Ces radiol. 2007, 61(1):11-19

Two-phase multidetector-row CT-angiography of the renal cell carcinomaState of the art

Jiří Ferda1,2, Boris Kreuzberg1, Ondřej Hes3, Milan Hora4, Eva Ferdova1,2, Jan Baxa1, Hynek Mírka1, Kristýna Ohlídalová1
1 Radiodiagnostická klinika LF UK a FN, Plzeň
2 Oddělení nukleární medicíny FN, Plzeň
3 Šiklův ústav patologické anatomie LF UK a FN, Plzeň
4 Urologická klinika LF UK a FN, Plzeň

Renal cell carcinoma is the most frequent kidney neoplasm; its incidence in the Czech Republic is the highest in the world and increases continuously. Development of laparoscopic kidney surgery makes perfect preoperative staging of the renal cell carcinoma necessary, together with imaging of the vascular supply of the kidney affected by tumor. Multidetector-row computed tomography (MDCT) offers staging and imaging of the vascular supply in one examination. The optimal spatial resolution depends on sub-millimeter data acquisition. Bi-phasic kidney imaging in arterial and venous phases offers excellent results in detection and differential diagnosis of the renal cell carcinoma. The article reviews typical imaging features of histological subtypes of the renal cell carcinoma, criteria of TNM staging, clinically important vascular supply variants, and tumor related changes in renal vasculature.

Keywords: CT-angiography (CTA), multidetector-row computed tomography (MDCT), renal cell carcinoma, renal arteries, renal veins
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Práce byla podpořena výzkumným projektem MSM 0021620819 a byla přednesena jako "state-of-the-art lecture" na 87. Deutscher Roentgenkongress v Berlíně 26. 5. 2006.

Accepted: October 15, 2006; Published: March 1, 2007  Show citation

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Ferda J, Kreuzberg B, Hes O, Hora M, Ferdova E, Baxa J, et al.. Two-phase multidetector-row CT-angiography of the renal cell carcinoma. Ces radiol. 2007;61(1):11-19.
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