Renal cell carcinoma MRI

Jump to: navigation, search

Renal cell carcinoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Renal cell carcinoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural history, Complications and Prognosis

Diagnosis

Staging

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Renal cell carcinoma MRI On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Renal cell carcinoma MRI

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Renal cell carcinoma MRI

CDC on Renal cell carcinoma MRI

Renal cell carcinoma MRI in the news

Blogs on Renal cell carcinoma MRI

Directions to Hospitals Treating Renal cell carcinoma

Risk calculators and risk factors for Renal cell carcinoma MRI

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

an MRI may be used to diagnose and for follow-up of renal cell carcinoma.

MRI

Similar to CT, an MRI may be used to diagnose and for follow-up of renal cell carcinoma. Due to the use of IV gadolinium in MRI, the risk of nephrogenic systemic fibrosis (NSF) must always be considered.[1] It is a rare condition that often has cutaneous manifestations, but may affect any organ. Risk factors for development of NSF are as follows[1]:

  • High dose of gadolinium-based contrast
  • Acute and chronic renal failure
  • Vascular injury


Use of MRI in Renal Cell Carcinoma[1]
Patient Profile Use of MRI Evidence Strength
Low Risk Patient (pT1, N0, Nx) Baseline abdominal MRI (or CT) for nephron sparing surgery and CT (or US or MRI) for radical nephrectomy within 3-12 months following renal surgery

Additional MRI (or US or CT) may be performed in patients following radical nephrectomy if initial post-op baseline image is negative
Expert opinion

C
Moderate to High Risk Patients (pT2-4N0 Nx or any stage N+) Baseline chest and abdominal MRI (or CT) within 3-6 months following surgery with continued imaging (US, CXR, CT, or MRI) every 6 months for at least 3 years and annually thereafter to 5 years. Site specific imaging is warranted by clinical symptoms suggestive of recurrence or metastatic spread. Imaging (US, CXR, CT, or MRI) beyond 5 years may be performed at the discretion of the clinician C
Active surveillance Cross-sectional abdominal scanning (CT or MRI) within 6 months of active surveillance initiation to establish a growth rate. Further imaging is recommended at least annually thereafter C
Ablation Patients undergo cross-sectional CT or MRI with and without IV contrast unless contraindicated at 3 and 6 months following ablative therapy to assess treatment success. Annual abdominal CT or MRI should follow for 5 years. Individual MRI (or CT) beyond 5 years is based on individual patient risk factors C
Adapted from Donat SM et al. Follow-up for clinically localized renal neoplasms: AUA guideline. J Urol. 2013; 190(2):407-16.

References

  1. 1.0 1.1 1.2 Donat SM, Diaz M, Bishoff JT, Coleman JA, Dahm P, Derweesh IH; et al. (2013). "Follow-up for Clinically Localized Renal Neoplasms: AUA Guideline.". J Urol. 190 (2): 407–16. PMID 23665399. doi:10.1016/j.juro.2013.04.121. 

Linked-in.jpg