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• W2000304752 abstract "No AccessJournal of UrologyReview Article1 Dec 2014New Modalities for Evaluation and Surveillance of Complex Renal Cysts Chandy Ellimoottil, Kristin A. Greco, Spencer Hart, Tejas Patel, M. Mukarram Sheikh, Thomas M.T. Turk, and Robert C. Flanigan Chandy EllimoottilChandy Ellimoottil Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author , Kristin A. GrecoKristin A. Greco Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author , Spencer HartSpencer Hart Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author , Tejas PatelTejas Patel Department of Radiology, Loyola University Medical Center, Maywood, Illinois More articles by this author , M. Mukarram SheikhM. Mukarram Sheikh Department of Radiology, Loyola University Medical Center, Maywood, Illinois More articles by this author , Thomas M.T. TurkThomas M.T. Turk Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author , and Robert C. FlaniganRobert C. Flanigan Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.07.099AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The increased use of abdominal imaging has led to more frequent detection of incidental renal cysts. Since the inception of the Bosniak classification system, management of Bosniak I, III and IV cysts has been clearly defined, while evaluation and management of Bosniak II and IIF cysts have remained a clinical dilemma. Discussions of new imaging modalities are becoming increasingly prevalent in the radiological literature. In this context we performed a comprehensive review of the recent literature on complex renal cysts focusing on new imaging modalities, surveillance strategies and biopsy. Materials and Methods: We performed a comprehensive literature review of articles published from January 1, 1998 through December 31, 2013 via MEDLINE®, EMBASE and the Cochrane Collection using a predetermined search strategy. All studies included were performed in humans older than 18 years, were written in English and had an abstract available for review. We grouped studies into 1 of 5 categories, ie computerized tomography, magnetic resonance imaging, ultrasound, biopsy and surveillance. Results: While computerized tomography and magnetic resonance imaging with and without contrast enhancement remain the gold standard to evaluate cystic lesions of the kidney, diffusion-weighted magnetic resonance imaging and contrast enhanced ultrasound have surfaced as new tools for assessment of complex cysts. Comparative effectiveness studies on these new imaging modalities are limited. Image guided biopsy has increasingly been shown to be useful for evaluation of intermediate (Bosniak II and IIF) complex cysts. We found few studies providing guidance on the duration and/or intensity of surveillance required for intermediate complex renal cysts. Conclusions: Although new and enhanced techniques are in development and may be useful in the future management of complex renal cysts, there is a paucity of data regarding the value of these new techniques. Future research should focus on surveillance of intermediate complex renal cysts, particularly on the ideal frequency and type of imaging required. References 1 : The diagnosis and management of complex renal cysts. Curr Opin Urol2010; 20: 349. Google Scholar 2 : The use of the Bosniak classification system for renal cysts and cystic tumors. J Urol1997; 157: 1852. 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Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited bySteers W (2018) This Month in Adult UrologyJournal of Urology, VOL. 192, NO. 6, (1589-1590), Online publication date: 1-Dec-2014. Volume 192Issue 6December 2014Page: 1604-1611 Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.Keywordscystickidneycystsdiagnostic imagingclassificationkidney diseasesMetricsAuthor Information Chandy Ellimoottil Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author Kristin A. Greco Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author Spencer Hart Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author Tejas Patel Department of Radiology, Loyola University Medical Center, Maywood, Illinois More articles by this author M. Mukarram Sheikh Department of Radiology, Loyola University Medical Center, Maywood, Illinois More articles by this author Thomas M.T. Turk Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author Robert C. Flanigan Department of Urology, Loyola University Medical Center, Maywood, Illinois More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2000304752 title "New Modalities for Evaluation and Surveillance of Complex Renal Cysts" @default.
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