Open AccessCombining contrast-enhanced ultrasound, CT perfusion and 99mTc-Sestamibi SPECT/CT to guide diagnosis in a case of solid renal tumour
Author(s) -
Georgios Kalarakis,
Katharina Brehmer,
Anders Svensson,
Rimma Axelsson,
Torkel B. Brismar,
Antonios Tzortzakakis
Publication year - 2021
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20200115
Subject(s) - medicine , ultrasound , perfusion , radiology , contrast enhanced ultrasound , chromophobe cell , nuclear medicine , contrast (vision) , pathology , renal cell carcinoma , clear cell , artificial intelligence , computer science
Definitive, pre-operative differentiation of solid renal lesions by ultrasound, contrast-enhanced multiphasic CT or MRI examinations is often not possible. An increasing amount of literature indicates the added value of 99m Tc-Sestamibi SPECT/CT, CT perfusion and contrast-enhanced ultrasound in the pre-operative characterisation of solid renal tumours. This case report presents the diagnostic approach of a solid renal tumour that turned out to be a hybrid oncocytic chromophobe tumour in a patient with Stage 3 renal failure by combining the three aforementioned modern examination techniques.