Imaging of pediatric renal tumors: A COG Diagnostic Imaging Committee/SPR Oncology Committee White Paper focused on Wilms tumor and nephrogenic rests

Pediatr Blood Cancer. 2023 Jun;70 Suppl 4(Suppl 4):e30004. doi: 10.1002/pbc.30004. Epub 2022 Oct 29.

Abstract

Malignant renal tumors account for approximately 6% of pediatric malignancies, with Wilms tumor (WT) representing approximately 90% of pediatric renal tumors. This paper provides consensus-based imaging guidelines for the initial evaluation of a child with suspected WT and follow-up during and after therapy co-developed by the Children's Oncology Group (COG) Diagnostic Imaging and Society for Pediatric Radiology (SPR) oncology committees. The guidelines for Wilms Tumor Imaging in the Society of International Pediatric Oncology (SIOP) are briefly discussed to highlight some of the differences in imaging approach.

Keywords: Wilms tumors; children; computed tomography; magnetic resonance imaging; nephrogenic rests; radiology; renal masses; renal tumors; ultrasound.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Child
  • Humans
  • Kidney Neoplasms* / pathology
  • Radiography
  • Radiology*
  • Rest
  • Surface Plasmon Resonance
  • Wilms Tumor* / diagnostic imaging
  • Wilms Tumor* / pathology
  • Wilms Tumor* / therapy