Renal masses: assessment of corticomedullary-phase and nephrographic-phase CT scans.
Radiology
; 196(2): 445-51, 1995 Aug.
Article
en En
| MEDLINE
| ID: mdl-7617859
ABSTRACT
PURPOSE:
To evaluate the role of thin-section helical computed tomography (CT) performed during the corticomedullary phase (CMP) and nephrographic phase (NP) of contrast enhancement in the detection and characterization of renal masses. MATERIALS ANDMETHODS:
Renal CT scans and medical records of 33 patients were retrospectively reviewed. In all examinations, 5-mm-thick, contiguous, helical-mode scans were obtained before and 40 seconds after initiation of dynamic bolus injection of contrast material (CMP images); 5-mm-thick, contiguous, axial-mode scans were obtained after completion of CMP scanning (NP images).RESULTS:
At review of CMP, NP, and combination images, 259, 389, and 417 lesions, respectively, were identified. The greatest difference in detection occurred in the renal medulla, with 25 lesions identified on CMP images and 111 lesions identified on NP images. False-positive results occurred when CMP images were reviewed without NP images.CONCLUSION:
CT scans obtained only during the CMP of contrast enhancement fail to depict many renal masses that are easily seen on NP images.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Tomografía Computarizada por Rayos X
/
Enfermedades Renales
/
Neoplasias Renales
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Radiology
Año:
1995
Tipo del documento:
Article
País de afiliación:
Estados Unidos