Leroy-Willig A, Roucayrol J C, Luton J P
Service des Radio-Isotropes, Hôpital Cochin, Paris.
Ann Endocrinol (Paris). 1988;49(4-5):337-9.
M.R.I. allows a good delineation of adrenals, due to the high contrast with fat and to the use of frontal planes. We showed on post operative adrenal lesions samples that the lipid percentages, high in normal and hyperplasic glands, was still high in most benign adenomas, and very low (under 5%) in adrenal carcinomas. MRI, with Dixon sequence, allows to evaluate this lipid percentage in adrenal lesions. Post-operative controls show a good agreement between in vivo and in vitro measurements. This simple technique should allow to discriminate between malignant and benign adrenal cortex lesions.
由于与脂肪的高对比度以及冠状面的使用,磁共振成像(MRI)能够很好地勾勒出肾上腺。我们在术后肾上腺病变样本中发现,正常和增生腺体中脂质百分比很高,大多数良性腺瘤中脂质百分比仍然很高,而肾上腺癌中的脂质百分比则非常低(低于5%)。采用狄克逊序列的MRI能够评估肾上腺病变中的脂质百分比。术后对照显示,体内和体外测量结果吻合度良好。这种简单的技术应能区分肾上腺皮质的恶性和良性病变。