Burgan Constantine M, Sanyal Rupan, Lockhart Mark E
Department of Radiology, University of Alabama-Birmingham, 625 19th Street South, Birmingham, AL 35233, USA.
Department of Radiology, University of Alabama-Birmingham, 625 19th Street South, Birmingham, AL 35233, USA.
Radiol Clin North Am. 2019 May;57(3):585-600. doi: 10.1016/j.rcl.2019.01.009. Epub 2019 Feb 26.
Renal masses are common incidental findings. Although most are benign, it is important to evaluate for features concerning for malignancy. Because of its relative low cost; excellent differentiation among simple cysts, complex cysts, and solid lesions; and lack of ionizing radiation, ultrasound is the preferred modality for initial workup of renal lesions. Given the increasing availability of contrast-enhanced ultrasound, more and more lesions are now able to be completely characterized by sonography alone, including use of the Bosniak criteria.
肾肿物是常见的偶然发现。尽管大多数是良性的,但评估其恶性特征很重要。由于超声相对成本较低;能很好地区分单纯性囊肿、复杂性囊肿和实性病变;且无电离辐射,因此超声是肾病变初始检查的首选方式。鉴于超声造影的应用越来越广泛,现在越来越多的病变仅通过超声就能完全定性,包括使用博斯尼亚克标准。