Division of Endocrinology, Diabetes, Metabolism, Nutrition, and Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA.
Horm Cancer. 2011 Dec;2(6):341-7. doi: 10.1007/s12672-011-0089-z.
The objectives of this study were to review how conventional imaging for adrenocortical carcinoma has evolved over the past 100 years and to highlight the current role for computed tomography (CT) and magnetic resonance imaging (MRI). Using historical cases from the Mayo Clinic archives, the approaches to conventional imaging for adrenocortical carcinoma are described, and pertinent literature is reviewed. Limited conventional imaging options in the first 75 years of the twentieth century were supplemented with keen clinical observation and clinical intuition. With the development of CT and MRI, technologic advances in the computed image-based assessment of adrenocortical carcinoma have been truly remarkable. CT and MRI can help determine whether an adrenal mass is an adrenocortical carcinoma and can also assess for local tumor invasion and metastatic disease. CT and MRI provide the clinician and surgeon with key information to guide medical and surgical management. Three decades from now, what we currently view as conventional imaging (e.g., CT and MRI) will be the imaging equivalents to the plain abdominal roentogram and intravenous pyelogram of the mid-twentieth century.
这项研究的目的是回顾过去 100 年来，用于肾上腺皮质癌的常规影像学检查是如何发展的，并强调计算机断层扫描（CT）和磁共振成像（MRI）的当前作用。我们使用梅奥诊所档案中的历史病例，描述了用于肾上腺皮质癌的常规影像学检查方法，并回顾了相关文献。在 20 世纪的前 75 年中，有限的常规影像学检查选择得到了敏锐的临床观察和临床直觉的补充。随着 CT 和 MRI 的发展，基于计算机图像的肾上腺皮质癌评估技术取得了真正的巨大进步。CT 和 MRI 可帮助确定肾上腺肿块是否为肾上腺皮质癌，还可以评估局部肿瘤侵犯和转移疾病。CT 和 MRI 为临床医生和外科医生提供了关键信息，以指导医疗和手术管理。三十年后，我们目前认为的常规影像学检查（例如 CT 和 MRI）将成为与 20 世纪中期腹部平片和静脉肾盂造影相同的影像学检查方法。
