Imaging Techniques

  • D. R. Bodner
  • C. L. Schultz
  • M. I. Resnick


Accurate imaging of the adrenal glands is of great importance in evaluating abnormalities of these endocrine organs. Diseases affecting the adrenal glands may have profound systemic effects and definitive treatment is based upon careful endocrine evaluation and accurate adrenal imaging. Recent developments in imaging have improved our ability to detect adrenal abnormalities, which has led to more confident surgical management of these lesions. Intravenous urography with nephrotomography was once the initial screening procedure for adrenal abnormalities, but this has been replaced with computed tomography (CT) and ultrasound. These newer imaging modalities have also diminished the need for invasive vascular studies although angiography is still sometimes needed to study the vascular supply of large tumors prior to surgery, and adrenal venous sampling and venography can be helpful in localizing small functioning tumors. In this chapter we will discuss the imaging techniques which are currently used and widely available for the evaluation of adrenal disorders. We will also examine two emerging techniques: magnetic resonance imaging (MRI) and [131I]metaiodobenzylguanidine (MIBG) scanning for pheochromocytomas.


Adrenal Gland Adrenal Tumor Adrenal Mass Adrenal Vein Adrenal Adenoma 
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  1. 1.
    Abeshouse GA, Goldstein RB, Abeshouse BS (1959) Adrenal cysts. Review of the literature and report of three cases. J Urol 81: 711PubMedGoogle Scholar
  2. 2.
    Abrams HI, Siegelman SS, Adams DF et al. (1982) Computed tomography versus ultrasound of the adrenal gland: a prospective study. Radiology 143: 121–128PubMedGoogle Scholar
  3. 3.
    Bennet AH, Harrison JH, Thorn GW (1971) Neoplasms of the adrenal gland. J Urol 106: 607Google Scholar
  4. 4.
    Bernardino ME, Walther MM, Phillips VM et al. (1985) CT-guided adrenal biopsy: accuracy, safety, and indications. AJR 144: 67–69PubMedGoogle Scholar
  5. 5.
    Copeland PM (1983) The incidentally discovered adrenal mass. Ann Intern Med 98 (6): 940–945PubMedGoogle Scholar
  6. 6.
    Dunnick NR, Doppman JL, Gill JR et al. MF (1982) Localization of functional adrenal tumors by computed tomography and venous sampling. Radiology 142: 429–433Google Scholar
  7. 7.
    Dunnick NR, Heaston D, Halvorsen R et al. (1982) CT appearance of adrenal cortical carcinoma. J Comput Assist Tomogr 6: 978–982PubMedCrossRefGoogle Scholar
  8. 8.
    Ferris EJ, Seibert JJ (ed) (1980) Adrenal gland. In: Urinary tract and adrenal glands: imaging and diagnosis. Grune and Stratton, New York, pp 473–520Google Scholar
  9. 9.
    Geisinger MA, Zelch MG, Bravo EL et al. (1983) Primary hyperaldosteronism: comparison of CT. adrenal venography, and venous sampling. AIR 141: 299–302Google Scholar
  10. 10.
    Glazier HS, Weyman PJ, Sagel SS et al. (1982) Nonfunctioning adrenal masses: incidental discovery on computed tomography. Am J Roentgenol 139: 81–85Google Scholar
  11. 11.
    Hedeland H, Ostberg G, Hokfelt B (1968) On the prevalence of adrenocortical adenomas in an autopsy material in relationship to hypertension and diabetes. Acta Med Scand 184: 211–214PubMedCrossRefGoogle Scholar
  12. 12.
    Herwig KR, Sondra LP III (1979) Usefulness of adrenal venography and iodocholesterol scan in adrenal surgery. J Urol 122: 7PubMedGoogle Scholar
  13. 13.
    Jarvis JL, Jenkins D, Sosman MC et al. (1954) Roentgenologic observations in Addison’s disease: a review of 120 cases. Radiology 62: 16PubMedGoogle Scholar
  14. 14.
    Kokko JP, Brown TC, Berman MM (1967) Adrenal adenoma and hypertension. Lancet 1: 468–470PubMedCrossRefGoogle Scholar
  15. 15.
    Kramer DM (1984) Basic principles of magnetic resonance imaging. Radiol Clin N Am 22: 765–778PubMedGoogle Scholar
