Nephrometry scores: the effect of imaging on routine read-out and prediction of outcome of nephron-sparing surgery
BACKGROUND/AIM: This study investigated the impact of available preoperative imaging on the reliability and predictive accuracy of RENAL and PADUA nephrometry-scoring systems for renal tumors. - PATIENTS AND METHODS: Five urologists determined RENAL and PADUA scores using preoperative imaging data (...
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| Main Authors: | , , , , , , , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2018
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| In: |
Anticancer research
Year: 2018, Volume: 38, Issue: 5, Pages: 3037-3041 |
| ISSN: | 1791-7530 |
| DOI: | 10.21873/anticanres.12559 |
| Online Access: | Verlag, Volltext: http://dx.doi.org/10.21873/anticanres.12559
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| Author Notes: | Jula Wadle, Svetlana Hetjens, Judith Winter, Julia Mühlbauer, Manuel Neuberger, Frank Waldbillig, Frederik Wessels, Niklas Westhoff, Philipp Riffel, Nina Wagener, Patrick Honeck, Maximilian Christian Kriegmair |
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| 245 | 1 | 0 | |a Nephrometry scores |b the effect of imaging on routine read-out and prediction of outcome of nephron-sparing surgery |c Jula Wadle, Svetlana Hetjens, Judith Winter, Julia Mühlbauer, Manuel Neuberger, Frank Waldbillig, Frederik Wessels, Niklas Westhoff, Philipp Riffel, Nina Wagener, Patrick Honeck, Maximilian Christian Kriegmair |
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| 520 | |a BACKGROUND/AIM: This study investigated the impact of available preoperative imaging on the reliability and predictive accuracy of RENAL and PADUA nephrometry-scoring systems for renal tumors. - PATIENTS AND METHODS: Five urologists determined RENAL and PADUA scores using preoperative imaging data (computed tomography and magnetic resonance imaging) of 100 patients admitted for partial nephrectomy with the following combinations: T0: transverse planes without excretory phase (EP), TC0: transverse and coronal planes without EP, TC1: transverse and coronal planes with EP. Reference standard was obtained by a uro-radiologist. Ischemia time was used as surrogate for surgical complexity. - RESULTS: Assignment of EP significantly reduced interobserver-variability among urologists (p<0.0001). Predictive accuracy for surgical complexity or correct assignment to nephrometry risk groups did not depend on image planes or EP. - CONCLUSION: Interobserver variability, but not predictive accuracy of nephrometric systems, is affected by additional usage of EP. | ||
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| 650 | 4 | |a Humans | |
| 650 | 4 | |a Kidney Neoplasms | |
| 650 | 4 | |a Magnetic Resonance Imaging | |
| 650 | 4 | |a Nephrectomy | |
| 650 | 4 | |a nephrometry scores | |
| 650 | 4 | |a PADUA | |
| 650 | 4 | |a partial nephrectomy | |
| 650 | 4 | |a RENAL | |
| 650 | 4 | |a Tomography, X-Ray Computed | |
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