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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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Detalles Bibliográficos
Autores principales: Wadle, Jula (Autor) , Hetjens, Svetlana (Autor) , Winter, Judith (Autor) , Mühlbauer, Julia (Autor) , Neuberger, Manuel (Autor) , Waldbillig, Frank (Autor) , Wessels, Frederik (Autor) , Westhoff, Niklas Christian (Autor) , Riffel, Philipp (Autor) , Wagener, Nina (Autor) , Honeck, Patrick (Autor) , Kriegmair, Maximilian (Autor)
Formato: Article (Journal)
Lenguaje:inglés
Publicado: 2018
In: Anticancer research
Year: 2018, Volumen: 38, Número: 5, Pages: 3037-3041
ISSN:1791-7530
DOI:10.21873/anticanres.12559
Acceso en línea:Verlag, Volltext: http://dx.doi.org/10.21873/anticanres.12559
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Notas de Autor: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
Descripción
Sumario: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.
Notas:Gesehen am 11.04.2019
Descripción Física:Online Resource
ISSN:1791-7530
DOI:10.21873/anticanres.12559

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