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dc.contributor.authorLawrentschuk, Nathanen
dc.contributor.authorGani, Johanen
dc.contributor.authorRiordan, Richarden
dc.contributor.authorEsler, Stevenen
dc.contributor.authorBolton, Damien Men
dc.identifier.citationBJU International; 96(3): 291-5en
dc.description.abstractTo compare the findings of multidetector computed tomography (CT) with surgical pathology and magnetic resonance imaging (MRI), to determine the accuracy of delineating the superior extent of inferior vena cava (IVC) thrombotic involvement in renal cell cancer (RCC).A prospective database was examined of 11 patients (median age 65 years, range 45-77) being assessed for suspected IVC extension of RCC tumour thrombus with both multidetector CT and MRI. All had pathology confirming RCC, and eight of those undergoing surgery had pathological confirmation of tumour thrombus extent. All images were analysed originally, then re-analysed by two independent radiologists, an experienced urologist and a urological trainee unaware of the original reports and other imaging results, with a final determination on tumour thrombus level by consensus.The multidetector CT results were completely accurate when compared with surgical specimens and were in agreement with MRI on all but one occasion, where MRI determined the renal vein to be clear when it was involved on CT and at surgery, giving MRI an accuracy of seven of eight samples.Whilst there were few patients and further studies are needed, multidetector CT was comparable with MRI in determining tumour thrombus level. More importantly, in the eight patients with surgical pathological confirmation, multidetector CT was accurate in all. Ultimately, it may replace MRI as the 'gold standard' for imaging to delineate the upper limit of tumour thrombosis in RCC.en
dc.subject.otherCarcinoma, Renal Cell.diagnosis.surgeryen
dc.subject.otherKidney Neoplasms.diagnosis.surgeryen
dc.subject.otherMagnetic Resonance Imaging.methods.standardsen
dc.subject.otherMiddle Ageden
dc.subject.otherProspective Studiesen
dc.subject.otherSensitivity and Specificityen
dc.subject.otherTomography, X-Ray Computed.methods.standardsen
dc.subject.otherVascular Neoplasms.diagnosis.surgeryen
dc.subject.otherVena Cava, Inferioren
dc.subject.otherVenous Thrombosis.diagnosis.surgeryen
dc.titleMultidetector computed tomography vs magnetic resonance imaging for defining the upper limit of tumour thrombus in renal cell carcinoma: a study and review.en
dc.typeJournal Articleen
dc.identifier.journaltitleBJU Internationalen
dc.identifier.affiliationSurgery and Urology, University of Melbourne, Austin Hospital, Heidelberg, Victoria, Australiaen
dc.type.austinJournal Articleen
item.fulltextNo Fulltext-
item.openairetypeJournal Article- (University of Melbourne)-
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