  16. 16.
    Mitnick JS, Bosniak MA, Megibow AJ et al. (1983) Nonfunctioning adrenal adenomas discovered incidentally on computed tomography. Radiology 148: 495–499PubMedGoogle Scholar
  17. 17.
    Mitty HA, Yeh HC (1982) Aldosteronism. In: Radiology of the adrenals with sonography and CT. Saunders, Philadelphia, pp 116–135Google Scholar
  18. 18.
    Mitty HA, Yeh HC (1982) Cushing’s syndrome. In: Radiology of the adrenals with sonography and CT. Saunders, Philadephia, pp 80–115Google Scholar
  19. 19.
    Mitty HA, Yeh HC (1982) Modalities and techniques. In: Radiology of the adrenals with sonography and CT. Saunders, Philadelphia, pp 17–63Google Scholar
  20. 20.
    Montagne, JP, Kressell HY, Korobkin M, et al. (1978) Computed tomography of the normal adrenal glands. AJR 130: 963–966PubMedGoogle Scholar
  21. 21.
    Moon KL, Hricak H, Crooks LE, et al. (1973) Nuclear magnetic resonance imaging of the adrenal gland. A preliminary report. Radiology 147: 155–160Google Scholar
  22. 22.
    Older RA, Moore AV Jr., Glenn JF, et al. (1984) Diagnosis of adrenal disorders. Radiol Clin N Am 22: 433–455PubMedGoogle Scholar
  23. 23.
    Oppenheimer DA, Carroll BA, Yousem S (1983) Sonography of the normal neonatal adrenal gland. Radiology 146: 157–160Google Scholar
  24. 24.
    Pickering RS, Hartman GW, Weeks RE et al. (1975) Excretory urographic localization of adrenal cortical tumors and pheochromocytomas. Radiology 114: 345PubMedGoogle Scholar
  25. 25.
    Ranson CL, Landers RR, McLelland R (1956) Air embolism following retroperitoneal pneumography: a nation-wide survey. J Urol 76: 664Google Scholar
  26. 26.
    Russi S, Blumenthal HT, Gray SH (1945) Small adenomas of the adrenal cortex in hypertension and diabetes. Arch Intern Med 76: 248–291CrossRefGoogle Scholar
  27. 27.
    Schultz CL, Alfidi RJ, Nelson AD et al. (1984) The effect of motion on two-dimensional Fourier transformation magnetic resonance images. Radiology 152: 11 7–121Google Scholar
  28. 28.
    Schultz CL, Haaga JR Fletcher BD, et al. (1984) Magnetic resonance imaging of the adrenal glands: a comparison with computed tomography. AIR 143: 1235–1240Google Scholar
  29. 29.
    Shamma AH, Goddard JW, Sommers SC (1958). A study of the adrenal status in hypertension. J Chronic Dis 8: 587–595PubMedCrossRefGoogle Scholar
  30. 30.
    Sisson JC, Shapiro B, Beierwalters WH et al. (1984) Locating pheochromocytomas by scintigraphy using 131I-metaiodobenzylguanidine. Cancer J Clinic 34: 86–92CrossRefGoogle Scholar
  31. 31.
    Swensen SJ, Brown MO, Sheps SG, et al. (1985) Use of IMIBG scintigraphy in the evaluation of suspected pheochromocytoma. Mayo Clin Proc 60: 229–304Google Scholar
  32. 32.
    Weinberger MH, Grim CE, Hollifeld JW (1979) Primary aldosteronism. Ann Intern Med 90: 386–395PubMedGoogle Scholar
  33. 33.
    Welch TJ, Sheedy PF II, van Heerden JA et al. (1983) Pheochromocytoma: value of computed tomography. Radiology 148: 501–503PubMedGoogle Scholar
  34. 34.
    Weyman PJ, Glazer HS (1983) The adrenals. In: Lee JK, Sagel SS, Stanley RJ (eds) Computed body tomography. Raven Press, New York, pp 379–392Google Scholar
  35. 35.
    Wilms G, Baert A, Marchai G et al. (1979) Computed tomography of the normal adrenal glands: correlative study with autopsy specimens. J Comput Assist Tomogr 3: 467–469PubMedCrossRefGoogle Scholar
  36. 36.
    Yeh HC (1980) Sonography of the adrenal glands: normal and small masses. AJR 135: 1167–1177PubMedGoogle Scholar
  37. 37.
    Yeh H (1984) Ultrasound of the adrenal. In: Resnick MI, Sanders RC (eds) Ultrasound in urology. Williams and Wilkins, Baltimore. pp 285–306Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • D. R. Bodner
  • C. L. Schultz
  • M. I. Resnick

There are no affiliations available

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