Role of Computed Tomography (Plain and Contrast) in the Evaluation of Renal Masses
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Renal masses are most commonly encountered in the present clinical scenario or incidentally detected on CT scanning. The study was designed to understand the role of Multidetector Computed Tomography with multiplanar reconstruction in the evaluation of malignant and benign renal lesions. Material and Methods: A Hospital based prospective study conducted over a period of two years on 40 patients with clinically suspected renal mass or patients who were diagnosed to have renal mass on ultrasound. They were evaluated with Multidetector Computed Tomography (128 slice GE OPTIMA 660). Result: Out of 40 cases, 28 were diagnosed to be malignant (70%) and 12 cases were diagnosed benign (30%). The most common renal mass was renal cell carcinoma accounting for 60% of all the renal masses and 85% of the malignant renal masses. Overall there were male to female ratio was 1.85:1. MDCT was able to differentiate a benign from malignant lesion with Sensitivity of 100%, Specificity of 85.71%, Positive predictive value of 92.85% and Negative predictive value of 100% was achieved. The characterstics of malignant renal masss such as perinephric extension, invasion of gerotas fascia, renal vein / IVC, lymphnodal extension, extension to adjacent organs and distant metastases can be exactly identified by MDCT with various reconstructions which is very useful for staging of lesions. Conclusion: MDCT with good reformatting technique has excellent sensitivity and specificity in the detection, charaterisation and staging of renal masses.
Authors and Affiliations
NVK Sundeep, M Venkatesh, P Suneetha
Keywords
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- EP ID EP424306
- DOI 10.21276/ijcmsr.2018.3.3.9
- Views 98
- Downloads 0
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