Abstract:
PURPOSE OF REVIEW:The majority of enhancing renal masses cannot be characterized through imaging as malignant or benign; however, such characterization could save patients from unnecessary surgery and/or biopsy and associated morbidity. Herein, we review the recent literature on the emerging use of 99mTc-MIBI SPECT/CT in preoperative differentiation of enhancing renal masses. RECENT FINDINGS:Recent reports have shown that 99mTc-MIBI SPECT/CT imaging can differentiate mitochondrial-rich, benign, or indolent renal masses from renal cell carcinoma. These studies demonstrate good correlation between a positive 99mTc-MIBI SPECT/CT scan and a pathologically proven diagnosis of renal oncocytoma and hybrid oncocytic/chromophobe tumor. In addition, there is excellent correlation between a negative scan and a diagnosis of clear cell subtype of renal cell carcinoma. Preoperative 99mTc-MIBI SPECT/CT offers a non-invasive method for differentiating renal lesions with low aggressiveness from other RCCs, in particular, clear cell renal cell carcinoma.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Reynolds AM,Porter KKdoi
10.1007/s11934-017-0737-0subject
Has Abstractpub_date
2017-09-12 00:00:00pages
86issue
11eissn
1527-2737issn
1534-6285pii
10.1007/s11934-017-0737-0journal_volume
18pub_type
杂志文章,评审abstract::The most important change in urology during the past decade was the development of minimally invasive surgery, particularly laparoscopy. However, the main drawback of laparoscopy is a steep learning curve, which results from the significant changes in the surgical environment. Although laparoscopy can provide importan...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-003-0040-0
更新日期:2003-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Laparoscopic kidney surgery is commonly used for living donor, partial, and total tumor nephrectomy. The successful emergence of laparoscopic technique was justified by the many benefits offered such as reduced blood loss, tissue trauma, pain, and hospital stay. However, this comes at the expense of p...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0757-4
更新日期:2018-01-18 00:00:00
abstract::Surgical techniques to repair hypospadias have undergone remarkable advances in recent years with the development and widespread use of dorsal urethral plate incision to facilitate urethroplasty. Clinical studies of the technique have shown excellent cosmesis and low complication rates for dorsal plate incision (DPI) ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-001-0008-x
更新日期:2001-04-01 00:00:00
abstract::Bladder outlet obstruction (BOO) in women can be either anatomic or functional. Anatomic causes for BOO are often readily apparent by history and physical exam. On the other hand, causes for functional obstruction, including dysfunctional voiding, primary bladder neck obstruction, and detrusor-external sphincter dyssy...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-012-0267-8
更新日期:2012-10-01 00:00:00
abstract::Benign prostatic hyperplasia (BPH) is one of the most common causes of lower urinary tract symptoms (LUTS) in aging men. Over the age of 60, more than a half of men have BPH and/or bothersome LUTS. Contemporary guidelines advocate surgery as the standard of care for symptomatic BPH after failure of medical therapy, wh...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0601-7
更新日期:2016-06-01 00:00:00
abstract:PURPOSE OF REVIEW:Bladder cancer care is costly due to long surveillance periods for non-muscle-invasive bladder cancer (NMIBC) and comorbidities associated with the surgical treatment of muscle-invasive bladder cancer (MIBC). We reviewed current evidence-based practices and propose quality metrics for NMIBC and MIBC. ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0856-2
更新日期:2018-10-24 00:00:00
abstract::Non-muscle-invasive bladder cancer is characterized by frequent recurrences requiring repeated transurethral resections and carries a risk of progression to muscle-invasive disease. The routinely used, passive diffusion irrigation of the bladder with mitomycin C has achieved limited success in avoiding these events. W...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-012-0302-9
更新日期:2013-04-01 00:00:00
abstract::Numerous surgeries have been proposed for the treatment of genuine stress incontinence, with the goals to improve functional outcome and decrease complications and their associated morbidity. Two new, minimally invasive procedures, transvaginal retropubic urethropexy and transvaginal Cooper's ligament sling, are revie...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-996-0018-9
