Thornhill B A, Morehouse H T, Hoffman-Tretin J C
Department of Radiology, Albert Einstein College of Medicine, Bronx, New York.
Crit Rev Diagn Imaging. 1988;28(1):1-22.
Computed tomography (CT) is currently the imaging modality of choice for assessing the morphology of the adrenal glands in adult patients. Much useful information can be gained using CT in disease processes which primarily involve one or both of the adrenal glands, such as adenomas, as well as in entities which secondarily affect the adrenals, such as pituitary or metastatic disease. The size and configuration of the glands can be readily determined, and masses may be detected. We discuss CT of normal and abnormal adrenal glands with sonographic (US) and pathological correlation, when available. Entities which may mimic adrenal abnormalities are emphasized. Relative advantages of US over CT in the pediatric patient are discussed.
计算机断层扫描(CT)目前是评估成年患者肾上腺形态的首选成像方式。在主要累及一侧或双侧肾上腺的疾病过程中,如腺瘤,以及在继发影响肾上腺的疾病中,如垂体疾病或转移性疾病,使用CT可以获得许多有用信息。肾上腺的大小和形态可以很容易地确定,并且可以检测到肿块。我们将讨论正常和异常肾上腺的CT表现,并在可行时与超声(US)及病理结果进行对照。文中将重点强调可能酷似肾上腺异常的疾病。还将讨论在儿科患者中超声相对于CT的相对优势。