Chapter 92 - Adrenal gland imaging
DeGroot’s Endocrinology: Basic Science and Clinical Practice
Roberston, R. Paul
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.
adrenal gland anatomy, adrenal gland imaging, adrenal lesions
Endocrinology, Diabetes, and Metabolism | Radiology
Lin DS, Wong KK, Caoili E, Shields J, Avram AM, Viglianti BL. Adrenal gland imaging. In Robertson: DeGroot’s Endocrinology, 8th Edition, edited by R. Paul Robertson. Philadelphia, PA: Elsevier, 2022. p. 1530-1552.