Please ensure Javascript is enabled for purposes of website accessibility
REVIEW PAPER
Computed tomography- and magnetic resonance imaging-based Bosniak Classification of Cystic Renal Masses Version 2019: a comprehensive review and comparison to version 2005
 
More details
Hide details
1
Department of Radiology, Holy Cross Cancer Centre, Kielce, Poland
 
2
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
 
3
Department of Oncological Surgery, Holy Cross Cancer Centre, Kielce, Poland
 
4
Department of Urology, Holy Cross Cancer Center, Kielce, Poland
 
5
Department of Gynecology, Mother and Newborn Holy Cross Centre, Kielce, Poland
 
6
2nd Department of Clinical Radiology, Warsaw Medical University, Warsaw, Poland
 
 
Submission date: 2021-11-07
 
 
Acceptance date: 2021-12-13
 
 
Publication date: 2021-12-31
 
 
Medical Studies 2021;37(4):314-321
 
KEYWORDS
TOPICS
ABSTRACT
Cystic renal lesions are common findings on abdominal imaging studies. Bosniak Classification version 2005 and 2019 consists of five categories of cystic masses. The 2019 modification is more detailed and extensive compared to version 2005. The novelties in version 2019 are implementation of diameter values of cystic septa and walls as well as inclusion of magnetic resonance imaging for classification of cystic renal masses. The aim of our study was to review a new proposal for the assessment of renal cysts and review the results of studies which compared diagnostic performance and interobserver agreement of both versions from 2005 and 2019.
REFERENCES (18)
1.
Bosniak MA. The current radiological approach to renal cysts. Radiology 1986; 158: 1-10.
 
2.
Israel GM, Bosniak MA. An update of the Bosniak renal cyst classification system. Urology 2005; 66: 484-488.
 
3.
Bosniak MA. The Bosniak renal cyst classification: 25 years later. Radiology 2012; 262: 781-785.
 
4.
Silverman SG, Pedrosa I, Ellis JH. Bosniak classicication of cystic renal masses version 2019: an update proposal and needs assessment. Radiology 2019; 292: 475-488.
 
5.
Graumann O, Osther SS, Karstoff J, Horlyck A, Osther PJ. Bosniak classification system: inter-observer and intra-observer agreement among experienced uroradiologists. Acta Radiol 2015; 56: 374-383.
 
6.
Weibi P, Klatte T, Waldert M, Remzi M. Complex renal cystic massess: current standards and controversies. Int Urol Nephrol 2012; 44: 13-18.
 
7.
Benjaminiy O, Atr M, O’Malley M, Lobo K, Tomlinson G. Enhancing component on Ct to predict malignancy in cystic renal masses and interobserver agreement of different CT features. AJR 2006; 186: 665-672.
 
8.
Smith AD, Remer EM, Cox KL, Leber ML, Allen BC, Shah SN, Herts BR. Bosniak category IIF and III cystic renal lesions: outcomes and associations. Radiology 2012; 262: 152-160.
 
9.
Smith AD, Carson JD, Sirous R, Sanyal R, Remer EM, Allen BC, Cox KL, Shuch B, Elkassem AA, Zhang X. Active surveillance versus nephronsparing surgery for a Bosniak IIF or III renal cyst: a cost-effectiveness analysis. Am J Roentgenol 2019; 212: 830-838.
 
10.
Schoots IG, Zaccai K, Hunink MG, Verhagen PCMS. Bosniak classification for complex renal cysts reevaluated: a systematic review. J Urol 2017; 198: 12-21.
 
11.
Davarpanah AH, Spektor M, Mathur M, Israel GM. Homogeneous T1 hyperintense renal lesions with smooth borders: is contrast-enhanced MR imaging needed? Radiology 2016; 280: 128-136.
 
12.
Bai X, Sun SM, Xu W, Kang HH, Li L, Jin YQ, Gong QGL, Liang GC, Liu HY, Liu LL, Chen SL, Wang QR, Wu P, Guo AT, Huang QB, Zhang XJ, Ye HY, Wang HY. MRI-based Bosniak Classification of Cystic Renal Masses Version 2019: Interobserver Agreement, Impact of Readers’ Experience, and Diagnostic Performance. Radiology 2020; 297: 597-605.
 
13.
Chan J, Yan JH, Munir J. Comparison of Bosniak Classification of cystic renal masses version 2019 assessed by CT and MRI. Abdominal Radiol 2021; 46: 5268-5276.
 
14.
Tse J, Shen J, Shen L, Yoon L, Kamaya A. Bosniak Classification of cystic renal masses version 2019: comparison of categorization using CT and MRI. Am I Roentgenol 2021; 216: 412-420.
 
15.
Yan JH, Chan J, Osman H, Munir J, Alrasheed S, Flood TA, Schieda N. Bosniak Classification version 2019: validation and comparison to original classification in pathologically confirmed cystic masses. Eur Radiol 2021; 31:9579-9587.
 
16.
Tse J, Shen J, Yoon L, Kamaya A. Bosniak Classification Version 2019 of cystic renal masses assessed with MRI Am J Roentgenol 2020; 215: 413-419.
 
17.
Park MY, Park KJ, Kim MH, Kim JK. Bosniak Classification of Cystic Renal Masses Bosniak Classification of Cystic Renal Masses Version 2019: Comparison to Version 2005 for Class Distribution, Diagnostic Performance, and Interreader Agreement Using CT and MRI. AJR Am J Roentgenol 2021; 217: 1367-1376.
 
18.
Pacheco EO, Torres US, Araujo Alves AM. Bosniak classification of cystic renal masses version 2019 does not increase the interobserver agreement or the proportion of masses categorized into lower Bosniak classes for non-subspecialized readers on CT or MR. Eur J Radiol 2020; 131: 109270.
 
eISSN:2300-6722
ISSN:1899-1874
Journals System - logo
Scroll to top