Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas

Many years of experience in identifying patients with various pathologies of the adrenal glands using multispiral computed tomography are presented. Multispiral CT is a highly informative method of choice in the diagnosis of adrenal tumors. Multispiral CT in the perfusion version of the tumor of the...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Yu. V. Shevchenko, P. V. Seliverstov, Yu. A. Privalov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2019
Materias:	adrenal glands adrenal tumors multispiral computed tomography Science Q
Acceso en línea:	https://doaj.org/article/1c7e9f86e9d548b4b9a5c7e6885a524e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:1c7e9f86e9d548b4b9a5c7e6885a524e
record_format	dspace
spelling	oai:doaj.org-article:1c7e9f86e9d548b4b9a5c7e6885a524e2021-11-23T06:14:43ZMultispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas2541-94202587-959610.29413/ABS.2019-4.6.21https://doaj.org/article/1c7e9f86e9d548b4b9a5c7e6885a524e2019-12-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2209https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Many years of experience in identifying patients with various pathologies of the adrenal glands using multispiral computed tomography are presented. Multispiral CT is a highly informative method of choice in the diagnosis of adrenal tumors. Multispiral CT in the perfusion version of the tumor of the adrenal gland increases the accuracy of diagnosis, which optimizes the tactics of treatment. Improving the algorithm for assessing perfusion indices of the adrenal gland incidentalomas using multispiral CT will allow to evaluate the histological nature of the pathological process. It is justified to conduct perfusion MSCT studies in patients with volumetric adrenal masses with the purpose of differential diagnosis of hyperplastic and tumor processes in them. An attempt was made to develop an algorithm for MSCT diagnostics of the adrenal glands and determine its effectiveness. The radiological characteristic of the adrenal glands incidentalomas is a reflection of their morphological structure. There are statistically significant differences in aldosterone-producing and cortisol-producing adenomas in size and CT density. Morphological signs of adrenal tumor degeneration correlate with functional activity. Surgical treatment is absolutely indicated for patients with incidentalomas corresponding to the radiological phenotype of malignant tumors, as well as for patients who have revealed hormonal activity during a comprehensive examination. Dynamic observation is indicatedfor patients with hormonal-inactive incidental small-sized (< 4 cm) in the absence ofradiological signs of malignancy. In patients with an extremely high risk of surgical treatment, endovascular interventions aimed at suppressing adrenal hyperfunction are advisable. The main prognostic factors for adrenal glands incidentalomas are: radiological phenotype, hormonal activity, duration of the disease, the choice of adequate treatment tactics. In surgical treatment, the prognosis depends on the morphological characteristics of adrenal gland incidentalomas.Yu. V. ShevchenkoP. V. SeliverstovYu. A. PrivalovScientific Сentre for Family Health and Human Reproduction Problemsarticleadrenal glandsadrenal tumorsmultispiral computed tomographyScienceQRUActa Biomedica Scientifica, Vol 4, Iss 6, Pp 133-136 (2019)
institution	DOAJ
collection	DOAJ
language	RU
topic	adrenal glands adrenal tumors multispiral computed tomography Science Q
spellingShingle	adrenal glands adrenal tumors multispiral computed tomography Science Q Yu. V. Shevchenko P. V. Seliverstov Yu. A. Privalov Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas
description	Many years of experience in identifying patients with various pathologies of the adrenal glands using multispiral computed tomography are presented. Multispiral CT is a highly informative method of choice in the diagnosis of adrenal tumors. Multispiral CT in the perfusion version of the tumor of the adrenal gland increases the accuracy of diagnosis, which optimizes the tactics of treatment. Improving the algorithm for assessing perfusion indices of the adrenal gland incidentalomas using multispiral CT will allow to evaluate the histological nature of the pathological process. It is justified to conduct perfusion MSCT studies in patients with volumetric adrenal masses with the purpose of differential diagnosis of hyperplastic and tumor processes in them. An attempt was made to develop an algorithm for MSCT diagnostics of the adrenal glands and determine its effectiveness. The radiological characteristic of the adrenal glands incidentalomas is a reflection of their morphological structure. There are statistically significant differences in aldosterone-producing and cortisol-producing adenomas in size and CT density. Morphological signs of adrenal tumor degeneration correlate with functional activity. Surgical treatment is absolutely indicated for patients with incidentalomas corresponding to the radiological phenotype of malignant tumors, as well as for patients who have revealed hormonal activity during a comprehensive examination. Dynamic observation is indicatedfor patients with hormonal-inactive incidental small-sized (< 4 cm) in the absence ofradiological signs of malignancy. In patients with an extremely high risk of surgical treatment, endovascular interventions aimed at suppressing adrenal hyperfunction are advisable. The main prognostic factors for adrenal glands incidentalomas are: radiological phenotype, hormonal activity, duration of the disease, the choice of adequate treatment tactics. In surgical treatment, the prognosis depends on the morphological characteristics of adrenal gland incidentalomas.
format	article
author	Yu. V. Shevchenko P. V. Seliverstov Yu. A. Privalov
author_facet	Yu. V. Shevchenko P. V. Seliverstov Yu. A. Privalov
author_sort	Yu. V. Shevchenko
title	Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas
title_short	Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas
title_full	Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas
title_fullStr	Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas
title_full_unstemmed	Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas
title_sort	multispiral computed tomography in the diagnosis of adrenal incidentalomas
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2019
url	https://doaj.org/article/1c7e9f86e9d548b4b9a5c7e6885a524e
work_keys_str_mv	AT yuvshevchenko multispiralcomputedtomographyinthediagnosisofadrenalincidentalomas AT pvseliverstov multispiralcomputedtomographyinthediagnosisofadrenalincidentalomas AT yuaprivalov multispiralcomputedtomographyinthediagnosisofadrenalincidentalomas
_version_	1718416929742389248

Multispiral Computed Tomography in the Diagnosis of Adrenal Incidentalomas

Ejemplares similares