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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2008-2-4
pubmed:abstractText
To perform a feature analysis of malignant renal tumors evaluated with magnetic resonance (MR) imaging and to investigate the correlation between MR imaging features and histopathological findings. MR examinations in 79 malignant renal masses were retrospectively evaluated, and a feature analysis was performed. Each renal mass was assigned to one of eight categories from a proposed MRI classification system. The sensitivity and specificity of the MRI classification system to predict the histologic subtype and nuclear grade was calculated. Subvoxel fat on chemical shift imaging correlated to clear cell type (p < 0.05); sensitivity = 42%, specificity = 100%. Large size, intratumoral necrosis, retroperitoneal vascular collaterals, and renal vein thrombosis predicted high-grade clear cell type (p < 0.05). Small size, peripheral location, low intratumoral SI on T2-weighted images, and low-level enhancement were associated with low-grade papillary carcinomas (p < 0.05). The sensitivity and specificity of the MRI classification system for diagnosing low grade clear cell, high-grade clear cell, all clear cell, all papillary, and transitional carcinomas were 50% and 94%, 93% and 75%, 92% and 83%, 80% and 94%, and 100% and 99%, respectively. The MRI feature analysis and proposed classification system help predict the histological type and nuclear grade of renal masses.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0938-7994
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
365-75
pubmed:meshHeading
pubmed-meshheading:17899106-Adult, pubmed-meshheading:17899106-Aged, pubmed-meshheading:17899106-Aged, 80 and over, pubmed-meshheading:17899106-Carcinoma, Renal Cell, pubmed-meshheading:17899106-Contrast Media, pubmed-meshheading:17899106-Female, pubmed-meshheading:17899106-Humans, pubmed-meshheading:17899106-Image Enhancement, pubmed-meshheading:17899106-Kidney, pubmed-meshheading:17899106-Kidney Neoplasms, pubmed-meshheading:17899106-Magnetic Resonance Imaging, pubmed-meshheading:17899106-Male, pubmed-meshheading:17899106-Middle Aged, pubmed-meshheading:17899106-Neoplasm Staging, pubmed-meshheading:17899106-Observer Variation, pubmed-meshheading:17899106-Predictive Value of Tests, pubmed-meshheading:17899106-Retrospective Studies, pubmed-meshheading:17899106-Risk, pubmed-meshheading:17899106-Sensitivity and Specificity
pubmed:year
2008
pubmed:articleTitle
MR classification of renal masses with pathologic correlation.
pubmed:affiliation
Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02118, USA. ipedrosa@bidmc.harvard.edu
pubmed:publicationType
Journal Article