ACR Appropriateness Criteria Renal Cell Carcinoma Staging

Raghunandan Vikram*, Michael D. Beland, M. Donald Blaufox, Courtney Coursey Moreno, John L. Gore, Howard J. Harvin, Marta E. Heilbrun, Stanley L. Liauw, Paul L. Nguyen, Paul Nikolaidis, Glenn M. Preminger, Andrei S. Purysko, Steven S. Raman, Myles T. Taffel, Zhen J. Wang, Robert M. Weinfeld, Erick M. Remer, Mark E. Lockhart

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

32 Scopus citations


Renal cell carcinoma accounts for 2%-3% of all visceral malignancies. Preoperative imaging can provide important staging and anatomic information to guide treatment decisions. Size of the primary tumor and degree of local invasion, such as involvement of perinephric fat or renal sinus fat, and tumor thrombus in renal veins and inferior vena cava are important detriments to local staging of primary tumor. Both kidneys are assessed for presence of other synchronous lesions. The ACR Appropriateness Criteria® are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and application by the panel of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.

Original languageEnglish (US)
Pages (from-to)518-525
Number of pages8
JournalJournal of the American College of Radiology
Issue number5
StatePublished - May 1 2016


  • Appropriateness Criteria
  • CT
  • Imaging
  • MRI
  • Staging
  • renal cell carcinoma

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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