Evidence map›Paper›PMID 42436796›Full record

ArticleTranslational andrology and urology2026

Feasibility of contrast-enhanced ultrasound as a screening tool for patients at high risk for kidney malignancies.

Arian Azarang, Virginie Papadopoulou, Kennita A Johnson, Rachel W Walmer, Kristen Olinger, Ellie Lee, Lauren Burke, Emily H Chang

Abstract read
In one paragraph

Article in Translational andrology and urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Arian AzarangDepartment of Radiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID https://orcid.org/0009-0002-8669-9395
Virginie PapadopoulouDepartment of Radiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Kennita A JohnsonLampe Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, USA.
Rachel W WalmerLampe Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, USA.
Kristen OlingerDepartment of Radiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Ellie LeeDepartment of Radiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lauren BurkeDepartment of Radiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Emily H ChangLampe Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, USA.

Funding

North Carolina Translational and Clinical Sciences Institute (NC TraCS)UM1TR004406 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NICHOLAS J SHAHEEN · 2023 to 2026
$37.5M
SEEDING POSTDOCTORAL INNOVATORS IN RESEARCH &EDUCATIONK12GM000678 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DONALD T LYSLE, Kathryn Joanna Reissner · 1999 to 2026
$30.9M
NCATS NIH HHS UM1 TR004406NIGMS NIH HHS K12 GM000678
6 · The paper itself

Abstract

This pilot study investigated the feasibility of contrast-enhanced ultrasound (CEUS) as a screening tool to identify kidney lesions in patients with rare genetic disorders predisposing them to kidney malignancies, aiming to reduce reliance on repeated computed tomography (CT) and magnetic resonance imaging (MRI) scans. Fifteen patients (29 kidneys) with von Hippel-Lindau (VHL), Birt-Hogg-Dubé (BHD) syndrome, or hereditary leiomyomatosis and renal cell carcinoma (HLRCC) underwent surveillance with B-mode ultrasound, CEUS, and CT/MRI. Three blinded readers assessed the presence and malignancy of lesions, with results compared against clinically obtained CT/MRI as the gold standard. Inter-reader agreement and diagnostic accuracy were evaluated using kappa statistics, as well as sensitivity and specificity to the gold standard. CEUS demonstrated high inter-reader reliability (κ =1 for lesion detection and κ =0.66 for malignancy). Specificity was 100% (21/21) and sensitivity was 75% (6/8) for identifying kidneys with at least one lesion compared to the gold standard. Notably, none of the lesions missed by ultrasound were malignant. All malignant lesions identified by the MRI/CT were correctly detected [100% (3/3) sensitivity], though some lesions flagged by CEUS were found to be benign [88% (23/26) specificity]. CEUS demonstrates high inter-reader reliability and strong diagnostic performance in detecting kidney lesions among high-risk patients, achieving 100% (3/3) sensitivity for malignant lesions. These findings support CEUS as a promising adjunct screening tool that may reduce reliance on frequent cross-sectional imaging (CT/MRI) in patients predisposed to kidney malignancies. Further studies in larger cohorts are warranted to validate these results and define its role in routine surveillance.

Indexed as

contrastkidney malignancyscreeningUltrasound

Identifiers

PMID42436796
PMCPMC13355265

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.