Publicado

2012-01-01

Masas adrenales: papel actual de las imágenes diagnósticas

Masses adrenales: the current role of diagnostic images

Palabras clave:

glándulas suprarrenales, neoplasias de las glándulas suprarrenales, tomografía, imagen por resonancia magnética (es)
adrenal glands, adrenal gland neoplasms, tomography, magnetic resonance imaging (en)

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Autores/as

  • César Augusto Poveda Profesor Catedrático. Departamento de Imágenes Diagnósticas. Facultad de Medicina, Universidad Nacional de Colombia.
  • Édgar Iván González Facultad de Medicina, Universidad Nacional de Colombia.
En este artículo se describe el rol que desempeñan en la actualidad las imágenes diagnósticas, en especial la tomografía computarizada y la resonancia magnética, para el diagnóstico d e masas adrenales. Se exponen los conceptos de lavado en tomografía y desplazamiento químico en resonancia magnética en la caracterización morfológica y dinámica con el medio de contraste de las misma y se revisan las patologías más frecuentes con énfasis en la diferenciación entre patología benigna y maligna. Se sugiere un diagrama de flujo del diagnóstico de las masas adrenales.
This article describes the role currently being played by diagnostic images (especially computerised tomography and magnetic resonance) for diagnosing adrenal masses. It deals with the concepts of washing in tomography and chemical displacement in magnetic resonance in morphological and dynamic characterisation with pertinent contrast medium and reviews the most frequent pathologies, emphasising differentiation between benign and malign pathologies.
A flow diagram for adrenal mass diagnosis is suggested.

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Citas

Boland GW. Adrenal Imaging: from Addison to Algorithms. Radiol Clin North Am. 2011; 49:511-28.

Boland GW, Blake M, Hahn P, Mayo-Smith W. Incidental Adrenal Lesions: Principles, Techniques, and Algorithms for Imaging Characterization Radiology. 2008; 249:756-75.

Mayo-SmithWW, Boland GW, Noto RB, Lee MJ. State-of-the-art adrenal imaging. Radiographics. 2001; 21: 995-1012.

Blake M, Holalkere N, Boland GW. Imaging Techniques for Adrenal Lesion Characterization. Radiologic Clinic of North America. 2008; 46:65-78.

Young WF Jr. The incidentally discovered adrenal mass. N Engl J Med. 2007; 356:601-10.

Mansmann G, Lau J, Balk E, Rothberg M, Miyachi Y, Bornstein SR. The clinically inapparent adrenal mass: update in diagnosis and management. Endocr Rev. 2004; 25:309-40.

Korobkin M, Giordano TJ, Brodeur FJ, Francis IR, Siegelman ES, Quint LE, et ál. Adrenal adenomas: relationship between histologic lipid and CT and MR findings. Radiology. 1996; 200:743-47.

Dunnick NR, Korobkin M. Imaging of Adrenal Incidentalomas: current Status: Am J Roentgenol. 2002; 179:559-68.

Boland GW, Lee MJ, Gazelle GS, Halpern EF, McNicholas MM, Mueller PR. Characterization of adrenal masses using unenhaced Ct: an analysis of the Ct literature. AJR Am J Roentgenol. 1998; 171:201-4.

Siegelman E, Charangundla S. Imaging of Adrenal Gland. Syllabus Genitourinary radiology. 2006; 131-144.

Caoili EM, Korobkin M, Francis IR, Cohan RH, Platt JF, Dunnick NR, et ál. Adrenal Masses: Characterization with Combined Unenhanced and Delayed Enhanced CT. Radiology. 2002; 222:629- 33.

Pena CS, Boland GW, Hahn PF, Lee MJ, Mueller PR. Characterization of indeterminate (lipid-poor) adrenal masses: use of washout characteristics at contrastenhanced CT. Radiology. 2000; 217:798-802.

Blake MA, Kalra MK, Sweeney AT, Lucey BC, Maher MM, Sahani DV, et ál. Distinguishing benign from malignant adrenal masses: multi-detector row CT protocol with 10-minute delay. Radiology. 2006; 238: 578-85.

Savci G, Yazici Z, Sahin N, Akgöz S, Tuncel E. Value of chemical Shift subtraction MRI in characterization of adrenal masses. AJR Am J Roentgenol. 2006; 186:130-5.

FujiyoshiF, Nakajo M, Kukukura Y, Tsuchimochi S. Characterization of adrenal tumors by chemical shift fast-low angle shot MR imaging: comparison of four methods of quantitative evaluation. AJR Am J Roentgenol. 2003; 180:1649-57.

Elsayes KM, Mukundan G, Narra VR, Lewis JS Jr, Shirkhoda A, Farooki A, et ál. Adrenal Masses: MR Imaging Features with Pathologic Correlation. Radio-Graphics. 2004; 24:S73-86.

Israel GM, Korobkin M, Wang C, Hecht EN, Krinsky GA. Comparison of unenhanced CT and chemical shift MRI in evaluating lipid-rich adrenal adenomas. AJR Am J Roentgenol. 2004; 183:215-19.

Park BK, Kim CK, Kim B, Lee JH. Comparison of delayed enhanced CT and chemical shift MR for evaluating hyperattenuating incidental adrenal masses. Radiology. 2007; 243:760-65.

Song J, Mayo W. Incidentally discovered adrenal mass. Radiol Clin N Am. 2011; 49:361-68.

Boland GW, Blake MA. Incidental Adrenal Lesions: Principles, Techniques, and algorithms for Imaging Characterization. Radiology. 2008; 249:756-75.