Using the Bosniak classification from the perspective of current clinical guidelines: the role of multiparameter ultrasound

Kidney cystic formations are a common finding during ultrasound, computed tomography and magnetic resonance imaging. Most kidney cysts are benign, however, in 5–7 % of cases, renal cell carcinoma can be represented by a complex cystic formation. The Bosniak classification allows you to determine the risk of a malignant process and, depending on the assignment of the resulting image to a category, plan treatment tactics. The classification was initially based on the characteristics of cysts according to computed tomography data. Other methods of radiation imaging, such as magnetic resonance imaging and ultrasound, are now also used to characterize complex cystic lesions. The article provides data on the assessment of renal cystic formations according to the Bosniak classification according to modern clinical guidelines, including the use of multiparametric ultrasound