Servicio de Medicina Nuclear, Hospital Universitario y Politécnico La Fe, Valencia, España.
Servicio de Medicina Nuclear, Hospital Universitario y Politécnico La Fe, Valencia, España.
Rev Esp Med Nucl Imagen Mol (Engl Ed). 2020 Nov-Dec;39(6):393-404. doi: 10.1016/j.remn.2020.08.010. Epub 2020 Oct 21.
The rising number of high-resolution imaging scans has increased the adrenal lesions detection, which require a differential diagnosis. Currently, the most commonly used scans are CT and MRI, but these are sometimes not very specific. In these cases, nuclear medicine scans with I-norcolesterol, C-metomidate and F-fludeoxyglucose help to differentiate benign vs. malignant lesions, to lateralize the involvement in hypersecretion disease, as well as to guide the therapeutic strategy in both unilateral and bilateral lesions.
高分辨率成像扫描的数量不断增加，提高了肾上腺病变的检出率，这需要进行鉴别诊断。目前，最常用的扫描方法是 CT 和 MRI，但这些方法有时并不十分特异。在这些情况下，使用 I-去甲胆固醇、C-美替拉酮和 F-氟脱氧葡萄糖的核医学扫描有助于区分良恶性病变，确定高分泌疾病的病变侧别，并指导单侧和双侧病变的治疗策略。
