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European Radiology
Published in: European Radiology 3/2016

01-03-2016 | Urogenital

Dynamic multidetector CT and non-contrast-enhanced MR for right adrenal vein imaging: comparison with catheter venography in adrenal venous sampling

Authors: Hideki Ota, Kazumasa Seiji, Masahiro Kawabata, Nozomi Satani, Kei Omata, Yoshikiyo Ono, Yoshitsugu Iwakura, Ryo Morimoto, Tomonori Matsuura, Masataka Kudo, Junya Tominaga, Fumitoshi Satoh, Sadayoshi Ito, Kei Takase

Published in: European Radiology | Issue 3/2016

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Abstract

Objectives

To evaluate visualization of the right adrenal vein (RAV) with multidetector CT and non-contrast-enhanced MR imaging in patients with primary aldosteronism.

Methods

A total of 125 patients (67 men) scheduled for adrenal venous sampling (AVS) were included. Dynamic 64-detector-row CT and balanced steady-state free precession-based non-contrast-enhanced 3-T MR imaging were performed. RAV visualization based on a four-point score was documented. Both anatomical location and variation on cross-sectional imaging were evaluated, and the findings were compared with catheter venography as the gold standard.

Results

The RAV was visualized in 93.2 % by CT and 84.8 % by MR imaging (p = 0.02). Positive predictive values of RAV visualization were 100 % for CT and 95.2 % for MR imaging. Imaging score was significantly higher in CT than MR imaging (p < 0.01). The RAV formed a common trunk with an accessory hepatic vein in 16 % of patients. The RAV orifice level on cross-sectional imaging was concordant with catheter venography within the range of 1/3 vertebral height in >70 % of subjects. Success rate of AVS was 99.2 %.

Conclusions

Dynamic CT is a reliable way to map the RAV prior to AVS. Non-contrast-enhanced MR imaging is an alternative when there is a risk of complication from contrast media or radiation exposure.

Key Points

• Dynamic CT and non-contrast-enhanced MR imaging detect the right adrenal vein (RAV).
• Dynamic CT can visualize the RAV more than non-contrast-enhanced MR imaging.
• Mapping the RAV helps to achieve successful adrenal venous sampling.
• Sixteen per cent of RAVs share the common trunk with accessory hepatic veins.
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Metadata
Title
Dynamic multidetector CT and non-contrast-enhanced MR for right adrenal vein imaging: comparison with catheter venography in adrenal venous sampling
Authors
Hideki Ota
Kazumasa Seiji
Masahiro Kawabata
Nozomi Satani
Kei Omata
Yoshikiyo Ono
Yoshitsugu Iwakura
Ryo Morimoto
Tomonori Matsuura
Masataka Kudo
Junya Tominaga
Fumitoshi Satoh
Sadayoshi Ito
Kei Takase
Publication date
01-03-2016
Publisher
Springer Berlin Heidelberg
Published in
European Radiology / Issue 3/2016
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-015-3872-3

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