Computed Tomography and Magnetic Resonance Imaging Appearance of Renal Neoplasms After Radiofrequency Ablation and Cryoablation Journal Article


Authors: Kawamoto, S.; Solomon, S. B.; Bluemke, D. A.; Fishman, E. K.
Article Title: Computed Tomography and Magnetic Resonance Imaging Appearance of Renal Neoplasms After Radiofrequency Ablation and Cryoablation
Abstract: Thermal ablation procedures including radiofrequency ablation and cryoablation have been increasingly used for treatment for small renal cell carcinoma. Currently, computed tomography and magnetic resonance imaging are usually used to assess residual or recurrent disease after thermal ablation of renal tumor. After thermal ablation, the zone of ablation is usually seen as an area of hypoattenuation on computed tomography and is generally hypointense at T2-weighted magnetic resonance imaging and iso- to hyperintense at T1-weighted imaging relative to renal parenchyma. The ablation zone frequently involutes over time. Residual tumor after thermal ablation is most common at the margin of the ablation zone and often seen as nodular or crescent-shaped areas of contrast enhancement. Accurate assessment of ablated tumors at postprocedural imaging is essential for evaluating the adequacy of treatment and guiding further management. Complications are uncommon and usually minor but should be detected on postprocedural imaging studies. © 2009 Elsevier Inc. All rights reserved.
Keywords: patient selection; nuclear magnetic resonance imaging; follow up; magnetic resonance imaging; laparoscopic surgery; tumor localization; computer assisted tomography; neoplasm recurrence, local; clinical assessment; tomography, x-ray computed; kidney neoplasms; postoperative complications; carcinoma, renal cell; disease progression; imaging, three-dimensional; contrast media; tumor growth; kidney cancer; cryoablation; radiofrequency ablation; kidney parenchyma; catheter ablation; cryosurgery
Journal Title: Seminars in Ultrasound, CT and MRI
Volume: 30
Issue: 2
ISSN: 0887-2171
Publisher: W.B. Saunders Co-Elsevier Inc.  
Date Published: 2009-04-01
Start Page: 67
End Page: 77
Language: English
DOI: 10.1053/j.sult.2008.12.005
PUBMED: 19358438
PROVIDER: scopus
PMCID: PMC3047393
DOI/URL:
Notes: --- - "Cited By (since 1996): 2" - "Export Date: 30 November 2010" - "CODEN: SUCME" - "Source: Scopus"
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  1. Stephen Solomon
    422 Solomon