ACR Appropriateness Criteria Renal Cell Carcinoma Staging.

Journal Article (Journal Article)

Renal cell carcinoma accounts for 2%-3% of all visceral malignancies. Preoperative imaging can provide important staging and anatomic information to guide treatment decisions. Size of the primary tumor and degree of local invasion, such as involvement of perinephric fat or renal sinus fat, and tumor thrombus in renal veins and inferior vena cava are important detriments to local staging of primary tumor. Both kidneys are assessed for presence of other synchronous lesions. The ACR Appropriateness Criteria(®) are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and application by the panel of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Full Text

Duke Authors

Cited Authors

  • Vikram, R; Beland, MD; Blaufox, MD; Moreno, CC; Gore, JL; Harvin, HJ; Heilbrun, ME; Liauw, SL; Nguyen, PL; Nikolaidis, P; Preminger, GM; Purysko, AS; Raman, SS; Taffel, MT; Wang, ZJ; Weinfeld, RM; Remer, EM; Lockhart, ME

Published Date

  • May 2016

Published In

Volume / Issue

  • 13 / 5

Start / End Page

  • 518 - 525

PubMed ID

  • 27016804

Electronic International Standard Serial Number (EISSN)

  • 1558-349X

Digital Object Identifier (DOI)

  • 10.1016/j.jacr.2016.01.021


  • eng

Conference Location

  • United States