肾上腺肿瘤影学诊断策略.ppt

* And Adrenal metastastes donot loss SI * There are exception, Lipid-poor adenoma do not have SI loss, too * So the final imaging model is Functional imaging, they are Washout ratio by DCE CT/MRI, CT perfusion ,PET-CT, MR spectrography and diffusion weighted is under investigated * IV contrast medium “wash out” much faster for adenomas than nonadenomas Percentage washout ratios APW(absolute percentage washout ) (Enhanced CT value- Delayed CT value)/(Enhanced CT value- unenhanced CT value) ×100% RPW relative percentage washout RPW =(Enhanced CT value- Delayed CT value)/ Enhanced CT × 100% Mo