European Journal of Molecular & Clinical Medicine

Background: The incidence of renal masses has risen significantly over the past years with the increasing use of radiological imaging modalities. For various treatment modalities of renal masses correct preoperative evaluation of renal tumors is very important. Present study was aimed to study of computed tomography (CT) in assessment in characterization of renal masses at a tertiary hospital. Material and Methods: Present study was single-center, prospective, observational study, conducted patients of either gender, with diagnosed renal masses on ultrasound, underwent biopsy/surgery & histopathological diagnosis was available. Multi detector computed tomography was performed using 16 slice MDCT scanner. Results: 38 patients of renal mass were studied, majority patients were from 51-60 years (23.68%), 61-70 years age group (28.95%), were male (65.79%) & left sided (52.63%). Mean age was 55.9 ± 11.2 years. Common complaints were pain in abdomen (60.53%), Hematuria (28.95%), Mass per abdomen (23.68%) & nonspecific complaints (63.16%). In present study, Renal Cell Carcinoma (39.47 %), Renal abscess (15.79 %), Xanthogranulomatous pyelonephritis (XGPN) (7.89 %), Multi-locular cystic nephroma (MLCN) (7.89 %), Bosniak type Cyst (7.89 %) & Lymphoma (5.26 %) were common CT diagnosis. 36 CT diagnosis were correlating with histopathology report, 2 CT diagnosis were not correlating to histopathology diagnosis as Bosniak type cyst was a case of renal cell carcinoma & renal cell carcinoma was a case of renal metastasis of unknown primary. Conclusion: Computed Tomography is the imaging modality of choice for further evaluation and characterization & enables excellent detection of renal masses and differentiation between cystic, complex cystic and solid masses.

Background:The detection of renal masses has risen significantly over the past years with the
increasing use of radiological imaging modalities, majority of renal masses are renal cell
carcinoma which account for 80 to 85% of primary renal tumors and approximately 3% of all
malignancies in adults. Dynamic contrast-enhanced MRI assesses the signal dynamics caused
by contrast material transit through the renal cortex, medulla and the collecting
system.Diffusion-weighted imaging (DWI) is a MR modality using strong bipolar gradients to
create a sensitivity of the signal to the thermally induced Brownian (or random walk) motion of
water molecules and in vivo measurement of molecular diffusion. Magnetic resonance provides
a unique opportunity to quantify the diffusional characteristics of a wide range of specimens.