{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T09:07:53Z","timestamp":1790845673311,"version":"4.1.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"1099","license":[{"start":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T00:00:00Z","timestamp":1558310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,7,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>Bosniak classification system provides a fine imaging evaluation for the malignant cystic renal masses. Superb microvascular imaging (SMI) is a new ultrasonic technique which apply advanced clutter suppression to reflect microflow information. The aim of this study was to evaluate the performance of ultrasound Bosniak classification aided by SMI in diagnosis of cystic renal masses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods:<\/jats:title>\n                  <jats:p>By comparing with contrast-enhanced ultrasound (CEUS) and pathology, we evaluated the sensitivity, specificity and accuracy of conventional ultrasound and SMI combination in the diagnosis of renal cystic masses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>Color Doppler Flow image (CDFI) and SMI had significant difference in evaluation the blood flow and Bosniak classification for cystic renal mass of IIf, III and IV (p = 0.020). SMI was consistent with CEUS for cystic renal mass Bosniak classification of IIf, III and IV. Although, CEUS had highest sensitivity of 97.4%, SMI had the highest area under curve in differential diagnosis malignance from benign masses [area under curve = 0.869 (0.743 \u2013 0.995), p &amp;lt; 0.001].<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion:<\/jats:title>\n                  <jats:p>SMI can display better in observing blood flow in septa and solid structures of renal cystic lesions compared with CDFI, thus, it can perform more accurate Bosniak classification for renal cystic mass. SMI and CEUS are consistent in Bosniak classification. Bosniak classification aided by SMI maybe an accurate non-invasive ultrasonic examination in distinguishing benign and malignant renal cystic lesions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Advances in knowledge:<\/jats:title>\n                  <jats:p>Conventional ultrasound had limited ability to distinguish malignance in Bosniak classifications IIf and III. SMI can display better in observing blood flow in septa and solid structures of renal cystic lesions compared with CDFI.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1259\/bjr.20181038","type":"journal-article","created":{"date-parts":[[2019,5,8]],"date-time":"2019-05-08T18:11:23Z","timestamp":1557339083000},"source":"Crossref","is-referenced-by-count":34,"title":["Superb microvascular imaging is a rational choice for accurate Bosniak classification of renal cystic masses"],"prefix":"10.1093","volume":"92","author":[{"given":"Jie","family":"Mu","sequence":"first","affiliation":[{"name":"Department of Ultrasound, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer, China; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin\u2019s Clinical Research Center for Cancer , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiran","family":"Mao","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer, China; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin\u2019s Clinical Research Center for Cancer , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangxuan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cancer Prevention Center, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer, China; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin\u2019s Clinical Research Center for Cancer , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaojie","family":"Xin","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer, China; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin\u2019s Clinical Research Center for Cancer , China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Ultrasound, Tianjin Medical University Cancer Institute and Hospital; National Clinical Research Center for Cancer, China; Key Laboratory of Cancer Prevention and Therapy, Tianjin; Tianjin\u2019s Clinical Research Center for Cancer , China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,5,20]]},"reference":[{"key":"2024050214462782300_b1","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.rcl.2016.10.004","article-title":"Imaging of cystic renal masses","volume":"55","author":"Hindman","year":"2017","journal-title":"Radiol Clin North Am"},{"key":"2024050214462782300_b2","doi-asserted-by":"crossref","first-page":"W20","DOI":"10.2214\/AJR.11.6762","article-title":"Multilocular cystic renal cell carcinoma: comparison of imaging and pathologic findings","volume":"198","author":"Hindman","year":"2012","journal-title":"AJR Am J