Advances of multidetector computed tomography in the characterization and staging of renal cell carcinoma

• 作者: Athina C Tsili Maria I Argyropoulou
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: CARCINOMA KIDNEY COMPUTED TOMOGRAPHY Renal cell CARCINOMA STAGING MULTIDETECTOR COMPUTED TOMOGRAPHY
• 年，卷（期）: 2015,（6）
• 页码范围: 110-127
• 页数: 18页
• 分类号: R737.11

摘要

Renal cell carcinoma(RCC) accounts for approximately 90%-95% of kidney tumors. With the widespread use of cross-sectional imaging modalities, more than half of RCCs are detected incidentally, often diagnosed at an early stage. This may allow the planning of more conservative treatment strategies. Computed tomography(CT) is considered the examination of choice for thedetection and staging of RCC. Multidetector CT(MDCT) with the improvement of spatial resolution and the ability to obtain multiphase imaging, multiplanar and threedimensional reconstructions in any desired plane brought about further improvement in the evaluation of RCC. Differentiation of RCC from benign renal tumors based on MDCT features is improved. Tumor enhancement characteristics on MDCT have been found closely to correlate with the histologic subtype of RCC, the nuclear grade and the cytogenetic characteristics of clear cell RCC. Important information, including tumor size, localization, and organ involvement, presence and extent of venous thrombus, possible invasion of adjacent organs or lymph nodes, and presence of distant metastases are provided by MDCT examination. The preoperative evaluation of patients with RCC was improved by depicting the presence or absence of renal pseudocapsule and by assessing the possible neoplastic infiltration of the perirenal fat tissue and/or renal sinus fat compartment.