Zech C J, Weiss M, Schoenberg S O, Herrmann K A, Helmberger T, Reiser M F
Institut für Klinische Radiologie, Klinikum der Universität München-Grosshadern, Munich.
Radiologe. 2003 Apr;43(4):284-92. doi: 10.1007/s00117-003-0883-x.
This paper describes the value of various imaging modalities for diagnostic work-up of tumors of the adrenal gland.
Results of the literature are reviewed. An optimized examination protocol for computed tomography (CT) and magnetic resonance imaging (MRI) is shown for assessment and differentiation of unclear lesions of the adrenal gland.
Measurements of attenuation in the native examination as well as delayed enhancement are the cornerstones in the CT diagnostics of tumors of the adrenal gland. In MRI, chemical-shift imaging and evaluation of signal characteristics in T1- and T2-weighted images are most important for characterization even in unclear cases.
CT and MRI play the major role in imaging of adrenal gland tumors. Whereas CT is less expensive and widely available,MRI provides advantages in unclear cases because of the excellent tissue contrast and the superior characterization.
本文描述了各种成像方式在肾上腺肿瘤诊断检查中的价值。
回顾文献结果。展示了用于评估和鉴别肾上腺不明病变的计算机断层扫描（CT）和磁共振成像（MRI）的优化检查方案。
平扫时的衰减测量以及延迟强化是肾上腺肿瘤CT诊断的基石。在MRI中，即使在情况不明的病例中，化学位移成像以及T1加权和T2加权图像中信号特征的评估对于特征性诊断也最为重要。
CT和MRI在肾上腺肿瘤成像中起主要作用。CT成本较低且应用广泛，而MRI由于具有出色的组织对比度和更好的特征性诊断能力，在情况不明的病例中具有优势。
