New MRI method could spare thousands from unnecessary kidney surgery
NCT ID NCT03470285
First seen Jun 26, 2026 · Last updated Aug 04, 2026 · Updated 3 times
Summary
This completed study tested whether a special type of MRI (multiparametric MRI) can accurately tell the difference between benign and malignant small kidney tumors. About 387 adults with small solid kidney masses (1.5-4 cm) were scanned before surgery or biopsy. The goal was to see if the MRI could reliably identify benign tumors, potentially allowing some patients to avoid unnecessary surgery. The study involved 18 centers and multiple radiologists to check consistency.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Multiparametric MR imaging (mpMRI)
- What this could lead to
- If successful, mpMRI could help doctors decide which small kidney tumors need surgery and which can be safely monitored, reducing unnecessary operations.
- What could go wrong
- This is a completed diagnostic accuracy study, not a treatment trial. The MRI technique may not be accurate enough in all cases, and results depend on radiologist interpretation.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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387 people
The number who actually took part.
- Started
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Nov 2018
- Finished
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Apr 2023
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18; * Performance Index ≤ 2 (WHO); * Non hereditary solid renal tumors; * Indication of renal surgery or renal biopsy for suspicion of malignancy of the tumor * Size of renal mass between 1,5 and 4 cm; * Single Renal mass; * Discovered incidentally by US and / or CT-scan; * IRMK01 and UroCCR Informed consents signed. * Affiliated or beneficiary of French social security * All women of childbearing potential must have effective contraception from the time of screening until MRI. Acceptable methods of contraception include combined (estrogen and progestogen containing) hormonal contraception (oral, intravaginal, transdermal), progestogen-only hormonal contraception (oral, injectable, implantable) intrauterine device, intrauterine hormonereleasing system, bilateral tubal occlusion, vasectomized partner and sexual abstinence Exclusion Criteria: Patent signs of malignancy (metastasis, lymphadenopathy, thrombus ...); * Cystic lesions according to the Bosniak classification; * Lesions with macroscopic fat on ultrasound or CT-scan; * Multiple or bilateral renal tumors; * Histological evidence available initially; * History of renal neoplasia whatever the location or family context (Von Hippel Lindau, Bourneville sclerosis); * Moderate to terminal renal impairment documented (creatinine clearance \<30 mL / min according MDRD or CKD-EPI); * Impossibility to perform MRI : * heart pacemakers (especially older types) * insulin pumps * implanted hearing aidsIRMK01 Version no.3.0 of 28/10/2020 Page 12 of 83 * neurostimulators * intracranial metal clips * metallic bodies in the eye * Contraindication to gadolinium salt. * Patient's refusal of surgery, biopsy if necessary; * Minor * Person deprived of liberty * Person under trusteeship * Person under curatorship * Person under legal guardianship * Pregnant or nursing women. * Adults unable to express their consent * Females of child-bearing potential without a negative pregnancy test prior to MRI exam * Clinical follow-up not possible for psychological, family, social or geographic reasons.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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APHM - Hôpital de la Conception
Marseille, 13385, France
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APHP - Henri Mondor
Créteil, 94010, France
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APHP - Hôpital Bichat
Paris, France
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APHP - Hôpital Bicêtre
Le Kremlin-Bicêtre, 94275, France
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APHP - Hôpital Necker
Paris, 75743, France
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APHP - Hôpital Tenon
Paris, 75020, France
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CHRU Lille
Lille, 59000, France
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CHU Angers
Angers, 49933, France
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CHU Bordeaux
Bordeaux, 33076, France
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CHU Lyon
Lyon, 69444, France
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CHU Nancy
Nancy, 54511, France
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CHU Nice
Nice, 06001, France
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CHU Rennes
Rennes, 35033, France
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CHU Rouen
Rouen, 76031, France
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CHU Strasbourg
Strasbourg, 67091, France
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CHU Toulouse
Toulouse, 31062, France
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CHU Tours
Tours, 37044, France
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CHU de Grenoble
Grenoble, France
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