Which imaging studies should be performed in the evaluation and staging of renal cancer (RCC)?

Updated: May 21, 2019
  • Author: Kush Sachdeva, MD; Chief Editor: E Jason Abel, MD  more...
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Answer

A number of imaging modalities are used to evaluate and stage suspected renal cancer, including the following:

  • CT of the abdomen, preferably with pelvic CT
  • Magnetic resonance imaging (MRI), if venous involvement is suspected or the patient cannot tolerate contrast
  • Ultrasonography
  • Chest CT scan or chest x-ray
  • Excretory urography
  • Renal arteriography
  • Venography
  • Bone scan if bone metastasis is suspected or alkaline phosphatase level is elevated
  • Brain CT or MRI if patient has clinical manifestations suggesting brain metastases

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