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Overcoming Challenges for Wider Adoption of TLX250

Panelists discuss how molecular imaging might help with complex renal mass decision-making, potentially identifying aggressive clear cell biology that would warrant radical rather than partial nephrectomy, though anatomical details would still require conventional imaging.

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      Complex Renal Masses and Molecular Imaging

      Main Discussion Topics:

      • Challenges of managing anatomically complex renal masses
      • Potential for molecular imaging to influence nephron-sparing decisions
      • Tumors with aggressive biology may warrant radical nephrectomy, whereas those with indolent biology may be candidates for partial nephrectomy.
      • Limitations in anatomic resolution compared with MRI

      Key Points for Physicians:

      • Molecular characteristics may influence decisions regarding partial vs radical nephrectomy.
      • Aggressive biology might favor radical approach, even when partial is technically feasible.
      • Indolent biology might support nephron sparing, even in challenging cases.
      • Molecular imaging should complement rather than replace high-resolution anatomic imaging.

      Notable Insights:

      Molecular imaging provides biological rather than anatomic information and should be used in conjunction with conventional imaging for optimal decision-making.

      Clinical Significance:

      Integrating molecular and anatomic imaging could lead to more personalized surgical approaches based on both technical feasibility and biological risk.

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