EFSUMB 2020 Proposal for a Contrast-Enhanced Ultrasound-Adapted Bosniak Cyst Categorization – Position Statement

Author:

Cantisani Vito1,Bertolotto Michele2ORCID,Clevert Dirk-André3,Correas Jean-Michel4,Drudi Francesco Maria5,Fischer Thomas6,Gilja Odd Helge7,Granata Antonio8,Graumann Ole9ORCID,Harvey Christopher J.10,Ignee Andre11,Jenssen Christian12,Lerchbaumer Markus Herbert13,Ragel Matthew14,Saftoiu Adrian15ORCID,Serra Andreas L.16,Stock Konrad Friedrich17,Webb Jolanta18,Sidhu Paul S.19ORCID

Affiliation:

1. Department of Radiology, “Sapienza” University of Rome, Rome, Italy

2. Department of Radiology, University of Trieste, Ospedale di Cattinara, Trieste, IT

3. Department of Clinical Radiology, University of Munich-Großhadern Campus, Munich, Germany

4. Service de Radiologie adultes, Hôpital Necker, Université Paris Descartes, Paris, France

5. Department of Radiology, University La Sapienza, Italy

6. Department of Radiology, University Berlin, Charité, Berlin, Germany

7. Haukeland University Hospital, National Centre for Ultrasound in Gastroenterology, Bergen, Norway

8. Nephrology and Dialysis Unit, Emergency Hospital “Cannizzaro”, Catania – Italy

9. Research and Innovation Unit of Radiology, University of Southern Denmark, Odense C, Denmark

10. Department of Imaging, Imperial College NHS Healthcare Trust, London, United Kingdom of Great Britain and Northern Ireland

11. Innere Medizin 2, Caritas-Krankenhaus, Bad Mergentheim, Germany

12. Klinik für Innere Medizin, Krankenhaus Märkisch Oderland Strausberg/Wriezen, Germany

13. Department of Radiology, Charité Centrum 6 – Diagnostische und interventionelle Radiologie und Nuklearmedizin, Berlin, Germany

14. Radiology Department, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland

15. Research Center in Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania

16. Department of Internal Medicine and Nephrology, Klinik Hirslanden, Zürich, Switzerland

17. Abteilung für Nephrologie, Klinikum rechts der Isar der TU München, München, Germany

18. Radiology Department, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland

19. Department of Radiology, King’s College Hospital London, United Kingdom of Great Britain and Northern Ireland

Abstract

AbstractThe well-established Bosniak renal cyst classification is based on contrast-enhanced computed tomography determining the malignant potential of cystic renal lesions. Ultrasound has not been incorporated into this pathway. However, the development of ultrasound contrast agents coupled with the superior resolution of ultrasound makes it possible to redefine the imaging of cystic renal lesions. In this position statement, an EFSUMB Expert Task Force reviews, analyzes, and describes the accumulated knowledge and limitations and presents the current position on the use of ultrasound contrast agents in the evaluation of cystic renal lesions.

Publisher

Georg Thieme Verlag KG

Subject

Radiology, Nuclear Medicine and imaging

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