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Computed tomography and magnetic resonance imaging findings of hemangioma in renal
Received:September 30, 2021  Revised:February 07, 2022  Click here to download the full text
Citation of this paper:ZHONG Lian-ting,DING Yu-qin,WANG Rui-ting,TANG Qi-ying,WU Li-lan,JIANG Qiu-li,ZHOU Jian-jun.Computed tomography and magnetic resonance imaging findings of hemangioma in renal[J].Chinese Journal of Clinical Medicine,2022,29(5):772-778
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Author NameAffiliationE-mail
ZHONG Lian-ting Department of Radiology, Zhongshan Hospital (Xiamen Branch), Fudan University, Xiamen 361015, Fujian, China  
DING Yu-qin Department of Radiology, Zhongshan Hospital, Fudan University
Shanghai Institute of Medical Imaging, Shanghai 200032, China 
 
WANG Rui-ting Department of Radiology, Zhongshan Hospital, Fudan University
Shanghai Institute of Medical Imaging, Shanghai 200032, China 
 
TANG Qi-ying Department of Radiology, Zhongshan Hospital (Xiamen Branch), Fudan University, Xiamen 361015, Fujian, China  
WU Li-lan Department of Radiology, Zhongshan Hospital (Xiamen Branch), Fudan University, Xiamen 361015, Fujian, China  
JIANG Qiu-li Department of Pathology, Zhongshan Hospital (Xiamen Branch), Fudan University, Xiamen 361015, Fujian, China  
ZHOU Jian-jun Department of Radiology, Zhongshan Hospital (Xiamen Branch), Fudan University, Xiamen 361015, Fujian, China
Department of Radiology, Zhongshan Hospital, Fudan University
Shanghai Institute of Medical Imaging, Shanghai 200032, China
Department of Cancer Center, Zhongshan Hospital, Fudan University, Shanghai 200032, China 
zhoujianjunzs@126.com 
Abstract:Objective To explore the CT and MRI characteristics of renal hemangioma and to improve the diagnostic efficacy for such tumors. Methods The clinical data of 10 patients with renal hemangioma approved by pathological were respectively analyzed. 3 patients underwent CT scanning, 5 patients underwent MRI, and 2 patients underwent both CT and MRI. The imaging characteristics of renal hemangioma were summarized. Results There were 7 patients with anastomosing hemangioma. 6 lesions were located in the renal medullary and 3 in the renal sinus,1 in the parenchyma. Maximum diameter ranged from 1.4 to 6.4 cm. 8 lesions showed round shape. All lesions were shown as mainly solid, and 3 owned capsule. Of the 7 lesions performed MRI, 4 showed obvious high signal intensity on T2WI stage, 6 showed high signal intensity on DWI image; 3 showed equal signal intensity on ADC image and high and low signal intensity all performed in 2 lesions. 8 patients showed obvious nodular or patchy enhancement around the tumor in the corticomedullary phase (CMP), and with the character of "filled in" in the later stage. The enhancement rate of renal hemangioma in the nephrographic phase (NP) was higher than the abdominal aorta on CT (P<0.05), but there was no difference on CMP. The enhancement rate of the renal hemangioma was no difference with renal cortex and abdominal aorta on MRI. Conclusions Renal hemangiomas more perform anastomosing hemangioma and mostly local on medullary or sinus. With characteristics of high signal intensity on the T2WI stage, nodular enhancement around the lesion in the CMP and progressive centripetal filling are performed over time and the enhancement intensity is similar to the abdominal aorta or renal parenchyma.
keywords:kidney neoplasm  hemangioma  tomography  magnetic resonance imaging
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