Guideline decision tool · Radiology
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Multiphase Enhancement & Washout (CT HU) — free guideline decision tool

Turn multiphase CT HU into numbers: net enhancement per phase, peak phase, absolute / relative washout and pattern, with the Bosniak 2019 enhancement call for renal masses. Instant, browser-side.

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Computed locally — no data uploaded. For licensed clinicians.
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Guideline-based

Implements the decision logic from published clinical guidelines.

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Runs in your browser

No installation. Enter the patient's values and get a guideline recommendation instantly.

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Data stays local

Nothing is uploaded. Results are for licensed clinicians only.

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Unenhanced HU35 HU
Arterial HU (optional)120 HU
Portal venous / nephrographic HU (optional)95 HU
Delayed HU (optional)60 HU
Lesion contextRenal mass

→Max net enhancement+85HU

  • Arterial:120 HU (net +85 HU)
  • Portal venous:95 HU (net +60 HU)
  • Delayed:60 HU (net +25 HU)

Common questions

What is Multiphase Enhancement & Washout (CT HU)?

Turn multiphase CT HU into numbers: net enhancement per phase, peak phase, absolute / relative washout and pattern, with the Bosniak 2019 enhancement call for renal masses. Instant, browser-side.

How is Multiphase Enhancement & Washout (CT HU) calculated? What is the core formula?

Net = post − pre; absolute washout = (peak − last)/(peak − pre)×100; relative washout = (peak − last)/peak×100.

When is Multiphase Enhancement & Washout (CT HU) used?

Characterizing liver, renal, pancreatic or adrenal lesions on multiphase CT and documenting enhancement in the report.

What are the key clinical points for Multiphase Enhancement & Washout (CT HU)?

Renal mass ≥20 HU = enhancing. 10–19 HU equivocal; consider MRI/CEUS. Early enhancement with washout pattern. Consistent ROIs are essential.

What are the limits and cautions when using Multiphase Enhancement & Washout (CT HU)?

For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.

Does Multiphase Enhancement & Washout (CT HU) upload patient data? Where is it calculated?

Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.

How is Multiphase Enhancement & Washout (CT HU) calculated in practice? Can you show a worked example?

Inputs: Unenhanced HU 35 HU, Arterial HU (optional) 120 HU, Portal venous / nephrographic HU (optional) 95 HU, Delayed HU (optional) 60 HU, Lesion context Renal mass → Result: Max net enhancement +85 HU(Arterial: 120 HU (net +85 HU), Portal venous: 95 HU (net +60 HU), Delayed: 60 HU (net +25 HU))

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Run Multiphase Enhancement & Washout (CT HU) now

Turn multiphase CT HU into numbers: net enhancement per phase, peak phase, absolute / relative washout and pattern, with the Bosniak 2019 enhancement call for renal masses. Instant, browser-side.

Open guideline tool →

For licensed clinicians. Not a substitute for clinical judgement.

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For use by licensed clinicians and clinical researchers. Computed locally in your browser — no data is uploaded. Not a substitute for clinical judgement.

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