Detection of Renal Malignancy of Complicated Renal Cysts
Does Hounsfield Unit (HU) Predict the Detection of Cystic Renal Malignancy of Complicated Renal Cysts?
1 other identifier
observational
269
1 country
1
Brief Summary
The aim of this study was to show additional diagnostic criteria of computed tomography (CT) scan to diagnose and predict the detection and recurrence of cystic renal cell carcinoma in the patients with complicated renal cysts. Furthermore, we would demonstrate the relationship between complicated renal cysts diagnosed by Bosniak system and some parameters of pathological results. The analysis about detection time of renal malignancy would help determine the practical guidelines of follow-up plan for complicated renal cysts.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 1997
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 1997
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2009
CompletedFirst Submitted
Initial submission to the registry
March 10, 2010
CompletedFirst Posted
Study publicly available on registry
March 15, 2010
CompletedMarch 15, 2010
March 1, 2010
11.2 years
March 10, 2010
March 12, 2010
Conditions
Outcome Measures
Primary Outcomes (1)
additional diagnostic criteria of CT to diagnose and predict the detection and recurrence of cystic RCC in the patients with complicated renal cysts
First, the primary outcomes is to determine cut-off values of maximal HU and the maximal gap of HU (HU of early excretory phase minus that of non-enhanced phase in CT scan)to predict the detection of renal malignancy. Some clinical factors (age, height, body weight, etc) were also included in the analysis. Second, the above-mentioned factors were included in the analysis of risk factors for recurrence of complicated renal cysts to determine the cut-off values.
Secondary Outcomes (1)
informative to determine the time of operation and which is better for a patient with a complicated cyst between partial or radical nephrectomy
Study Arms (2)
cysts surgically removed
cysts under surveillance
Interventions
Eligibility Criteria
All 2,992 patients who were diagnosed as renal cysts in this institute
You may qualify if:
- All patients who were diagnosed as renal cysts
- available serial follow-up data of CT scan
- all CT imaging included non-enhanced (NEP), corticomedullary (CMP), and early excretory phase (EEP) scans. The scan delay times should range from 30 to 40 seconds for CMP scans and from 120 to 180 seconds for EEP scans.
You may not qualify if:
- cases diagnosed by only US/MR
- no serial CT images
- cysts of autosomal dominant adult polycystic kidney disease
- cysts less than 1cm in diameter (difficult to evaluate accurately)
- follow-up period less than 1 yr in the patients who had no surgery
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Seoul National University Hospital
Seoul, 110-744, South Korea
Related Publications (1)
Song C, Min GE, Song K, Kim JK, Hong B, Kim CS, Ahn H. Differential diagnosis of complex cystic renal mass using multiphase computerized tomography. J Urol. 2009 Jun;181(6):2446-50. doi: 10.1016/j.juro.2009.01.111. Epub 2009 Apr 17.
PMID: 19375094RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Cheol Kwak, M.D.,Ph.D.
Seoul National University Hospital
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- RETROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
March 10, 2010
First Posted
March 15, 2010
Study Start
January 1, 1997
Primary Completion
March 1, 2008
Study Completion
May 1, 2009
Last Updated
March 15, 2010
Record last verified: 2010-03