Multi-parametric renal MRI in investigating renal masses

Due to the increased widespread use of cross-sectional imaging, there has been a surge in the discovery of incidental renal masses. Some of these lesions can be difficult to characterise and up to 20% of small (<4cm) renal masses turn out to be benign after resection. Hence differentiation of benign from malignant lesions is crucial in deciding on a therapeutic approach.Ultrasound is usually sufficient to diagnose simple or minimally complex cysts. However solid or more complex cystic lesions require computed tomography (CT) or magnetic resonance imaging (MRI).

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