EFSUMB 2020 Proposal for a Contrast-Enhanced Ultrasound-Adapted Bosniak Cyst Categorization – Position Statement

Vito Cantisani; Michele Bertolotto; Dirk-André Clevert; Jean-Michel Correas; Francesco Maria Drudi; Thomas Fischer; Odd Helge Gilja; Antonio Granata; Ole Graumann; Christopher J. Harvey; Andre Ignee; Christian Jenssen; Markus Herbert Lerchbaumer; Matthew Ragel; Adrian Saftoiu; Andreas L. Serra; Konrad Friedrich Stock; Jolanta Webb; Paul S. Sidhu

doi:10.1055/a-1300-1727

Ultraschall in der Medizin - European Journal of Ultrasound, Table of Contents

Ultraschall Med 2021; 42(02): 154-166
DOI: 10.1055/a-1300-1727

Guidelines & Recommendations

EFSUMB 2020 Proposal for a Contrast-Enhanced Ultrasound-Adapted Bosniak Cyst Categorization – Position Statement

EFSUMB 2020 – Vorschlag für eine an den kontrastverstärkten Ultraschall adaptierte Bosniak-Klassifikation von Zysten – Eine Stellungnahme

Authors

Vito Cantisani

¹Department of Radiology, “Sapienza” University of Rome, Rome, Italy
Michele Bertolotto

²Department of Radiology, University of Trieste, Ospedale di Cattinara, Trieste, IT
Dirk-André Clevert

³Department of Clinical Radiology, University of Munich-Großhadern Campus, Munich, Germany
Jean-Michel Correas

⁴Service de Radiologie adultes, Hôpital Necker, Université Paris Descartes, Paris, France
Francesco Maria Drudi

⁵Department of Radiology, University La Sapienza, Italy
Thomas Fischer

⁶Department of Radiology, University Berlin, Charité, Berlin, Germany
Odd Helge Gilja

⁷Haukeland University Hospital, National Centre for Ultrasound in Gastroenterology, Bergen, Norway
Antonio Granata

⁸Nephrology and Dialysis Unit, Emergency Hospital “Cannizzaro”, Catania – Italy
Ole Graumann

⁹Research and Innovation Unit of Radiology, University of Southern Denmark, Odense C, Denmark
Christopher J. Harvey

¹⁰Department of Imaging, Imperial College NHS Healthcare Trust, London, United Kingdom of Great Britain and Northern Ireland
Andre Ignee

¹¹Innere Medizin 2, Caritas-Krankenhaus, Bad Mergentheim, Germany
Christian Jenssen

¹²Klinik für Innere Medizin, Krankenhaus Märkisch Oderland Strausberg/Wriezen, Germany
Markus Herbert Lerchbaumer

¹³Department of Radiology, Charité Centrum 6 – Diagnostische und interventionelle Radiologie und Nuklearmedizin, Berlin, Germany
Matthew Ragel

¹⁴Radiology Department, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland
Adrian Saftoiu

¹⁵Research Center in Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania
Andreas L. Serra

¹⁶Department of Internal Medicine and Nephrology, Klinik Hirslanden, Zürich, Switzerland
Konrad Friedrich Stock

¹⁷Abteilung für Nephrologie, Klinikum rechts der Isar der TU München, München, Germany
Jolanta Webb

¹⁸Radiology Department, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland
Paul S. Sidhu

¹⁹Department of Radiology, King’s College Hospital London, United Kingdom of Great Britain and Northern Ireland

Abstract

The well-established Bosniak renal cyst classification is based on contrast-enhanced computed tomography determining the malignant potential of cystic renal lesions. Ultrasound has not been incorporated into this pathway. However, the development of ultrasound contrast agents coupled with the superior resolution of ultrasound makes it possible to redefine the imaging of cystic renal lesions. In this position statement, an EFSUMB Expert Task Force reviews, analyzes, and describes the accumulated knowledge and limitations and presents the current position on the use of ultrasound contrast agents in the evaluation of cystic renal lesions.

Zusammenfassung

Die gut etablierte Bosniak-Klassifikation von Nierenzysten basiert auf der kontrastverstärkten Computertomografie, die das maligne Potenzial zystischer Nierenläsionen bestimmt. Die Sonografie wurde bei diesem Verfahren nicht berücksichtigt. Die Entwicklung von Ultraschallkontrastmitteln in Verbindung mit der überlegenen Auflösung im Ultraschall ermöglicht es jedoch, die Bildgebung zystischer Nierenläsionen neu zu definieren. In dieser Stellungnahme überprüft, analysiert und beschreibt eine Expertengruppe der EFSUMB das gesammelte Wissen und die Grenzen und präsentiert die aktuelle Position bezüglich des Einsatzes von Ultraschallkontrastmitteln bei der Bewertung zystischer Nierenläsionen.

Key words

urinary tract - renal cyst - Bosniak classification - CEUS - cystic renal lesions

Full Text

References

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