Diaz de Leon Alberto, Davenport Matthew S, Silverman Stuart G, Schieda Nicola, Cadeddu Jeffrey A, Pedrosa Ivan
Department of Radiology, University of Texas Southwestern Medical Center, 2201 Inwood Rd, Ste 210, Dallas, TX 75225.
Departments of Radiology and Urology, Michigan Medicine, Ann Arbor, MI.
AJR Am J Roentgenol. 2019 Jun;212(6):1234-1243. doi: 10.2214/AJR.19.21172. Epub 2019 Apr 17.
Renal masses comprise a heterogeneous group of pathologic conditions, including benign and indolent diseases and aggressive malignancies, complicating management. In this article, we explore the emerging role of imaging to provide a comprehensive noninvasive characterization of a renal mass-so-called "virtual biopsy"-and its potential use in the management of patients with renal tumors. Percutaneous renal mass biopsy (RMB) remains a valuable method to provide a presurgical histopathologic diagnosis of renal masses, but it is an invasive procedure and is not always feasible. Accumulating data support the use of imaging features to predict histopathology of renal masses. Imaging may help address some of the inherent limitations of RMB, and in certain settings, a multimodal clinical approach may allow decreasing the need for RMB.
肾肿物包括一组异质性的病理状况，涵盖良性和惰性疾病以及侵袭性恶性肿瘤，这使得管理变得复杂。在本文中，我们探讨了成像技术在对肾肿物进行全面无创特征描述（即所谓的“虚拟活检”）方面日益凸显的作用及其在肾肿瘤患者管理中的潜在应用。经皮肾肿物活检（RMB）仍然是为肾肿物提供术前组织病理学诊断的一种有价值的方法，但它是一种侵入性操作，并非总是可行。越来越多的数据支持利用成像特征来预测肾肿物的组织病理学。成像可能有助于解决RMB的一些固有局限性，并且在某些情况下，多模式临床方法可能会减少对RMB的需求。
