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doi:10.22028/D291-38306
Titel: | Ultrasound-based "CEUS-Bosniak"classification for cystic renal lesions: an 8-year clinical experience |
VerfasserIn: | Herms, Elena Weirich, Gregor Maurer, Tobias Wagenpfeil, Stefan Preuss, Stephanie Sauter, Andreas Heck, Matthias Gärtner, Anita Hauner, Katharina Autenrieth, Michael Kübler, Hubert P Holzapfel, Konstantin Schwarz-Boeger, Ulrike Heemann, Uwe Slotta-Huspenina, Julia Stock, Konrad Friedrich |
Sprache: | Englisch |
Titel: | World Journal of Urology |
Verlag/Plattform: | Springer Nature |
Erscheinungsjahr: | 2022 |
Freie Schlagwörter: | Complex renal cyst Bosniak classifcation CEUS-Bosniak Contrast-enhanced ultrasound CEUS Cystic renal masses |
DDC-Sachgruppe: | 610 Medizin, Gesundheit |
Dokumenttyp: | Journalartikel / Zeitschriftenartikel |
Abstract: | Purpose Renal cysts comprise benign and malignant entities. Risk assessment profts from CT/MRI imaging using the Bosniak classifcation. While Bosniak-IIF, -III, and -IV cover complex cyst variants, Bosniak-IIF and -III stand out due to notorious overestimation. Contrast-enhanced ultrasound (CEUS) is promising to overcome this defcit but warrants standardization. This study addresses the benefts of a combined CEUS and CT/MRI evaluation of renal cysts. The study provides a realistic account of kidney tumor boards' intricacies in trying to validate renal cysts. Methods 247 patients were examined over 8 years. CEUS lesions were graded according to CEUS-Bosniak (IIF, III, IV). 55 lesions were resected, CEUS-Bosniak- and CT/MRI-Bosniak-classifcation were correlated with histopathological diagnosis. Interobserver agreement between the classifcations was evaluated statistically. 105 lesions were followed by ultrasound, and change in CEUS-Bosniak-types and lesion size were documented. Results 146 patients (156 lesions) were included. CEUS classifed 67 lesions as CEUS-Bosniak-IIF, 44 as CEUS-BosniakIII, and 45 as CEUS-Bosniak-IV. Histopathology of 55 resected lesions revealed benign cysts in all CEUS-Bosniak-IIF lesions (2/2), 40% of CEUS-Bosniak-III and 8% of CEUS-Bosniak-IV, whereas malignancy was uncovered in 60% of CEUS-Bosniak-III and 92% of CEUS-Bosniak-IV. Overall, CEUS-Bosniak-types matched CT/MRI-Bosniak types in 58% (fair agreement, κ=0.28). CEUS-Bosniak resulted in higher stages than CT/MRI-Bosniak (40%). Ultrasound follow-up of 105 lesions detected no relevant diferences between CEUS-Bosniak-types concerning cysts size. 99% of lesions showed the same CEUS-Bosniak-type. Conclusion The CEUS-Bosniak classifcation is an essential tool in clinical practice to diferentiate and monitor renal cystic lesions and empowers diagnostic work-up and patient care. |
DOI der Erstveröffentlichung: | 10.1007/s00345-022-04094-0 |
URL der Erstveröffentlichung: | https://link.springer.com/article/10.1007/s00345-022-04094-0 |
Link zu diesem Datensatz: | urn:nbn:de:bsz:291--ds-383065 hdl:20.500.11880/34563 http://dx.doi.org/10.22028/D291-38306 |
ISSN: | 1433-8726 |
Datum des Eintrags: | 30-Nov-2022 |
Fakultät: | M - Medizinische Fakultät |
Fachrichtung: | M - Medizinische Biometrie, Epidemiologie und medizinische Informatik |
Professur: | M - Prof. Dr. Stefan Wagenpfeil |
Sammlung: | SciDok - Der Wissenschaftsserver der Universität des Saarlandes |
Dateien zu diesem Datensatz:
Datei | Beschreibung | Größe | Format | |
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s00345-022-04094-0.pdf | 734,76 kB | Adobe PDF | Öffnen/Anzeigen |
Diese Ressource wurde unter folgender Copyright-Bestimmung veröffentlicht: Lizenz von Creative Commons