By Thaddeus J. Kowalski
Publication by means of Kowalski, Thaddeus J.
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Significant differences between patients without stenoses or with low-to-intermediate grade stenoses and patients with high-grade stenoses were found for each of these parameters. Based on a small series of 27 patients, the same group evaluated the diagnostic accuracy of quantified renal perfusion in identifying and differentiating renovascular from renal parenchymal disease . 9% and a specificity of 90%. Follow-up of RAS after revascularization is another promising application of these quantitative functional studies, adding objective hemodynamic criteria to the morphologic analysis of the artery .
93 (median) provided an 86% specificity and a 96% sensitivity for the diagnosis of pRCC. Similar to cRCC, pRCC presents a pseudocapsule in T1 and T2 as a peripheral rim in low SI. Roy et al.  found pseudocapsule in 51 pRCC among 55. The four tumors without this aspect was only of pT1 grade, with a marked low SI on T2 sequence which probably mask the rim. 22 Area of necrosis in a clear-cell RCC before (a) and after enhancement (b–d) on T1 sequences: necrosis can present spontaneously a high signal on T1-weighted images (arrow) whereas no enhancement may be observed thereafter.
Pseudocapsule is a hypointense rim on T1-weighted and T2-weighted surrounding a tumor, and its disruption is correlated with a high nuclear grade and with a local advanced pathology. , pseudocapsule was observed in 40 cRCC among 42 and its absence was associated with pT3 stage. Epithelial tumor enhancements present similar aspect in MRI than CT scan and give useful information when trying to distinguish subtypes of RCC. 23). 21 Typical espect of signal drop on dual chemical shift sequences: representation (a and b) and clinical images (c and d).
An Artificial Intelligence Approach to VLSI Design by Thaddeus J. Kowalski
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