Renal tumors with low signal intensities on T2-weighted MR image: radiologic-pathologic correlation

Youyeon Kim, Deuk Jae Sung, Ki Choon Sim, Na Yeon Han, Beom Jin Park, Min Ju Kim, Sung Bum Cho

    Research output: Contribution to journalReview articlepeer-review

    12 Citations (Scopus)


    Accurate characterization of renal masses is essential for ensuring appropriate management. Low T2 signal intensity is a common feature of papillary renal cell carcinoma and fat-poor angiomyolipoma. Nonetheless, other types of renal cell carcinoma, oncocytoma, hemangioma, lymphoma, leiomyoma, and urothelial cell carcinoma also can show low signal intensities on T2-weighted imaging (T2WI). Histopathologic features that can lead to low T2 signal intensities in renal tumors include smooth muscle component, papillary architecture, a high nucleus-to-cytoplasm ratio, and hemorrhage. To establish an appropriate differential diagnosis for renal tumors on MRI, it is necessary to understand the relationship between the MR signal intensities and the histopathologic and morphologic features, in addition to contrast enhancement patterns and diffusion characteristics of the tumors.

    Original languageEnglish
    Pages (from-to)2108-2118
    Number of pages11
    JournalAbdominal Radiology
    Issue number8
    Publication statusPublished - 2017 Aug 1

    Bibliographical note

    Publisher Copyright:
    © 2017, Springer Science+Business Media New York.


    • Kidney
    • Magnetic resonance imaging
    • Neoplasm
    • T2-weighted imaging

    ASJC Scopus subject areas

    • Radiological and Ultrasound Technology
    • Radiology Nuclear Medicine and imaging
    • Gastroenterology
    • Urology


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