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肾上腺皮质的功能成像。

Functional imaging of adrenal cortex.

机构信息

Servicio de Medicina Nuclear, Hospital Universitario y Politécnico La Fe, Valencia, España.

Servicio de Medicina Nuclear, Hospital Universitario y Politécnico La Fe, Valencia, España.

出版信息

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.

Abstract

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.

摘要

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。

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