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The Value of “Liver Windows” Settings in the Detection of Small Renal Cell Carcinomas on Unenhanced Computed Tomography  Kamal Sahi, MD, Stuart Jackson,

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Presentation on theme: "The Value of “Liver Windows” Settings in the Detection of Small Renal Cell Carcinomas on Unenhanced Computed Tomography  Kamal Sahi, MD, Stuart Jackson,"— Presentation transcript:

1 The Value of “Liver Windows” Settings in the Detection of Small Renal Cell Carcinomas on Unenhanced Computed Tomography  Kamal Sahi, MD, Stuart Jackson, PhD, FCCPM, Edward Wiebe, MD, FRCPC, Gavin Armstrong, MB BCh, MRCP, FRCR, Sean Winters, MD, FRCPC, Ronald Moore, MD, PhD, FRCSC, FACS, Gavin Low, MBChB, MRCS, FRCR  Canadian Association of Radiologists Journal  Volume 65, Issue 1, Pages (February 2014) DOI: /j.carj Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

2 Figure 1 A graph that shows received receiver operating characteristic curves of soft tissue windows and liver windows for the detection of small renal tumours on unenhanced computed tomography. AUC = area under the curve. Canadian Association of Radiologists Journal  , 71-76DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

3 Figure 2 (A) An axial unenhanced computed tomography (CT) image acquired in conventional soft tissue windows (width, 400 Hounsfield units [HU]; level, 40 HU) of a 57-year-old woman with abdominal pain. The pathologically confirmed renal cell carcinoma (arrow) in the anterolateral aspect of the left kidney is poorly visualized on this image. (B) A corresponding axial unenhanced CT image of the same patient acquired in liver windows (width, 150 HU; level, 88 HU). The pathologically confirmed renal cell carcinoma (arrow) in the anterolateral aspect of the left kidney is better depicted as a focal area of decreased attenuation compared with the adjacent normal renal parenchyma. Canadian Association of Radiologists Journal  , 71-76DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions

4 Figure 3 (A) A coronal-unenhanced computed tomography (CT) image acquired in conventional soft tissue windows (width, 400 Hounsfield units [HU]; level, 40 HU) of a 49-year-old woman with right upper quadrant abdominal pain. The pathologically confirmed renal cell carcinoma (arrow) in the lateral aspect of the right kidney is poorly visualized on this image, albeit causing mild bulging of the renal contour. (B) A corresponding coronal unenhanced CT image of the same patient acquired in liver windows (width, 150 HU; level, 88 HU). The pathologically confirmed renal cell carcinoma (arrow) in the lateral aspect of the right kidney is better depicted as a focal area of decreased attenuation compared with the adjacent normal renal parenchyma. Canadian Association of Radiologists Journal  , 71-76DOI: ( /j.carj ) Copyright © 2014 Canadian Association of Radiologists Terms and Conditions


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