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Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography
CT has become a commonly used diagnostic procedure in clinical practice, particularly in emergency healthcare delivery. Accordingly, the increase in CT usage has increased the likelihood of incidental detections (ID) of renal cell carcinomas (RCCs). This article discusses key points and limitations...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147534/ https://www.ncbi.nlm.nih.gov/pubmed/37123667 http://dx.doi.org/10.7759/cureus.36881 |
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author | Gobara, Aiko Yoshizako, Takeshi Yoshida, Rika Katsube, Takashi Ishikura, Yuka Kamimura, Tomomi Kaji, Yasushi |
author_facet | Gobara, Aiko Yoshizako, Takeshi Yoshida, Rika Katsube, Takashi Ishikura, Yuka Kamimura, Tomomi Kaji, Yasushi |
author_sort | Gobara, Aiko |
collection | PubMed |
description | CT has become a commonly used diagnostic procedure in clinical practice, particularly in emergency healthcare delivery. Accordingly, the increase in CT usage has increased the likelihood of incidental detections (ID) of renal cell carcinomas (RCCs). This article discusses key points and limitations associated with the diagnosis and characterization of T1a RCC (≤4 cm in diameter) and shows how to improvise on the differentiation of T1a RCC with unenhanced CT (UE-CT). We retrospectively reviewed UE-CT findings of cases associated with the histopathologic diagnosis of T1a RCC and examined the discrimination capacity and radiological characteristics with regard to small RCCs (SRCCs). Detection and characterization of T1a RCC based on UE-CT are not easy in many cases due to limitations in CT findings, but there are notable radiological features to facilitate detection and differentiation. The growth pattern is important for the detection of SRCCs. Internal characteristic features (average attenuation, heterogeneity) are useful for the characterization of the RCC. In addition, CT image visualization techniques may help improve the detectability of RCCs on UE-CT. Radiological features are important in detecting SRCCs and facilitating further examination. In this study, we discuss some cases of T1a RCCs and evaluate the radiological characteristics of the tumors seen on UE-CT. |
format | Online Article Text |
id | pubmed-10147534 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-101475342023-04-29 Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography Gobara, Aiko Yoshizako, Takeshi Yoshida, Rika Katsube, Takashi Ishikura, Yuka Kamimura, Tomomi Kaji, Yasushi Cureus Radiology CT has become a commonly used diagnostic procedure in clinical practice, particularly in emergency healthcare delivery. Accordingly, the increase in CT usage has increased the likelihood of incidental detections (ID) of renal cell carcinomas (RCCs). This article discusses key points and limitations associated with the diagnosis and characterization of T1a RCC (≤4 cm in diameter) and shows how to improvise on the differentiation of T1a RCC with unenhanced CT (UE-CT). We retrospectively reviewed UE-CT findings of cases associated with the histopathologic diagnosis of T1a RCC and examined the discrimination capacity and radiological characteristics with regard to small RCCs (SRCCs). Detection and characterization of T1a RCC based on UE-CT are not easy in many cases due to limitations in CT findings, but there are notable radiological features to facilitate detection and differentiation. The growth pattern is important for the detection of SRCCs. Internal characteristic features (average attenuation, heterogeneity) are useful for the characterization of the RCC. In addition, CT image visualization techniques may help improve the detectability of RCCs on UE-CT. Radiological features are important in detecting SRCCs and facilitating further examination. In this study, we discuss some cases of T1a RCCs and evaluate the radiological characteristics of the tumors seen on UE-CT. Cureus 2023-03-29 /pmc/articles/PMC10147534/ /pubmed/37123667 http://dx.doi.org/10.7759/cureus.36881 Text en Copyright © 2023, Gobara et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Radiology Gobara, Aiko Yoshizako, Takeshi Yoshida, Rika Katsube, Takashi Ishikura, Yuka Kamimura, Tomomi Kaji, Yasushi Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography |
title | Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography |
title_full | Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography |
title_fullStr | Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography |
title_full_unstemmed | Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography |
title_short | Radiological Features of T1a Renal Cell Carcinoma on Axial Unenhanced Computed Tomography |
title_sort | radiological features of t1a renal cell carcinoma on axial unenhanced computed tomography |
topic | Radiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10147534/ https://www.ncbi.nlm.nih.gov/pubmed/37123667 http://dx.doi.org/10.7759/cureus.36881 |
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