Gilfeather M, Woodward P J
Department of Radiology, University of Utah Medical Center, Salt Lake City 84132, USA.
Semin Ultrasound CT MR. 1998 Feb;19(1):53-66. doi: 10.1016/s0887-2171(98)90024-5.
MR imaging of the adrenal glands and kidneys can completely and accurately assess these organs for a variety of abnormalities. One of the major strengths of MR imaging of the adrenal glands is the ability of chemical shift imaging to determine the presence of intracellular lipid, thus enabling distinction of benign adrenal adenomas from other adrenal masses. The multiplanar imaging capability of MR can assist in determining the origin of large retroperitoneal masses. MR imaging of the kidneys has many applications, including staging of renal cell carcinomas and evaluating the renal vasculature. Gadolinium is a safe and non-nephrotoxic contrast agent that can be used to evaluate the kidneys in patients with renal compromise. The many advances and current research being performed in the rapidly expanding field of abdominal MR make performing these cases both exciting and challenging.
肾上腺和肾脏的磁共振成像（MR成像）能够全面且准确地评估这些器官的各种异常情况。肾上腺MR成像的主要优势之一在于化学位移成像能够确定细胞内脂质的存在，从而有助于将良性肾上腺腺瘤与其他肾上腺肿块区分开来。MR成像的多平面成像能力有助于确定大型腹膜后肿块的起源。肾脏的MR成像有许多应用，包括肾细胞癌的分期以及评估肾血管系统。钆是一种安全且无肾毒性的造影剂，可用于评估肾功能受损患者的肾脏情况。在快速发展的腹部MR领域所取得的诸多进展以及正在进行的当前研究，使得处理这些病例既令人兴奋又具有挑战性。
