Department of Radiology, VMMC and Safdarjung Hospital, New Delhi, India.
Department of Radiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Br J Radiol. 2021 Apr 1;94(1120):20201170. doi: 10.1259/bjr.20201170. Epub 2021 Jan 13.
Most of the adrenal masses are incidentally detected. Multiphasic CT forms the mainstay for diagnosis and characterization of adrenal masses. MRI can further be used if the masses are indeterminate on CT scan. But as these investigations are expensive with risk of radiation exposure, contrast-enhanced ultrasound (CEUS) is currently under evaluation to assess its utility to act as a screening modality to differentiate benign malignant adrenal masses This investigative modality is relatively safe and can be used in patients having renal dysfunction or allergy to CT contrast. We, hereby, present a pictorial review of imaging appearance of various adrenal lesions on CEUS with CT and MRI correlation.
大多数肾上腺肿块是偶然发现的。多期 CT 扫描是诊断和描述肾上腺肿块的主要方法。如果 CT 扫描结果不确定,可以进一步使用 MRI。但是,这些检查费用昂贵,且有辐射暴露的风险,因此,增强超声(CEUS)目前正在评估中,以评估其作为一种筛选方法来区分良性和恶性肾上腺肿块的效用。这种检查方法相对安全,可用于肾功能障碍或对 CT 造影剂过敏的患者。我们在此通过与 CT 和 MRI 相关的 CEUS 对各种肾上腺病变的影像学表现进行了图片回顾。