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Is Preoperative Magnetic Resonance Imaging in a Daily Clinical Setting Useful to Evaluate Tumor Invasion Beyond the Pseudocapsule in Renal Cell Carcinoma?
https://repository.lib.tottori-u.ac.jp/records/4707
https://repository.lib.tottori-u.ac.jp/records/4707467d189b-48a1-441f-8b91-8a2d1b9c9f9c
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
yam64(4)_345.pdf (1.5 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 公開日 | 2021-12-22 | |||||
| タイトル | ||||||
| タイトル | Is Preoperative Magnetic Resonance Imaging in a Daily Clinical Setting Useful to Evaluate Tumor Invasion Beyond the Pseudocapsule in Renal Cell Carcinoma? | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題 | renal cell carcinoma | |||||
| キーワード | ||||||
| 主題 | pseudocapsule | |||||
| キーワード | ||||||
| 主題 | renal parenchymal invasion | |||||
| キーワード | ||||||
| 主題 | preoperative magnetic resonance imaging | |||||
| キーワード | ||||||
| 主題 | partial nephrectomy | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | renal cell carcinoma | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | pseudocapsule | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | renal parenchymal invasion | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | preoperative magnetic resonance imaging | |||||
| キーワード | ||||||
| 言語 | en | |||||
| 主題 | partial nephrectomy | |||||
| 資源タイプ | ||||||
| 資源タイプ | journal article | |||||
| 著者 |
Iwamoto, Hideo
× Iwamoto, Hideo× Nosaka, Kanae× Miyoshi, Hidenao× Makishima, Karen× Ochiai, Ryouya× Shimizu, Ryutarou× Yumioka, Tetsuya× Morizane, Shuichi× Honda, Masashi× Takenaka, Atsushi |
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| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Pathology, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Radiology, Department of Multidisciplinary Internal Medicine, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Department of Pathology, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Radiology, Department of Multidisciplinary Internal Medicine, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 著者所属（英） | ||||||
| 言語 | en | |||||
| 値 | Division of Urology, Department of Surgery, School of Medicine, Faculty of Medicine, Tottori University | |||||
| 抄録 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Background: We wanted to clarify whether preoperative magnetic resonance imaging (MRI) in the clinical setting can evaluate the pathologic pseudocapsule (PC) morphology with high accuracy in renal cell carcinoma (RCC). Methods: We retrospectively analyzed 34 consecutive patients who underwent MRI (1.5 or 3.0T, 5 mm slices) prior to partial nephrectomy (PN) for RCC at our institution between January 2010 and December 2019. First, the correlation between PC morphology (complete or incomplete) and tumor infiltration to the renal parenchyma was examined as pathologic validation. Second, the concordance rate of PC morphology between pathologic tissue and preoperative MRI was evaluated as radiologic validation. Third, risk factor for renal parenchymal invasion in RCC was analyzed. Results: In the pathologic validation, parenchymal invasion rates were 11% and 28% in the “complete PC” and “incomplete PC” groups, respectively. In the radiologic validation, pathological PC morphology could be diagnosed on preoperative MRI in 17 patients (50.0%). “None PC” on MRI had the lowest positive predictive value (PPV) (0%), “partial PC” on MRI had a good PPV (76.5%), “complete PC” on MRI had a relatively low PPV (33.3%). Unfortunately, these data were insufficient for diagnostic accuracy. As risk factor for renal parenchymal invasion in RCC, only pathologic subtype (non-clear cell) was found to have significant differences in the multivariate analysis. Conclusion: The results of this study suggest that renal tumors with pathologically incomplete PC have a high possibility of renal parenchymal invasion. However, it is currently difficult to accurately evaluate pathologic PC morphology by preoperative MRI in the clinical setting. | |||||
| 書誌情報 |
Yonago Acta Medica en : Yonago Acta Medica 巻 64, 号 4, p. 345-352, 発行日 2021-11-29 |
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| 出版者 | ||||||
| 出版者 | Tottori University Medical Press | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 05135710 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00892882 | |||||
| DOI | ||||||
| 関連タイプ | isIdenticalTo | |||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | 10.33160/yam.2021.11.004 | |||||
| 権利 | ||||||
| 権利情報 | (C) 2021 Tottori University Medical Press. | |||||
| 情報源 | ||||||
| 関連名称 | Iwamoto H, Nosaka K, Miyoshi H, et al. Is Preoperative Magnetic Resonance Imaging in a Daily Clinical Setting Useful to Evaluate Tumor Invasion Beyond the Pseudocapsule in Renal Cell Carcinoma?. Yonago Acta Medica. 2021, 64(4), 345-352. doi:10.33160/yam.2 | |||||
| 関連サイト | ||||||
| 識別子タイプ | URI | |||||
| 関連識別子 | http://www.lib.tottori-u.ac.jp/yam/yam/yam64-4/64-4contents.html | |||||
| 関連名称 | http://www.lib.tottori-u.ac.jp/yam/yam/yam64-4/64-4contents.html | |||||
| 関連サイト | ||||||
| 識別子タイプ | DOI | |||||
| 関連識別子 | https://doi.org/10.33160/yam.2021.11.004 | |||||
| 関連名称 | https://doi.org/10.33160/yam.2021.11.004 | |||||
| 著者版フラグ | ||||||
| 出版タイプ | VoR | |||||
| EISSN | ||||||
| 値 | 13468049 | |||||
