Role of Virtual Biopsy in the Management of Renal Masses.
AJR Am J Roentgenol. 2019 Apr 17:1-10. doi: 10.2214/AJR.19.21172. [Epub ahead of print]
Diaz de Leon A1, Davenport MS2, Silverman SG3, Schieda N4, Cadeddu JA1,5, Pedrosa I1,5,6.
OBJECTIVE. Renal masses comprise a heterogeneous group of pathological 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.
CONCLUSION. 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.
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