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
Vito Cantisani
1   Department of Radiology, “Sapienza” University of Rome, Rome, Italy
,
Michele Bertolotto 
2   Department of Radiology, University of Trieste, Ospedale di Cattinara, Trieste, IT
,
Dirk-André Clevert
3   Department of Clinical Radiology, University of Munich-Großhadern Campus, Munich, Germany
,
Jean-Michel Correas
4   Service de Radiologie adultes, Hôpital Necker, Université Paris Descartes, Paris, France
,
Francesco Maria Drudi
5   Department of Radiology, University La Sapienza, Italy
,
Thomas Fischer
6   Department of Radiology, University Berlin, Charité, Berlin, Germany
,
Odd Helge Gilja
7   Haukeland University Hospital, National Centre for Ultrasound in Gastroenterology, Bergen, Norway
,
Antonio Granata
8   Nephrology and Dialysis Unit, Emergency Hospital “Cannizzaro”, Catania – Italy
,
Ole Graumann 
9   Research and Innovation Unit of Radiology, University of Southern Denmark, Odense C, Denmark
,
Christopher J. Harvey
10   Department of Imaging, Imperial College NHS Healthcare Trust, London, United Kingdom of Great Britain and Northern Ireland
,
Andre Ignee
11   Innere Medizin 2, Caritas-Krankenhaus, Bad Mergentheim, Germany
,
Christian Jenssen
12   Klinik für Innere Medizin, Krankenhaus Märkisch Oderland Strausberg/Wriezen, Germany
,
Markus Herbert Lerchbaumer
13   Department of Radiology, Charité Centrum 6 – Diagnostische und interventionelle Radiologie und Nuklearmedizin, Berlin, Germany
,
Matthew Ragel
14   Radiology Department, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland
,
Adrian Saftoiu 
15   Research Center in Gastroenterology and Hepatology, University of Medicine and Pharmacy Craiova, Romania
,
Andreas L. Serra
16   Department of Internal Medicine and Nephrology, Klinik Hirslanden, Zürich, Switzerland
,
Konrad Friedrich Stock
17   Abteilung für Nephrologie, Klinikum rechts der Isar der TU München, München, Germany
,
Jolanta Webb
18   Radiology Department, Aintree University Hospitals NHS Foundation Trust, Liverpool, United Kingdom of Great Britain and Northern Ireland
,
Paul S. Sidhu 
19   Department of Radiology, King’s College Hospital London, United Kingdom of Great Britain and Northern Ireland
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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


Publication History

Received: 24 April 2020

Accepted: 20 October 2020

Article published online:
11 December 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

Letter to this article:

Proposal for a Contrast-Enhanced Ultrasound-Adapted Bosniak Cyst Categorization – Position StatementUltraschall Med 2022; 43(04): 406-406
DOI: 10.1055/a-1503-4869

 

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