Nephrometry scoring systems: their importance for the planning of nephron-sparing surgery and the relationships among them

Abstract In recent years, the development of new imaging techniques and scoring systems have improved the diagnosis and management of small renal masses. Imaging-based nephrometry scoring systems play an interesting role in the planning of nephron-sparing surgery, providing surgeons with the informa...

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Bibliographic Details
Published in:Radiologia brasileira 2022-08, Vol.55 (4), p.242-252
Main Authors: Dubeux, Victor, Zanier, José Fernando Cardona, Chantong, Carolina Gianella Cobo, Carrerette, Fabricio, Gabrich, Pedro Nicolau, Damiâo, Ronaldo
Format: Article
Language:English
Subjects:
RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
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Summary:Abstract In recent years, the development of new imaging techniques and scoring systems have improved the diagnosis and management of small renal masses. Imaging-based nephrometry scoring systems play an interesting role in the planning of nephron-sparing surgery, providing surgeons with the information necessary to determine the complexity of the renal mass, to deliver the appropriate postoperative care, and to predict adverse outcomes. The aim of this study was to review nephrometry scoring systems, evaluating their characteristics and the relationships among them. The urology and radiology communities should decide which nephrometry scoring system will prevail and be used in daily practice. Resumo O diagnóstico e o manejo das pequenas massas renais têm sido aprimorados nos últimos anos com o desenvolvimento de técnicas de imagem e escores que desempenham papel interessante no planejamento da nefrectomia parcial, fornecendo informações importantes ao cirurgião para determinar o tipo de tratamento em relação a complexidade da massa renal, cuidados pós-operatórios e previsão de complicações após as cirurgias. O objetivo deste estudo é revisar os escores de nefrometria, suas características e relações entre eles no cenário da cirurgia. Os serviços de urologia e radiologia devem decidir qual é o melhor escore de nefrometria para ser utilizado na prática diária.
ISSN:1678-7099
0100-3984
1678-7099
DOI:10.1590/0100-3984.2021.0166