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Vol. 53. Issue 6.
Pages 516-530 (November - December 2011)
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Vol. 53. Issue 6.
Pages 516-530 (November - December 2011)
Update in radiology
DOI: 10.1016/j.rxeng.2011.06.003
Diagnosis and management of adrenal incidentaloma
Manejo y diagnóstico del incidentaloma suprarrenal
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R. Oliveira Caiafa??
Corresponding author
ocrafael@yahoo.es

Corresponding author.
, R. Salvador Izquierdo, L. Buñesch Villalba, M.C. Sebastià Cerqueda, C. Nicolau Molina
Centro de Diagnóstico por la Imagen, Hospital Clínic, Barcelona, Spain
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Table 1. Imaging findings of the most common adrenal lesions.
Abstract

The growing demand for imaging tests and the progressive aging of the population have led to a progressive increase in the detection of indeterminate adrenal lesions. Once an adrenal incidentaloma is detected, clinical and hormone tests together with a battery of imaging techniques (CT, MRI, PET/CT…) make it possible to determine the cause in most cases. In this article, we discuss the advantages and limitations of each technique. We show the imaging characteristics of the most common adrenal lesions and propose a diagnostic algorithm to enable their diagnosis.

Keywords:
Adrenal incidentaloma
Computed tomography
Magnetic resonance imaging
Positron emission tomography/computed tomography
Algorithm
Resumen

La creciente demanda de pruebas radiológicas y el envejecimiento progresivo de la población ha llevado al aumento progresivo en la detección de lesiones suprarrenales indeterminadas. Una vez detectado el incidentaloma suprarrenal, disponemos actualmente de pruebas clínicas y hormonales y de una batería de técnicas de imagen (TC, RM, PET/TC…) que hacen posible el diagnóstico etiológico de la mayoría de estos incidentalomas. En este artículo presentamos las ventajas y limitaciones de cada técnica, las características por imagen de las lesiones suprarrenales más frecuentes y proponemos un algoritmo diagnóstico que permita el diagnóstico de las mismas.

Palabras clave:
Incidentaloma suprarrenal
Tomografía computarizada
Resonancia magnética
Tomografía por emisión de positrones/tomografía computarizada
Algoritmo

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