Division of Abdominal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.
AJR Am J Roentgenol. 2010 Jun;194(6):1450-60. doi: 10.2214/AJR.10.4547.
Adrenal nodules are frequently encountered on current high-resolution imaging, and accurate characterization of such lesions is critical for appropriate patient care. Our article highlights how imaging techniques such as CT densitometry, CT washout characteristics, chemical shift MRI, PET, and PET/CT help characterize most adrenal lesions. We focus on these techniques as well as specifically, because of space constraints, the varied imaging appearances of adrenocortical carcinoma, pheochromocytoma, and lymphoma on these techniques.
The imaging characterization of adrenal lesions has continued to advance over the past decade as new technologies have evolved. CT, MRI, PET, and PET/CT are now established clinical techniques capable of differentiating benign from malignant adrenal lesions.
在目前的高分辨率成像中经常会遇到肾上腺结节,因此准确描述这些病变对于患者的适当治疗至关重要。我们的文章重点介绍了 CT 密度测定、CT 洗脱特征、化学位移 MRI、PET 和 PET/CT 等成像技术如何帮助描述大多数肾上腺病变。我们专注于这些技术,以及由于篇幅限制,肾上腺皮质癌、嗜铬细胞瘤和淋巴瘤在这些技术上的不同成像表现。
在过去十年中,随着新技术的发展,肾上腺病变的影像学特征不断发展。CT、MRI、PET 和 PET/CT 现在是能够区分良性和恶性肾上腺病变的成熟临床技术。