Primary hyperaldosteronism MRI Findings: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 6: Line 6:
MRI may be used for diagnosing adrenal adenomas when the attenuation on CT is <30 HU.
MRI may be used for diagnosing adrenal adenomas when the attenuation on CT is <30 HU.
==MRI==
==MRI==
*Chemical shift imaging on MRI is the most reliable for diagnosis especially when CT findings are unrewarding.
*Chemical shift imaging on MRI is the most reliable for diagnosis especially when CT findings are unrewarding.<ref name="pmid24621966">{{cite journal |vauthors=Ctvrtlik F, Koranda P, Tichy T |title=Adrenal disease: a clinical update and overview of imaging. A review |journal=Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub |volume=158 |issue=1 |pages=23–34 |year=2014 |pmid=24621966 |doi=10.5507/bp.2014.010 |url=}}</ref><ref name="pmid24796926">{{cite journal |vauthors=Lim V, Guo Q, Grant CS, Thompson GB, Richards ML, Farley DR, Young WF |title=Accuracy of adrenal imaging and adrenal venous sampling in predicting surgical cure of primary aldosteronism |journal=J. Clin. Endocrinol. Metab. |volume=99 |issue=8 |pages=2712–9 |year=2014 |pmid=24796926 |doi=10.1210/jc.2013-4146 |url=}}</ref>
*MRI is useful for adrenal masses with a signal intensity <30 HU.  
*MRI is useful for adrenal masses with a signal intensity <30 HU.  
*Signal dropout on out-of-phase imaging for:
*Signal dropout on out-of-phase imaging for:

Revision as of 17:04, 20 July 2017

Primary hyperaldosteronism Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Primary Hyperaldosteronism from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

CT scan Findings

MRI Findings

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Case Studies

Case #1

Primary hyperaldosteronism MRI Findings On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Primary hyperaldosteronism MRI Findings

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Primary hyperaldosteronism MRI Findings

CDC on Primary hyperaldosteronism MRI Findings

Primary hyperaldosteronism MRI Findings in the news

Blogs on Primary hyperaldosteronism MRI Findings

Directions to Hospitals Treating Conn syndrome

Risk calculators and risk factors for Primary hyperaldosteronism MRI Findings

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Syed Hassan A. Kazmi BSc, MD [2]

Overview

MRI may be used for diagnosing adrenal adenomas when the attenuation on CT is <30 HU.

MRI

  • Chemical shift imaging on MRI is the most reliable for diagnosis especially when CT findings are unrewarding.[1][2]
  • MRI is useful for adrenal masses with a signal intensity <30 HU.
  • Signal dropout on out-of-phase imaging for:
    • 10-30 HU on CT is 89% sensitive and 100% specific
    • 10-20 HU on CT is 100% sensitive and 100% specific

Right adrenal adenoma, Case courtesy of Dr Chris O'Donnell, Radiopaedia.org, rID: 37665

References

  1. Ctvrtlik F, Koranda P, Tichy T (2014). "Adrenal disease: a clinical update and overview of imaging. A review". Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 158 (1): 23–34. doi:10.5507/bp.2014.010. PMID 24621966.
  2. Lim V, Guo Q, Grant CS, Thompson GB, Richards ML, Farley DR, Young WF (2014). "Accuracy of adrenal imaging and adrenal venous sampling in predicting surgical cure of primary aldosteronism". J. Clin. Endocrinol. Metab. 99 (8): 2712–9. doi:10.1210/jc.2013-4146. PMID 24796926.

Template:WH Template:WS