In this prospective, single-center study, we evaluated the use of qualitative features and quantitative radiomics features from MRI for diagnosis and characterization of clear cell renal cell carcinoma (ccRCC). Qualitative features in isolation were of no value for diagnosing ccRCC, while the ccRCC likelihood score, which takes into account qualitative T2w signal and contrast enhancement pattern, had comparable diagnostic performance to the quantitative radiomics features. Quantitative radiomics features had good to excellent diagnostic performance in identifying ccRCC, as well as correlated to grade of ccRCC.
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