CT and MR imaging for evaluation of cystic renal lesions and diseases

    Publication Date
    Source Authors
    Source Title
    Source Issue
    Publication Date

    2015

    Source Authors

    Wood C, Stromberg L, Harmath C, Horowitz J, Feng C, Hammond N, Casalino D, Goodhartz L, Miller F, Nikolaidis P

     

    Source Title

    CT and MR imaging for evaluation of cystic renal lesions and diseases

    Source Issue

    Radiographics

    35(1)

    Page Range: 125-141

    L’articolo afferisce alla branca della diagnostica per immagini, tale metodica permette di conoscere, attraverso la formazione di immagini radiologiche, la presenza di uno stato patologico. Questo elaborato ci consente di avere una visione conoscitiva, trattando un argomento di gran rilievo come le lesioni renali cistiche si riscontrano comunemente nell’imaging addominale con le tecniche di TC e RM.
    Come anzi detto quest’articolo ci offre una visione panoramica/conoscitiva della malattia renale cistica, che si diversifica in infettiva e multifocale che sono i due fenomeni comuni. Le malattie renali cistiche possono essere classificate come lesioni focali, multifocali o infettive. Le malattie che si manifestano con lesioni focali, come carcinoma a cellule renali cistiche, tumore misto epiteliale e stromale e nefroma cistico, sono spesso difficili da differenziare ma hanno implicazioni diverse per il follow-up dopo la resezione. Le lesioni renali cistiche multifocali possono essere classificate come acquisite o ereditabili. Entità acquisite, come la malattia renale glomerulocistica, la nefrotossicità indotta dal litio, la malattia renale cistica acquisita, il rene displastico multicentrico e la malattia renale cistica localizzata, spesso presentano immagini e caratteristiche cliniche distinte che consentono una diagnosi definitiva. Le malattie ereditarie, come la malattia renale policistica autosomica dominante, la malattia di von Hippel-Lindau e la sclerosi tuberosa, sono di solito facilmente identificabili e hanno varie implicazioni per la gestione del paziente.
    L’obiettivo che si prefigge il seguente lavoro, consiste in un ampliamento delle conoscenze riguardanti la metodica adoperata e ad una conoscenza approfondita dello spettro della malattia renale cistica consentirà al radiologo di effettuare una diagnosi più specifica e di fornire al medico raccomandazioni ottimali per ulteriori test diagnostici e imaging di follow-up. e la sclerosi tuberosa, di solito sono facilmente identificabili e hanno varie implicazioni per la gestione del paziente.
    L’elaborato è articolato in più fasi, in primis avviene la presentazione dell’argomento, al fine di ampliare le conoscenze, in secondo momento si ha una piccola illustrazione sulla patologia vera e propria, ed in fine l’importanza che ha una corretta indagine diagnostica.

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