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Chemical shift MRI versus washout CT forcharacterizing adrenal incidentalomas

Abstract Objective to compare the accuracy of CT and MRI in characterizing adrenal masses Materials And Methods 45 adrenal masses in 38 patients underwent unenhanced, enhanced CT and chemical-shift MRI. Sensitivities and accuracies using the lesion attenuation values, absolute or relative percentage...

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Bibliographic Details
Published in:Clinical imaging 2016
Main Authors: Warda, Mohammad H. Abo, Shehata, Samar M, Zaiton, Fatma
Format: Article
Language:English
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Summary:Abstract Objective to compare the accuracy of CT and MRI in characterizing adrenal masses Materials And Methods 45 adrenal masses in 38 patients underwent unenhanced, enhanced CT and chemical-shift MRI. Sensitivities and accuracies using the lesion attenuation values, absolute or relative percentage washout for CT and adrenal-to-spleen ratio or signal intensity index for MRI. Follow up or histopathology as standard reference. Results 15 lipid rich adenomas, 6 lipid poor adenomas and 24 non-adenomas. The sensitivities for adenoma on MRI versus CT were 81%, 95% respectively. The specificities were 100%. Conclusion CT is superior to MRI in characterizing adenomas.
ISSN:0899-7071
DOI:10.1016/j.clinimag.2016.02.006