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Renal tumors with low signal intensities on T2-weighted MR image: radiologic-pathologic correlation

Authors
Kim, YouyeonSung, Deuk JaeSim, Ki ChoonHan, Na YeonPark, Beom JinKim, Min JuCho, Sung Bum
Issue Date
8월-2017
Publisher
SPRINGER
Keywords
Kidney; Neoplasm; Magnetic resonance imaging; T2-weighted imaging
Citation
ABDOMINAL RADIOLOGY, v.42, no.8, pp.2108 - 2118
Indexed
SCIE
SCOPUS
Journal Title
ABDOMINAL RADIOLOGY
Volume
42
Number
8
Start Page
2108
End Page
2118
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/82619
DOI
10.1007/s00261-017-1097-4
ISSN
2366-004X
Abstract
Accurate characterization of renal masses is essential for ensuring appropriate management. Low T2 signal intensity is a common feature of papillary renal cell carcinoma and fat-poor angiomyolipoma. Nonetheless, other types of renal cell carcinoma, oncocytoma, hemangioma, lymphoma, leiomyoma, and urothelial cell carcinoma also can show low signal intensities on T2-weighted imaging (T2WI). Histopathologic features that can lead to low T2 signal intensities in renal tumors include smooth muscle component, papillary architecture, a high nucleus-to-cytoplasm ratio, and hemorrhage. To establish an appropriate differential diagnosis for renal tumors on MRI, it is necessary to understand the relationship between the MR signal intensities and the histopathologic and morphologic features, in addition to contrast enhancement patterns and diffusion characteristics of the tumors.
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