Article ; Online: Imaging incidental adrenal lesions.
The British journal of radiology
2022 Volume 96, Issue 1142, Page(s) 20220281
Abstract: Incidental adrenal masses are among the most common incidental lesions detected on cross-sectional imaging. The majority are benign lesions, adenomas and myelolipomas being the most common. Simple cross-sectional imaging techniques using CT and MRI ... ...
Abstract | Incidental adrenal masses are among the most common incidental lesions detected on cross-sectional imaging. The majority are benign lesions, adenomas and myelolipomas being the most common. Simple cross-sectional imaging techniques using CT and MRI permit the characterization of over 80%, thereby requiring no further imaging. The remaining lesions are considered indeterminate. These lesions consist of benign and malignant lesions sharing imaging features. Further imaging and management of these indeterminate lesions should be guided by close collaboration between different specialists in an MDT setting. Advanced imaging options include dedicated adrenal scintigraphy, positron emission tomography CT, biopsy and surveillance. Biochemical and hormonal evaluation is also important to identify hyperfunctioning adrenal lesions. This review focuses on imaging features of benign and malignant adrenal masses used for characterization and suggests an imaging pathway for indeterminate adrenal masses. |
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MeSH term(s) | Humans ; Adrenal Gland Neoplasms/diagnostic imaging ; Adrenal Gland Neoplasms/pathology ; Tomography, X-Ray Computed/methods ; Adenoma ; Magnetic Resonance Imaging ; Biopsy |
Language | English |
Publishing date | 2022-05-20 |
Publishing country | England |
Document type | Journal Article ; Review |
ZDB-ID | 2982-8 |
ISSN | 1748-880X ; 0007-1285 |
ISSN (online) | 1748-880X |
ISSN | 0007-1285 |
DOI | 10.1259/bjr.20220281 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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