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10.1038/s41598-017-03376-7

http://scihub22266oqcxt.onion/10.1038/s41598-017-03376-7
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suck abstract from ncbi


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pmid28596583
      Sci+Rep 2017 ; 7 (1 ): 3117
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  • Dynamic Contrast-enhanced MRI in Renal Tumors: Common Subtype Differentiation using Pharmacokinetics #MMPMID28596583
  • Wang HY ; Su ZH ; Xu X ; Huang N ; Sun ZP ; Wang YW ; Li L ; Guo AT ; Chen X ; Ma X ; Ma L ; Ye HY
  • Sci Rep 2017[Jun]; 7 (1 ): 3117 PMID28596583 show ga
  • Preoperative renal tumor subtype differentiation is important for radiology and urology in clinical practice. Pharmacokinetic data (K (trans) & V (e), etc.) derived from dynamic contrast-enhanced MRI (DCE-MRI) have been used to investigate tumor vessel permeability. In this prospective study on DCE-MRI pharmacokinetic studies, we enrolled patients with five common renal tumor subtypes: clear cell renal cell carcinoma (ccRCC; n?=?65), papillary renal cell carcinoma (pRCC; n?=?12), chromophobic renal cell carcinoma (cRCC; n?=?9), uroepithelial carcinoma (UEC; n?=?14), and fat-poor angiomyolipoma (fpAML; n?=?10). The results show that K (trans) of ccRCC, pRCC, cRCC, UEC and fpAML (0.459?±?0.190?min(-1), 0.206?±?0.127?min(-1), 0.311?±?0.111?min(-1), 0.235?±?0.116?min(-1), 0.511?±?0.159?min(-1), respectively) were different, but V (e) was not. K (trans) could distinguish ccRCC from non-ccRCC (pRCC & cRCC) with a sensitivity of 76.9% and a specificity of 71.4%, respectively, as well as to differentiate fpAML from non-ccRCC with a sensitivity of 100% and a specificity of 76.2%, respectively. Our findings suggest that DCE-MRI pharmacokinetics are promising for differential diagnosis of renal tumors, especially for RCC subtype characterization and differentiation between fpAML and non-ccRCC, which may facilitate the treatment of renal tumors.
  • |*Image Enhancement [MESH]
  • |*Magnetic Resonance Imaging/methods [MESH]
  • |Adult [MESH]
  • |Antineoplastic Agents/pharmacokinetics/therapeutic use [MESH]
  • |Cell Differentiation/drug effects [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Kidney Neoplasms/*diagnostic imaging/drug therapy/metabolism/*pathology [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |ROC Curve [MESH]


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