Espectroscopia de prótons por ressonância magnética in vivo na caracterização de massas da adrenal

Faria, Juliano Ferreira

doi:10.1590/s0100-39842009000300020

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“…MR spectroscopic imaging has an established role in neuroradiology and has also been used with success to evaluate patients with prostate cancer ( 65 , 66 ) . The technique allows for the characterization of the lipid and biochemical profile of living tissues and recent studies by Faria et al suggest that it can also be used to characterize adrenal masses ( 67 , 68 ) . In particular, MR spectroscopy could be used to distinguish adenomas, adrenocortical carcinoma, pheochromocytomas, and metastases based on the cholineto-creatine and lipid-to-creatine ratios.…”

Section: Future Directionsmentioning

confidence: 99%

Imaging of the adrenal gland lesions

et al. 2014

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With the steep increase in the use of cross-sectional imaging in recent years, the incidentally detected adrenal lesion, or "incidentaloma", has become an increasingly common diagnostic problem for the radiologist, and a need for an approach to classifying these lesions as benign, malignant or indeterminate with imaging has spurred an explosion of research. While most incidentalomas represent benign disease, typically an adenoma, the possibility of malignant involvement of the adrenal gland necessitates a reliance on imaging to inform management decisions. In this article, we review the literature on adrenal gland imaging, with particular emphasis on computed tomography, magnetic resonance imaging, and photon-emission tomography, and discuss how these findings relate to clinical practice. Emerging technologies, such as contrast-enhanced ultrasonography, dual-energy computed tomography, and magnetic resonance spectroscopic imaging will also be briefly addressed.

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