What is the role of angiography in renal cell carcinoma (RCC) imaging?

Updated: Dec 13, 2018
  • Author: Deborah A Baumgarten, MD, MPH; Chief Editor: Eugene C Lin, MD  more...
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Answer

Answer

Noninvasive cross-sectional imaging (CT, MRI, US) has replaced angiography in the workup of patients with known or suspected RCC. Advances in CT angiography and magnetic resonance angiography have diminished the need for preoperative conventional angiographic mapping of the renal vasculature prior to nephron-sparing or minimally invasive surgery. Angiography is still occasionally used if the origin of a tumor (eg, renal vs adrenal) is not certain. In these patients, selective injection of the renal and adrenal arteries, as well as additional vessels, may be necessary.


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