Roentgenol"},{"key":"2024050214462782300_b3","doi-asserted-by":"crossref","first-page":"505.e9","DOI":"10.1016\/j.urolonc.2015.07.017","article-title":"Cystic renal cell carcinoma carries an excellent prognosis regardless of tumor size","volume":"33","author":"Winters","year":"2015","journal-title":"Urol Oncol"},{"key":"2024050214462782300_b4","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1148\/radiology.158.1.3510019","article-title":"The current radiological approach to renal cysts","volume":"158","author":"Bosniak","year":"1986","journal-title":"Radiology"},{"key":"2024050214462782300_b5","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1016\/j.juro.2009.05.046","article-title":"Bosniak category IIF designation and surgery for complex renal cysts","volume":"182","author":"O'Malley","year":"2009","journal-title":"J Urol"},{"key":"2024050214462782300_b6","doi-asserted-by":"crossref","first-page":"1409","DOI":"10.1177\/0284185115588124","article-title":"Bosniak classification system: a prospective comparison of CT, contrast-enhanced us, and MR for categorizing complex renal cystic masses","volume":"57","author":"Graumann","year":"2016","journal-title":"Acta Radiol"},{"key":"2024050214462782300_b7","doi-asserted-by":"crossref","first-page":"43","DOI":"10.12659\/AJCR.895415","article-title":"Comparison of Superb micro-vascular ultrasound imaging (SMI) and contrast-enhanced ultrasound (CEUS) for detection of endoleaks after endovascular aneurysm repair (EVAR","volume":"17","author":"Gabriel","year":"2016","journal-title":"Am J Case Rep"},{"key":"2024050214462782300_b8","doi-asserted-by":"crossref","first-page":"e1502","DOI":"10.1097\/MD.0000000000001502","article-title":"The diagnostic value of Superb microvascular imaging (SMI) in detecting blood flow signals of breast lesions: a preliminary study comparing SMI to color Doppler flow imaging","volume":"94","author":"Ma","year":"2015","journal-title":"Medicine"},{"key":"2024050214462782300_b9","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1097\/RUQ.0000000000000156","article-title":"A novel microvascular flow technique: initial results in thyroids","volume":"32","author":"Machado","year":"2016","journal-title":"Ultrasound Q"},{"key":"2024050214462782300_b10","doi-asserted-by":"crossref","first-page":"24.e21","DOI":"10.1016\/j.urolonc.2012.08.018","article-title":"Progression, interobserver agreement, and malignancy rate in complex renal cysts (\u2265Bosniak category IIF)","volume":"32","author":"El-Mokadem","year":"2014","journal-title":"Urol Oncol"},{"key":"2024050214462782300_b11","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1007\/s11934-016-0646-7","article-title":"Renal complex cystic masses: usefulness of contrast-enhanced ultrasound (CEUS) in their assessment and its agreement with computed tomography","volume":"17","author":"Sanz","year":"2016","journal-title":"Curr Urol Rep"},{"key":"2024050214462782300_b12","doi-asserted-by":"crossref","first-page":"2090","DOI":"10.1016\/j.ejrad.2016.09.026","article-title":"Superb microvascular imaging technology for ultrasound examinations: initial experiences for hepatic tumors","volume":"85","author":"Lee","year":"2016","journal-title":"Eur J Radiol"},{"key":"2024050214462782300_b13","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s40477-017-0240-y","article-title":"Superb microvascular imaging: a potential tool in the detection of FNH","volume":"20","author":"Bonacchi","year":"2017","journal-title":"J Ultrasound"},{"key":"2024050214462782300_b14","doi-asserted-by":"crossref","first-page":"680","DOI":"10.3892\/etm.2017.4525","article-title":"Comparison of diagnostic values of ultrasound micro-flow imaging and contrast-enhanced ultrasound for neovascularization in carotid plaques","volume":"14","author":"Zhang","year":"2017","journal-title":"Exp Ther Med"}],"container-title":["The British Journal of Radiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/92\/1099\/20181038\/57377943\/bjr.20181038.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjr\/article-pdf\/92\/1099\/20181038\/57377943\/bjr.20181038.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,2]],"date-time":"2024-05-02T15:01:36Z","timestamp":1714662096000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjr\/article\/doi\/10.1259\/bjr.20181038\/7448850"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,20]]},"references-count":14,"journal-issue":{"issue":"1099","published-online":{"date-parts":[[2019,5,20]]},"published-print":{"date-parts":[[2019,7,1]]}},"URL":"https:\/\/doi.org\/10.1259\/bjr.20181038","relation":{},"ISSN":["0007-1285","1748-880X"],"issn-type":[{"value":"0007-1285","type":"print"},{"value":"1748-880X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2019,7,1]]},"published":{"date-parts":[[2019,5,20]]},"article-number":"20181038"}}