Follow

• 

  Chapter 92 - Adrenal gland imaging

  David S. Lin, Ka Kit Wong, Elaine M. Caoili, James Shields, Anca M. Avram, and Benjamin L. Viglianti

  Publication Date: 12-27-2022

  A variety of different pathologies can affect the adrenal glands. Highresolution anatomic imaging with computed tomography (CT) and magnetic resonance imaging (MRI) can demonstrate subtle irregularities of the adrenal contours and can identify lesions millimeters in size. When combined with sensitive biochemical tests of adrenocortical and medullary hormones, diagnosis of adrenal gland dysfunction can be made at very early stages of disease. Certain adrenal pathologies can be confidently diagnosed based on imaging features alone and can potentially circumvent the need for percutaneous tissue sampling. Additionally, functional imaging with nuclear medicine scintigraphy and positron emission tomography (PET) add significant clinical utility, particularly in the evaluation of biochemically functional tumors as well as distant extra-adrenal metastatic disease.

• 

  Image-guided percutaneous spine biopsy

  Richard Silbergleit

  Publication Date: 2-16-2017

  This textbook covers key areas and reviews important principles and steps in the preparation for and the performance of spine biopsy. Image-guided percutaneous biopsy techniques and their application throughout the spinal axis are presented and discussed in detail. The advantages and disadvantages of various spine biopsy instruments are reviewed. Commonly encountered biopsy scenarios are considered in order to help readers effectively manage these situations when they occur in their practices. Clear guidance is offered on patient selection and preparation, which are critical to safe and effective outcomes, and much emphasis is placed on procedural safety, with a focus on complication avoidance and the appropriate reporting of complications. Image-Guided Percutaneous Spine Biopsy will be a welcome one-stop shop providing up-to-date information for all physicians with an interest in the subject, including radiologists, surgeons, and pathologists.