ACCURACY OF MAGNETIC-RESONANCE-IMAGING COMPARED TO COMPUTERIZED-TOMOGRAPHY AND RENAL SELECTIVE ANGIOGRAPHY IN PREOPERATIVELY STAGING RENAL-CELL CARCINOMA

被引：12

作者：

CONSTANTINIDES, C ^{[1
]}

RECKER, F ^{[1
]}

BRUEHLMANN, W ^{[1
]}

VONSCHULTHESS, G ^{[1
]}

GOEBEL, N ^{[1
]}

ZOLLIKOFER, C ^{[1
]}

JAEGER, P ^{[1
]}

HAURI, D ^{[1
]}

机构：

[1] UNIV HOSP ZURICH,DEPT UROL,FRAUENKLINIKSTR 10,CH-8091 ZURICH,SWITZERLAND

来源：

UROLOGIA INTERNATIONALIS | 1991年 / 47卷 / 04期

关键词：

RENAL CELL CARCINOMA; PREOPERATIVE STAGING; COMPUTERIZED TOMOGRAPHY; RENAL ANGIOGRAPHY; MAGNETIC RESONANCE IMAGING;

D O I：

10.1159/000282219

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

During 1986 and 1987, 47 patients with renal cell carcinoma were evaluated preoperatively with CT, angiography and MRI. The preoperative tumor stage (T), lymph node metastases and venous involvement determined with the three methods were compared to the operative and histopathological findings. For T stage, angiography proved less accurate (54%) than CT (64%) or MRI (63%). MRI was found to be superior to CT in assessing lymph nodes, with an overall accuracy of 89% and sensitivity of 100% compared to 77 and 60%, respectively, of CT. For venous involvement CT was overall more accurate (74%) than angiography (65%) or MRI (63%). All three methods expressed a low sensitivity (between 31 and 41%) and a high specificity (between 95 and 100%) for detecting venous involvement. The minimal advantages of MRI compared to its high cost do not justify its routine use. CT remains the method of choice in staging preoperatively renal cell carcinoma.

引用

页码：181 / 185

页数：5

共 19 条

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