更新日期:2001-10-01 00:00:00
abstract::Focal therapy for prostate cancer has emerged an interesting concept as a less morbid option for the treatment of localized low-risk disease. Despite the growing interest in focal therapy, this approach has not yet gained sufficient popularity nor provided enough data to be discussed outside the experimental applicati...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-010-0100-1
更新日期:2010-05-01 00:00:00
abstract::Overactive bladder (OAB) affects millions of people in the United States, and as the population ages, the prevalence of OAB will invariably increase. Conventional therapy for OAB includes behavioral modification and anticholinergic medication. OAB treatment comes with significant economic impact. With anticholinergic ...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-009-0054-3
更新日期:2009-09-01 00:00:00
abstract:PURPOSE OF REVIEW:This article explores the anatomy, management options, and outcomes of pelvic organ prolapse with a female cystectomy patient. RECENT FINDINGS:There is a lack of data on surgical management outcomes for prolapse following radical cystectomy. However, most case series from tertiary referral centers sh...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0941-1
更新日期:2019-10-15 00:00:00
abstract::Functional magnetic resonance imaging (fMRI) techniques enable noninvasive assessment of renal function. Diffusion-weighted imaging, diffusion tensor imaging, blood oxygen level-dependent MRI, magnetic resonance elastography, and arterial spin labeling are some of the emerging techniques that have potential to investi...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0229-6
更新日期:2012-02-01 00:00:00
abstract::Several minimally invasive approaches to treatment of ureteropelvic junction obstruction are now in the urologist's armamentarium. This review provides in-depth analysis of endopyelotomy, endopyeloplasty, and laparoscopic pyeloplasty and suggests a treatment algorithm for proper patient selection to improve efficacy a...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-007-0064-y
更新日期:2007-03-01 00:00:00
abstract::Patients with one or more low-grade bladder tumors of the urinary bladder will often develop a subsequent tumor but these so called "recurrences" are almost always of similar grade and rarely invade beyond the basement membrane. Therefore, the clinician should try to minimize the morbidity associated with treating the...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0555-1
更新日期:2015-12-01 00:00:00
abstract::Health information technology (HIT) is expected to transform the delivery of health care in the United States, but implementation and adoption vary widely across settings, specialties, and geographies. Significant barriers to high-level adoption persist despite federal incentives to hospitals and health-care providers...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-013-0356-3
更新日期:2013-12-01 00:00:00
abstract::Global improvements in water quality, management of infectious diseases, and other medical therapeutics have resulted in a growing population of healthy aging men. One obligate anatomic consequence of aging for these men is the development of benign prostatic hyperplasia (BPH) with secondary bladder outlet obstruction...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0403-8
更新日期:2014-05-01 00:00:00
abstract:PURPOSE OF REVIEW:Patient-reported outcome measures (PROMs) are tools that are widely used by clinicians and researchers across different medical specialties. In this review, we examine the use of PROMs in the evaluation of female pelvic floor disorders (PFD). RECENT FINDINGS:PROM development in the assessment of urin...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0888-2
更新日期:2019-03-27 00:00:00
abstract::There is substantial variability in the extent of the node dissection performed during radical cystectomy for bladder cancer. Here, we review the diagnostic assessment of lymph node metastasis and the prognostic and therapeutic benefit for pelvic node dissection for bladder cancer. A review of the applicable urologic ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-012-0235-3
更新日期:2012-04-01 00:00:00
abstract::Laparoscopic adrenalectomy is considered to be the standard of care for the surgical excision of the adrenal gland. Since the initial report of laparoscopic adrenalectomy in 1992, it has evolved into a feasible and reproducible minimally invasive procedure for benign adrenal tumors. Transperitoneal and retroperitoneal...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-005-0070-x
