《ranal mass evalution with MRI》.pdfVIP

January 2004 Renal Mass Evaluation with MRI Dawn Barclay, HMS 3 Gillian Lieberman, MD Menu of Tests • US • US • US • Dx of Simple cyst-anechoic, sharply defined back wall and • Dx of Simple cyst-anechoic, sharply defined back wall and • Dx of Simple cyst-anechoic, sharply defined back wall and enhancement of through sound transmission. One or two enhancement of through sound transmission. One or two enhancement of through sound transmission. One or two septations may be visible sonographically. septations may be visible sonographically. septations may be visible sonographically. • 79% sensitivity in detecting renal masses • 79% sensitivity in detecting renal masses • 79% sensitivity in detecting renal masses • 80% of detected renal masses are characterized as simple cysts • 80% of detected renal masses are characterized as simple cysts • 80% of detected renal masses are characterized as simple cysts and require no further study. and require no further study. and require no further study. • Atypical findings such as calcifications, more than two • Atypical findings such as calcifications, more than two • Atypical findings such as calcifications, more than two septations, and septal thickening or nodularity and presency of septations, and septal thickening or nodularity and presency of septations, and septal thickening or nodularity and presency of solid components must be followed up with CT or MRI. solid components must be followed up with CT or MRI. solid components must be followed up with CT or MRI. Warshauer, 1988 Dawn Barclay, HMS 3 Davidson, 1997