Galanski M, Peters P E
Abt. Diagnostische Radiologie I der Medizinischen Hochschule Hannover.
Bildgebung. 1987;56(4):147-55.
Currently, the morphology of the adrenal glands can be demonstrated by different tomographic techniques: CT, MRI and ultrasound (US). The choice of the imaging modality and the examination procedure mainly depend on the suspected disease. In general, CT and MRI are superior to US due to the excellent visualization of the adrenals in nearly all circumstances, whereas sonography is strongly dependent upon the experience of the radiologist. Up to now CT is the procedure of choice in the evaluation of adrenal diseases with only minimal morphological disturbance, for example Conn's syndrome and hyperplasia. MRI and CT are nearly equivalent in the detection of adrenal masses larger than 2 cm in diameter, such as in Cushing's adenoma or pheochromocytoma. MRI has advantages compared with CT in the capability of tissue characterization, multiplanar imaging and in the visualization of blood vessels. For this reason MRI seems to be suitable for the distinction between adenomas and adrenal metastases.
目前，肾上腺的形态可通过不同的断层扫描技术来显示：CT、MRI和超声（US）。成像方式和检查程序的选择主要取决于疑似疾病。一般来说，由于在几乎所有情况下肾上腺的可视化效果都很好，CT和MRI优于超声，而超声检查很大程度上依赖于放射科医生的经验。到目前为止，CT是评估肾上腺疾病的首选方法，对形态的干扰最小，例如原发性醛固酮增多症和增生。在检测直径大于2 cm的肾上腺肿块时，如库欣腺瘤或嗜铬细胞瘤，MRI和CT几乎等效。与CT相比，MRI在组织特征分析、多平面成像和血管可视化方面具有优势。因此，MRI似乎适用于区分腺瘤和肾上腺转移瘤。
