肾上腺肿瘤影像学诊断策略ppt课件.ppt

小结 1、肾上腺影像检查技术：超声、CT、MRI 2、肾上腺解剖特征：叶形，密度均匀，强 化均匀，径线小于10mm 3、肾上腺增大、肾上腺破坏、肾上腺肿块：区分肾上腺组织的异质性是诊断的关键 4、肾上腺肿瘤的诊断，临床及实验室检查很重要，影像学的价值在于病变定位及良恶性的区分。 Chest x-ray: wash out measurement This site provides a calculator to measure the wash-out of adrenal masses for differentiation of benign masses (usually adenomas) from malignant lesions (usually metastases). Imaging of Adrenal Incidentalomas: Current Status N. Reed Dunnick and Melvyn KorobkinAm. J. Roentgenol., Sep 2002; 179: 559 - 568. Adrenal Masses: Characterization with Combined Unenhanced and Delayed Enhanced CT Elaine M. Caoili et al.Radiology 2002;222:629-633. Management of the clinically inapparent Adrenal Mass Incidentaloma NIH State-of-the-Science Conference Feb 4-6, 2002. State of the Science Statement (html and pdf) and 3 day video conference Differentiation of adrenal adenomas from metastases with unenhanced computed tomography. Gufler H, Eichner G, Grossmann A, Krentz H, Schulze CG, Sauer S, Grau G.J Comput Assist Tomogr. 2004 Nov-Dec;28(6):818-22. eMedicine - Pheochromocytoma : Article by Anant Krishnan, MD Adrenal Masses in the Cancer Patient: Surveillance or Excision Ian C. Mitchell, Fiemu E. NwariakuThe Oncologist, Vol. 12, No. 2, 168-174 Evaluation of adrenal masses in patients with bronchogenic carcinoma using 18F-fluorodeoxyglucose positron emission tomography JJ Erasmus, EF Patz Jr, HP McAdams, JG Murray, J Herndon, RE Coleman and PC GoodmanAmerican Journal of Roentgenology, Vol 168, 1357-1360 Integrated PET-CT for the Characterization of Adrenal Gland Lesions in Cancer Patients: Diagnostic Efficacy and Interpretation Pitfalls Semin Chong et alRadioGraphics 2006;26:1811-1824 Pearls and Pitfalls in Interpretation of Abdominal and Pelvic PET-CT Michael A. Blake et alRadioGraphics 2006;26:1335-1353 The Clinically Inapparent Adrenal Mass: Update in Diagnosis and Management Georg Mansmann, Joseph Lau, Ethan Balk, Michael Rothberg, Yukitaka Miyachi and Stefan R. BornsteinEndocrine Reviews 25 (2): 309