ROLE OF IMAGING IN ASSESSMENT AND CHARACTERIZATION OF RENAL MASSES

Dr. Alka Agrawal; Dr. P.S. Tripathi; Dr. Devashish Mishra; Dr. Prachi Shukla

Volume : VI, Issue : V, May - 2017

ROLE OF IMAGING IN ASSESSMENT AND CHARACTERIZATION OF RENAL MASSES

Dr. Alka Agrawal, Dr. P. S. Tripathi, Dr. Devashish Mishra, Dr. Prachi Shukla

Abstract :

Early diagnosis of renal masses is essential for appropriate case management, differentiating benign from malignant renal masses and also identifying masses which need surgical intervention. Sonography is the first imaging modality to detect a renal mass lesion but it is operator dependent and should be followed by MDCT or MRI. The accuracy of Contrast Enhanced Multiphasic Multidetector Computed Tomography in detecting and characterizing renal lesions is high with good sensitivity and specificity. However non-contrast MRI is the favoured modality because of lack of ionising radiation and can be used in patient with deranged renal function. In conjunction with conventional sequences and with added new sequences like DWI, MRI may provide qualitative and quantitative information which helps in confident and accurate diagnosis of renal lesions.