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Background The Bosniak classification system for cystic renal masses (CRMs) was updated in 2019, requiring further investigation. Objective To compare version 2005 and version 2019 of the Bosniak classification system in terms of class distribution, diagnostic performance, inter-reader agreement, and inter-modality agreement between CT and MRI. Methods This retrospective study included 100 patients (mean age, 52.4±11.6 years; 68 men, 32 women) with 104 CRMs (74 malignant) who underwent CT, MRI, and resection between 2010 and 2019. Two r
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