Investigation of the differential biology between benign and malignant renal masses using advanced magnetic resonance imaging techniques (IBM-Renal): a multi-arm, non-randomised feasibility study

Ines Horvat-Menih, Mary McLean, Maria Jesus Zamora-Morales, Marta Wylot, Joshua Kaggie, Alixander S Khan, Andrew B Gill, Joao Duarte, Matthew J Locke, Iosif A Mendichovszky, Hao Li, Andrew N Priest, Anne Y Warren, Sarah J Welsh, James O Jones, James N Armitage, Thomas J Mitchell, Grant D Stewart, Ferdia A Gallagher
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Abstract

Introduction Localised renal masses are an increasing burden on healthcare due to the rising number of cases. However, conventional imaging cannot reliably distinguish between benign and malignant renal masses, and renal mass biopsies are unable to characterise the entirety of the tumour due to sampling error, which may lead to delayed treatment or overtreatment. There is an unmet clinical need to develop novel imaging techniques to characterise renal masses more accurately. Renal tumours demonstrate characteristic metabolic reprogramming, and novel MRI methods have the potential to detect these metabolic perturbations which may therefore aid accurate characterisation. Here we present our study protocol for the Investigation of the differential biology of Benign and Malignant renal masses using advanced magnetic resonance imaging techniques (IBM-Renal).
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利用先进的磁共振成像技术(IBM-Renal)研究良性和恶性肾肿块之间的生物学差异:一项多臂、非随机可行性研究
导言:由于病例数量不断增加,局部肾肿块日益成为医疗负担。然而,传统的成像技术无法可靠地区分良性和恶性肾肿块,肾肿块活检由于取样误差而无法确定肿瘤的整体特征,这可能导致治疗延误或过度治疗。开发新的成像技术以更准确地描述肾肿块的特征是一项尚未得到满足的临床需求。肾脏肿瘤表现出特征性的代谢重编程,新型磁共振成像方法有可能检测到这些代谢扰动,从而有助于准确定性。在此,我们介绍利用先进的磁共振成像技术(IBM-Renal)调查良性和恶性肾肿块的差异生物学的研究方案。
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