Heinz-Peer Gertraud, Happel Brigitte, Prager Gerhard, Niederle Bruno
Universitätsklinik für Radiodiagnostik, Wien, Osterreich.
Wien Klin Wochenschr. 2003;115 Suppl 2:65-70.
For differentiation of benign and malignant adrenal lesions, sensitivities and specificities of 85-100% can be reached by unenhanced computed tomography (CT)-methods, chemical shift techniques in magnetic resonance imaging (MRI), delayed enhanced CT-techniques, and by evaluation of wash-out curves in contrast enhanced CT or MRI. An increasing number of adrenal lesions that are detected on imaging studies for indications unrelated to the adrenals can be immediately characterized by delayed series nowadays. According to excellent results of CT and MRI in characterization of adrenal masses, the indications for fine needle aspiration biopsy have already regressed as well as complications associated with this invasive technique.
对于肾上腺良性和恶性病变的鉴别，通过非增强计算机断层扫描（CT）方法、磁共振成像（MRI）中的化学位移技术、延迟增强CT技术以及通过评估对比增强CT或MRI中的洗脱曲线，可达到85%-100%的敏感性和特异性。如今，在因与肾上腺无关的指征而进行的影像学检查中发现的越来越多的肾上腺病变，可通过延迟序列立即进行特征性诊断。根据CT和MRI在肾上腺肿块特征性诊断方面的出色结果，细针穿刺活检的指征以及与这种侵入性技术相关的并发症已经减少。
