angiomyolipoma with minimal fat: differentiation from renal cell carcinoma at biphasic helical CT. , 2004, Radiology.

[100]  F. Kondylis,et al.  The natural history of incidentally detected small renal masses , 2004, Cancer.

[101]  J. Cheville,et al.  Solid renal tumors: an analysis of pathological features related to tumor size. , 2003, The Journal of urology.

[102]  G. Israel,et al.  Follow-up CT of moderately complex cystic lesions of the kidney (Bosniak category IIF). , 2003, AJR. American journal of roentgenology.

[103]  H. Bensadoun,et al.  Efficiency of [18F]FDG PET in characterising renal cancer and detecting distant metastases: a comparison with CT , 2003, European Journal of Nuclear Medicine and Molecular Imaging.

[104]  R. Günther,et al.  Diagnostic accuracy of phase-inversion tissue harmonic imaging versus fundamental B-mode sonography in the evaluation of focal lesions of the kidney. , 2003, AJR. American journal of roentgenology.

[105]  F. Rybicki,et al.  Percutaneous biopsy of renal masses: sensitivity and negative predictive value stratified by clinical setting and size of masses. , 2003, AJR. American journal of roentgenology.

[106]  G. Israel,et al.  Calcification in cystic renal masses: is it important in diagnosis? , 2003, Radiology.

[107]  Mannudeep K Kalra,et al.  Pseudoenhancement of simulated renal cysts in a phantom using different multidetector CT scanners. , 2002, AJR. American journal of roentgenology.

[108]  P. Choyke,et al.  Renal masses: quantitative assessment of enhancement with dynamic MR imaging. , 2002, Radiology.

[109]  G. Bellman,et al.  Laparoscopic evaluation of indeterminate renal cysts: long-term follow-up. , 2002, Journal of endourology.

[110]  Melvyn Korobkin,et al.  Urinary tract abnormalities: initial experience with multi-detector row CT urography. , 2002, Radiology.

[111]  D. DeLong,et al.  Pseudoenhancement of Simple Renal Cysts: A Comparison of Single and Multidetector Helical CT , 2002, Journal of computer assisted tomography.

[112]  C. Balleyguier,et al.  Ultrasound of renal tumors , 2001, European Radiology.

[113]  H. Wunderlich,et al.  Computerized contrast angiosonography:a new diagnostic tool for the urologist? , 2001, BJU international.

[114]  D. Rossi,et al.  Fine-needle percutaneous biopsy of renal masses with helical CT guidance. , 2000, Radiology.

[115]  M. Jinzaki,et al.  Small solid renal lesions: usefulness of power Doppler US. , 1998, Radiology.

[116]  P. Ramchandani,et al.  Multiphasic renal CT: comparison of renal mass enhancement during the corticomedullary and nephrographic phases. , 1996, Radiology.

[117]  N. Curry Small renal masses (lesions smaller than 3 cm): imaging evaluation and management. , 1995, AJR. American journal of roentgenology.

[118]  S. Seltzer,et al.  Small (< or = 3 cm) renal masses: correlation of spiral CT features and pathologic findings. , 1994, AJR. American journal of roentgenology.

[119]  D. Hartman,et al.  Cystic renal masses: Usefulness of the bosniak classification , 1991, Urologic radiology.

[120]  G. Glazer,et al.  Small Renal Cell Carcinomas: Resolving a Diagnostic Dilemma , 1989 .

[121]  M. Bosniak,et al.  The current radiological approach to renal cysts. , 1986, Radiology.