Adrenal Incidentalomas: Clinical Controversies and Modified Recommendations

被引：34

作者：

Garrett, Robert W. ^{[1
]}

Nepute, Jordan C. ^{[1
]}

El Hayek, Mireille ^{[2
]}

Albert, Stewart G. ^{[3
]}

机构：

[1] St Louis Univ Hosp, Dept Radiol, 3635 Vista Ave & Grand Blvd,2nd Fl Desloge Tower, St Louis, MO 63110 USA

[2] Internal Med Specialists, Endocrinol & Metab, St Louis, MO USA

[3] St Louis Univ, Sch Med, Dept Internal Med, Div Endocrinol, St Louis, MO USA

来源：

AMERICAN JOURNAL OF ROENTGENOLOGY | 2016年 / 206卷 / 06期

关键词：

adrenal; adrenal adenoma; adrenal incidentaloma; incidental adrenal mass; incidental adrenal nodule; TERM-FOLLOW-UP; ENHANCED CT; MASSES; LESIONS; ATTENUATION; PROTOCOL; PHEOCHROMOCYTOMA; DIAGNOSIS; PATIENT; UTILITY;

D O I：

10.2214/AJR.15.15475

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

100231 [临床病理学]; 100902 [航空航天医学];

摘要：

OBJECTIVE. A variety of imaging and clinical guidelines have been developed to assist radiologists and referring physicians in the workup of incidental adrenal masses. The objective of this article is to provide a concise review of incidental adrenal mass imaging and present the key differences between the available guidelines. CONCLUSION. An alternative algorithm for the imaging and clinical workup of adrenal incidentalomas is presented in an attempt to bridge sometimes conflicting recommendations.

引用

页码：1170 / 1178

页数：9

共 51 条

[1]

Clinical review: Adrenocortical carcinoma: Clinical update [J].

Allolio, Bruno ;

Fassnacht, Martin .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2006, 91 (06) :2027-2037

[2]

American College of Radiology (ACR), ACR APPR CRIT INC DI

[3]

[Anonymous], 2009, ENDOCR PRACT, DOI [DOI 10.4158/EP.15.5.450, 10.4158/ep.15.s1.1]

[4]

Risk factors and long-term follow-up of adrenal incidentalomas [J].

Barzon, L ;

Scaroni, C ;

Sonino, N ;

Fallo, F ;

Paoletta, A ;

Boscaro, M .

JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1999, 84 (02) :520-526

[5]

Managing Incidental Findings on Abdominal CT: White Paper of the ACR Incidental Findings Committee [J].

Berland, Lincoln L. ;

Silverman, Stuart G. ;

Gore, Richard M. ;

Mayo-Smith, William W. ;

Megibow, Alec J. ;

Yee, Judy ;

Brink, James A. ;

Baker, Mark E. ;

Federle, Michael P. ;

Foley, W. Dennis ;

Francis, Isaac R. ;

Herts, Brian R. ;

Israel, Gary M. ;

Krinsky, Glenn ;

Platt, Joel F. ;

Shuman, William P. ;

Taylor, Andrew J. .

JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY, 2010, 7 (10) :754-773

[6]

Distinguishing benign from malignant adrenal masses: Multi-detector row CT protocol with 10-minute delay [J].

Blake, MA ;

Kalra, MK ;

Sweeney, AT ;

Lucey, BC ;

Maher, MM ;

Sahani, DV ;

Halpern, EF ;

Mueller, PR ;

Hahn, PF ;

Boland, GW .

RADIOLOGY, 2006, 238 (02) :578-585

[7]

Imaging techniques for adrenal lesion characterization [J].

Blake, Michael A. ;

Holalkere, Nagaraj-Setty ;

Boland, Giles W. .

RADIOLOGIC CLINICS OF NORTH AMERICA, 2008, 46 (01) :65-+

[8]

Characterization of Adrenal Masses by Using FDG PET: A Systematic Review and Meta-Analysis of Diagnostic Test Performance [J].

Boland, Giles W. L. ;

Dwamena, Ben A. ;

Sangwaiya, Minal Jagtiani ;

Goehler, Alexander G. ;

Blake, Michael A. ;

Hahn, Peter F. ;

Scott, James A. ;

Kalra, Mannudeep K. .

RADIOLOGY, 2011, 259 (01) :117-126

[9]

Adrenal Imaging: Why, When, What, and How? Part 3. The Algorithmic Approach to Definitive Characterization of the Adrenal Incidentaloma [J].

Boland, Giles W. L. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2011, 196 (02) :W109-W111

[10]

Adrenal Imaging: Why, When, What, and How? Part 1. Why and When to Image? [J].

Boland, Giles W. L. .

AMERICAN JOURNAL OF ROENTGENOLOGY, 2010, 195 (06) :W377-W381

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