Abstract
Background
Detection and characterization of renal lesions are common in daily clinical practice.
Purpose
To investigate the effectiveness of shear wave elastography (SWE), a novel radiological examination technique, in the characterization of renal masses.
Material and Methods
The study included a total of 68 patients (33 men, 35 women; mean age = 57.71 ± 12.08 years; age range = 19–83 years) who underwent SWE. SWE measurements were obtained at depths of 2–8 cm from the probe surface in two different positions from an analysis window of approximately 0.5 × 1.0 cm on ultrasound. The cutoff SWE was calculated for the differentiation of renal cell carcinoma (RCC) and angiomyolipoma (AML) by receiver operating characteristic (ROC) analysis. When the result was statistically significant, the sensitivity, specificity, accuracy, and positive and negative predictive values of the test were calculated.
Results
Mass-to-parenchyma SWE ratios of RCCs were significantly higher than those of AMLs (P = 0.003). In ROC curve analysis, the SWE cutoff was 1.215 m/s to differentiate RCCs from AMLs. The area under the ROC curve was calculated as 0.74 (95% CI = 0.610–0.871, sensitivity = 70.7%, specificity = 70.6%, positive predictive value = 87.8%, negative predictive value = 44.4%).
Conclusion
The SWE technique is increasingly used and may be useful in distinguishing RCC and AML lesions, and especially clear cell and non-clear cell RCCs.
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