更新日期:2005-02-01 00:00:00
abstract:PURPOSE OF THE REVIEW:This review targets the latest literature on bladder preservation therapy with emphasis on trimodal therapy (TMT), highlighting its role in the management of muscle invasive bladder cancer (MIBC) and outlining future directions in bladder preservation research. RECENT FINDINGS:TMT is the most pro...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0859-z
更新日期:2018-11-03 00:00:00
abstract::At present, it is reasonable to counsel all patients, as well as family members of patients, who have a palpable varicocele about the long-term risks for impaired fertility. Currently, no one can predict with absolute certainty if any adolescent with a varicocele will be at risk for future infertility. Based on existi...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-002-0019-2
更新日期:2002-04-01 00:00:00
abstract::Correct staging of prostate cancer at initial diagnosis, as well as accurate staging and tumor localization with biochemical recurrence, remains generally inaccurate with current imaging techniques. Newer modalities are being investigated to accurately identify patients with prostate cancer at different stages of dise...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-006-0018-9
更新日期:2006-05-01 00:00:00
abstract::Lipoxygenases oxidatively metabolize polyunsaturated fatty acids to a rich spectrum of biologically active products. One enzyme of the lipoxygenase family, Arachidonate 15-lipoxygenase-1 (arachidonate:oxygen 15-oxidoreductase, EC 1.13.11.33), is implicated in several forms of epithelial cell cancers, and provides a ra...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-002-0066-8
更新日期:2002-06-01 00:00:00
abstract::This article reviews the mechanisms by which vaginal surgery affects female sexual function and related pathophysiology to potential causes. The anatomy, neurovascular supply of the clitoris and introitus, and intrapelvic nerve supply are discussed as they apply to vaginal surgery. Methods to avoid neurovascular damag...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-004-0091-x
更新日期:2004-10-01 00:00:00
abstract::Symptoms such as overactive bladder represent disorders of bladder control. Functional brain scanning by positron emission tomography and functional magnetic resonance imaging suggest that normal control is exerted by a network of regions in the emotional nervous system, including periaqueductal gray, thalamus, insula...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-004-0081-z
更新日期:2004-10-01 00:00:00
abstract::The lack of reliable imaging tools in detecting prostate cancer makes a random biopsy still the standard of care to detect prostate cancer. To reduce the number of cores during a biopsy and therefore the risk of biopsy-related complications, an imaging tool which provides reliable guided biopsies is required. Transrec...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-013-0392-z
更新日期:2014-03-01 00:00:00
abstract:PURPOSE OF THE REVIEW:To update the most relevant literature regarding complex vascular cases in kidney transplant setting involving the graft, especially during the harvesting procedure and back-table preparation from the subsequent implant. RECENT FINDINGS:Challenging situations affecting the kidney graft such as mu...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-0955-8
更新日期:2020-01-31 00:00:00
abstract::Adrenal hemorrhage is a rare yet potentially life-threatening event that occurs both in traumatic conditions and in a variety of nontraumatic conditions. Clinical manifestations of adrenal hemorrhage can vary widely depending on the degree and rate of hemorrhage, as well as the amount of adrenal cortex compromised by ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-009-0014-y
更新日期:2009-01-01 00:00:00
abstract::Nodal staging in prostate cancer is suboptimal both with respect to current imaging modalities and pelvic lymph node dissection, and thus other techniques are being explored. Lymphotropic nanoparticle-enhanced MRI, also called magnetic resonance lymphography (MRL), is a technique that has shown high sensitivity (65-92...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-013-0389-7
更新日期:2014-03-01 00:00:00
abstract::Erectile dysfunction (ED) often is caused by endothelial dysfunction and may be a sign that a patient has vascular disease elsewhere in the body. Risk factors for coronary artery disease such as lipid abnormalities, smoking, diabetes, and hypertension also are risk factors for ED. Oral therapy for ED, such as sildenaf...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-003-0028-9
更新日期:2003-12-01 00:00:00