70 265

Cited 0 times in

Superiority of magnetic resonance imaging in small renal mass diagnosis where image reports mismatches between computed tomography and magnetic resonance imaging

 Jinu Kim  ;  Jong Soo Lee  ;  Youngheun Jo  ;  Woong Kyu Han 
 INVESTIGATIVE AND CLINICAL UROLOGY, Vol.64(2) : 148-153, 2023-03 
Journal Title
Issue Date
Humans ; Magnetic Resonance Imaging* ; Nephrectomy ; Retrospective Studies ; Tomography, X-Ray Computed*
Kidney neoplasms ; Magnetic resonance imaging ; Renal cell carcinoma ; Tomography, X-ray computed
Purpose: To analyze malignancy of computed tomography (CT) and magnetic resonance imaging (MRI) results in the same renal mass.

Materials and Methods: We retrospectively reviewed 1,216 patients who underwent partial nephrectomy from January 2017 to December 2021 in our institute. Patients who had both CT and MRI reports prior to surgery were included. We compared the diagnostic accuracy between the CT and the MRI. The patients were divided into two groups according to the consistency of reports: the ‘Consistent group’ and the ‘Inconsistent group’. The Inconsistent group was further divided into two subgroups. Group 1 is the case that showed benign findings on CT but malignancy on MRI. Group 2 is the cases of malignancy on CT but benign on MRI.

Results: 410 patients were identified. Benign lesion was identified in 68 cases (16.6%). The sensitivity, specificity and diagnostic accuracy of MRI was 91.2%, 36.8%, and 82.2% respectively, whereas that of CT was 84.8%, 41.2%, and 77.6% respectively. Consistent group were 335 cases (81.7%) and inconsistent group were 75 cases (18.3%). The mean mass size was significantly smaller in the inconsistent group compared to the consistent group (consistent group vs. inconsistent group: 2.31±0.84 cm vs.1.84±0.75 cm, p<0.001). Also, the Group 1 had higher odds of malignancy compared to Group 2 in the renal mass size 2–4 cm (odds ratio, 5.62 [1.02–30.90]).

Conclusions: Smaller mass size affects the discrepancy of CT and MRI reports. In addition, MRI showed better diagnostic performance in mismatch cases in the small renal masses.
Files in This Item:
T202301885.pdf Download
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Jinu(김진우)
Lee, Jong Soo(이종수) ORCID logo https://orcid.org/0000-0002-9984-1138
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
사서에게 알리기


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.