肾囊性肿物的Bosniak分级及相关影像诊断

JournalofChineseOncology,2011,Vol.17,No.42011174BosniakTheBosniakClassificationSystemofCysticRenalMassandtheRelatedImagingDiagnosis//CHENYu,WUNing，（，100021）：，6%，。Bosniak。Bosniak。：；Bosniak；：R730.4：A：1671-170X（2011）04-0298-03：2011-01-17；：2011-03-09，、CTMR，，6％［1］，，［2］。1Bosniak，5050%［3］。，，，。，，，，，。，，，，，［4］：①；②/；③。1986，BosniakCT［5］（1）：，，；，，；。1997Bosniak［6］，，，，F。Bosniak，，，，，；61，，。Bosniak，。［3，7~13］。2/、、；：，、、，CT、。：，；3cm、、、。F：，；，，；3cm、、，。：，。：。1Bosniak29820111742011174/。2.1CTBenjaminov［14］CT，2111。，83%82%；67%96%；100%86%。。2.2MRBalci［15］MR，55，16，63%；14＞2mm，71%；4，75%；32，44%；4，50%；37，22%。、、、。，。Adey［16］21，3DMRI，95%。2.3，［17］，、。Rob-bin［18］2，/。3BosniakCT，，MR，［16，19~21］：MRCT，、/、///，Bosniak。，，，CT。Park［20］318（26%）CT，8，1，2，2F，3，。Clevert［19］19%（7/36）CT。Quaia［17］40、CT，3，、、CT40：1：30%、83%、75%；2：30%、83%、63%；3：30%、80%、70%。CT。Adey［16］，MRCTBosniak，MRCT。15CTMR，CT27%（4/15），MR73%（11/15），。4CT，，F/。Lang［12］F/CT：199，179，90%，2820。Harisinghani［10］28CT，17；111~2，。，，CT，，，CT，，，，，CT，，2299JournalofChineseOncology,2011,Vol.17,No.42011174PET，Gold-berg［22］PET，12Bosniak，11，1。5Bosniak；、MRCT，MRCT；PETF/，，。：[1]ParientyRA,PardelJ,ParientyI.Cysticrenalcancers:CTcharacteristics[J].Radiology,1985,157（3）:741-744.[2]PatelG,ChoudhryM,LakhooK.Thediagnosticdilemmaofamultilocularrenalcyst:acasereport[J].JMedCaseReports,2009,3:79.[3]SiegelCL,McFarlandEG,BrinkJA,etal.CTofcysticrenalmasses:analysisofdiagnosticperformanceandin-terobservervariation[J].AJRAmJRoentgenol,1997,169（3）:813-818.[4]WarrenKS,McfarlaneJ.TheBosniakclassifictaionofre-nalcysticmasses[J].BJUInt,2005,95（7）:939-942.[5]BosniakMA.Thecurrentradiologicalapproachtorenalcysts[J].Radiology,1986,158（1）:1-10.[6]BosniakMA.Diagnosisandmanagementofpatientswithcomplicatedcysticlesionsofthekidney[J].AJRAmJRoentgenol,1997,169（3）:819-821.[7]AronsonS,FrazierH,BaluchJD,etal.Cysticrenalmasses:usefulnessoftheBosniakclassification[J].UrolRadiol,1991,13（2）:83-90.[8]CloixP,MartinX,PangaudC,etal.Surgicalmanagementofcomplexrenalcysts:aseriesof32cases[J].JUrol,1996,156（1）:28-30.[9]CurryNS,CochranST,BissadaNK.Cysticrenalmasses:accurateBosniakclassificationrequiresadequaterenalCT[J].AJRAmJRoentgenol,2000,175（2）:339-342.[10]HarisinghaniMG,MaherMM,GervaisDA,etal.Inci-denceofmalignancyincomplexcysticrenalmasses(Bosniakcategory):shouldimaging-guidedbiopsypre-cedesurgery?[J].AJRAmJRoentgenol,2003,180（3）:755-758.[11]KogaS,NishikidoM,InuzukaS,etal.AnevaluationofBosniak’sradiologicalclassificationofcysticrenalmasses[J].BJUInt,2000,86（6）:607-609.[12]LangEK,MacchiaRJ，GayleB,etal.CT-guidedbiopsyofindeterminaterenalcysticmasses(Bosniak3and2F):accuracyandimpactonclinicalmanagement[J].EurRa-diol,2002,12（10）:2518-2524.[13]LimbJ,SantiagoL,KaswickJ,etal.Laparoscopicevalua-tionofindeterminaterenalcysts:longtermfollow-up[J].JEndourol,2002,16（2）:79-82.[14]BenjaminovO,AtriM,O’MalleyM,etal.EnhancingcomponentonCTtopredictmalignancyincysticrenalmassesandinterobserveragreementofdifferentCTfea-tures[J].AJRAmJRoentgenol,2006,186（3）:665-672.[15]BalciNC,SemelkaRC,PattRH,etal.Complexrenalcysts:findingsonMRimaging[J].AJRAmJRoentgenol,1999,172（6）:1495-1500.[16]AdeyGS,PedrosaI,RofskyNM,etal.Lowerlimitsofde-tectionusingmagneticresonanceimagingforsolidcompo-nentsincysticrenalneoplasms[J].Urology,2008,71（1）:47-51.[17]QuaiaE,BertolottoM,CioffiV,etal.Comparisonofcon-trast-enhancedsonographywithunenhancedsonographyandcontrast-enhancedCTinthediagnosisofmalignancyinthecomplexcysticrenalmasses[J].AJRAmJRoentgenol,2008,191（4）:1239-1249.[18]RobbinML.Ultrasoundcontrastagents:apromisingfuture[J].RadiolClinNorthAm，2001，39（9）:399-414.[19]ClevertDA,MinaifarN,WeckbachS,etal.Multislicecomputedtomographyversuscontrast-enhancedultrasoundinevaluationofcomplexcysticrenalmassesusingtheBosniakclassificationsystem[J].ClinHemorheolMicro-circ，2008,39（1-4）:171-178.[20]ParkBK,KimB,KimSH,etal.Assessmentofcysticre-nalmassesbasedonBosniakclassification:ComparisonofCTandcontrast-enhancedUS[J].EurJRadiol,2007,61（2）:310-314.[21]KangSK,KimD,ChandaranaH.Contemporaryimagingofrenalmass[J].CurrUrolRep,2011,12（1）:11-17.[22]GoldbergMA,Mayo-smithWW,PapanicolaouN,etal.FDGPETcharacterizationofrenalmasses:preliminaryex-periences[J].ClinRadiol,1997,52（7）:510-515.300