Ultrasound, CT, and MR Imaging for Evaluation of Cystic Renal Masses

J Ultrasound Med. 2022 Apr;41(4):807-819. doi: 10.1002/jum.15762. Epub 2021 Jun 8.

Abstract

Cystic renal masses are often encountered during abdominal imaging. Although most of them are benign simple cysts, some cystic masses have malignant characteristics. The Bosniak classification system provides a useful way to classify cystic masses. The Bosniak classification is based on the results of a well-established computed tomography protocol. Over the past 30 years, the classification system has been refined and improved. This paper reviews the literature on this topic and compares the advantages and disadvantages of different screening and classification methods. Patients will benefit from multimodal diagnosis for lesions that are difficult to classify after a single examination.

Keywords: Bosniak classification; computed tomography; cystic renal masses; magnetic resonance imaging; ultrasound.

Publication types

  • Review

MeSH terms

  • Humans
  • Kidney / diagnostic imaging
  • Kidney Diseases, Cystic* / diagnostic imaging
  • Kidney Neoplasms* / diagnostic imaging
  • Magnetic Resonance Imaging / methods
  • Tomography, X-Ray Computed / methods
  • Ultrasonography / methods