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Recent Advances in Cross-sectional Renal ImagingAn Oncologic Perspective: The Current Concepts and the Future Challenges

Ganeshan, Dhakshinamoorthy MD*; Notohamiprodjo, Mike MD; Nikolaidis, Paul MD; Sanyal, Rupan MD§; Bhosale, Priya MD*

Journal of Computer Assisted Tomography:
doi: 10.1097/RCT.0000000000000033
Genitourinary Imaging

Abstract: Renal imaging remains a critical tool to differentiate and manage benign from malignant renal disorders. Conventional multidetector computed tomography (CT) and magnetic resonance (MR) provide great anatomical details, although lack functional information and specificity. The lack of resolution undermines the functional capabilities of nuclear medicine imaging. Functional MR imaging has shown strong utility in imaging of renal masses, with evolving techniques such as diffusion, perfusion, and blood oxygen level–dependent sequences. At the same time, newer techniques like dual-energy CT and CT perfusion are also showing promise in renal oncologic imaging.

This article will discuss the recent advances in MR imaging and CT techniques pertaining to renal oncological applications.

Author Information

From the *Department of Diagnostic Radiology, MD Anderson Cancer Center, Houston, TX; †Section Chief General Radiology, Department of Clinical Radiology, University Hospitals Munich, Munich, Germany; ‡Northwestern Memorial Hospital, Chicago, IL; and §Body Imaging and Emergency Radiology Section, University of Alabama in Birmingham, Birmingham, AL.

Received for publication September 3, 2013; accepted October 8, 2013.

Reprints: Dhakshinamoorthy Ganeshan, MD, Department of Diagnostic Radiology, MD Anderson Cancer Center, 1400 Pressler, Houston, TX 77030 (e-mail:

The authors declare no conflict of interest.

© 2013 by Lippincott Williams & Wilkins