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Published in: Insights into Imaging 1/2019

Open Access 01-12-2019 | Computed Tomography | Review

Imaging features of adrenal masses

Authors: Domenico Albano, Francesco Agnello, Federico Midiri, Giusy Pecoraro, Alberto Bruno, Pierpaolo Alongi, Patrizia Toia, Giuseppe Di Buono, Antonino Agrusa, Luca Maria Sconfienza, Salvatore Pardo, Ludovico La Grutta, Massimo Midiri, Massimo Galia

Published in: Insights into Imaging | Issue 1/2019

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Abstract

The widespread use of imaging examinations has increased the detection of incidental adrenal lesions, which are mostly benign and non-functioning adenomas. The differentiation of a benign from a malignant adrenal mass can be crucial especially in oncology patients since it would greatly affect treatment and prognosis. In this setting, imaging plays a key role in the detection and characterization of adrenal lesions, with several imaging tools which can be employed by radiologists. A thorough knowledge of the imaging features of adrenal masses is essential to better characterize these lesions, avoiding a misinterpretation of imaging findings, which frequently overlap between benign and malignant conditions, thus helping clinicians and surgeons in the management of patients. The purpose of this paper is to provide an overview of the main imaging features of adrenal masses and tumor-like conditions recalling the strengths and weaknesses of imaging modalities commonly used in adrenal imaging.
Literature
9.
go back to reference Cerny JC (1977) Anatomy of the adrenal gland. Urol Clin North Am Jun 4(2):169–177 Cerny JC (1977) Anatomy of the adrenal gland. Urol Clin North Am Jun 4(2):169–177
19.
go back to reference Sangwaiya MJ, Boland GW, Cronin CG, et-al (2010) Incidental adrenal lesions: accuracy of characterization with contrast-enhanced washout multidetector CT-10-minute delayed imaging protocol revisited in a large patient cohort. Radiology DOI:https://doi.org/10.1148/radiol.10091386 Sangwaiya MJ, Boland GW, Cronin CG, et-al (2010) Incidental adrenal lesions: accuracy of characterization with contrast-enhanced washout multidetector CT-10-minute delayed imaging protocol revisited in a large patient cohort. Radiology DOI:https://​doi.​org/​10.​1148/​radiol.​10091386
41.
go back to reference Zeiger MA, Thompson GB, Duh QY et al (2009) American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons Medical Guidelines for the Management of Adrenal Incidentalomas: executive summary of recommendations. Endocr Pract. https://doi.org/10.4158/EP.15.5.450 Zeiger MA, Thompson GB, Duh QY et al (2009) American Association of Clinical Endocrinologists and American Association of Endocrine Surgeons Medical Guidelines for the Management of Adrenal Incidentalomas: executive summary of recommendations. Endocr Pract. https://​doi.​org/​10.​4158/​EP.​15.​5.​450
65.
go back to reference Shah RK, Oto A, Ozkan OS et al (2004) Adrenal oncocytoma: US and CT findings. JBR-BTR 87:180–182PubMed Shah RK, Oto A, Ozkan OS et al (2004) Adrenal oncocytoma: US and CT findings. JBR-BTR 87:180–182PubMed
69.
go back to reference Ferrozzi F, Bova D (1995) CT and MR demonstration of fat within an adrenal cortical carcinoma. Abdom Imaging 20(3):272–274CrossRef Ferrozzi F, Bova D (1995) CT and MR demonstration of fat within an adrenal cortical carcinoma. Abdom Imaging 20(3):272–274CrossRef
71.
go back to reference Cistaro A, Niccoli Asabella A, Coppolino P et al (2015) Diagnostic and prognostic value of 18F-FDG PET/CT in comparison with morphological imaging in primary adrenal gland malignancies - a multicenter experience. Hell J Nucl Med. https://doi.org/10.1967/s002449910202 Cistaro A, Niccoli Asabella A, Coppolino P et al (2015) Diagnostic and prognostic value of 18F-FDG PET/CT in comparison with morphological imaging in primary adrenal gland malignancies - a multicenter experience. Hell J Nucl Med. https://​doi.​org/​10.​1967/​s002449910202
76.
go back to reference Albano D, Patti C, Lagalla R, Midiri M, Galia M (2017) Whole-body MRI, FDG-PET/CT, and bone marrow biopsy, for the assessment of bone marrow involvement in patients with newly diagnosed lymphoma. J Magn Reson Imaging. https://doi.org/10.1002/jmri.25439 Albano D, Patti C, Lagalla R, Midiri M, Galia M (2017) Whole-body MRI, FDG-PET/CT, and bone marrow biopsy, for the assessment of bone marrow involvement in patients with newly diagnosed lymphoma. J Magn Reson Imaging. https://​doi.​org/​10.​1002/​jmri.​25439
85.
go back to reference Delivanis DA, Bancos I, Atwell TD et al (2018) Diagnostic performance of unenhanced computed tomography and 18 F-fluorodeoxyglucose positron emission tomography in indeterminate adrenal tumours. Clin Endocrinol (Oxf). https://doi.org/10.1111/cen.13448 Delivanis DA, Bancos I, Atwell TD et al (2018) Diagnostic performance of unenhanced computed tomography and 18 F-fluorodeoxyglucose positron emission tomography in indeterminate adrenal tumours. Clin Endocrinol (Oxf). https://​doi.​org/​10.​1111/​cen.​13448
Metadata
Title
Imaging features of adrenal masses
Authors
Domenico Albano
Francesco Agnello
Federico Midiri
Giusy Pecoraro
Alberto Bruno
Pierpaolo Alongi
Patrizia Toia
Giuseppe Di Buono
Antonino Agrusa
Luca Maria Sconfienza
Salvatore Pardo
Ludovico La Grutta
Massimo Midiri
Massimo Galia
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Insights into Imaging / Issue 1/2019
Electronic ISSN: 1869-4101
DOI
https://doi.org/10.1186/s13244-019-0688-8

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