Multiple endocrine neoplasia type 2 MRI: Difference between revisions

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==Overview==
==Overview==
==MRI==
==MRI==
* MRI is sensitive for detetction of pheochromocytoma
===Pheochromocytoma===
* MRI is the most sensitive modality for identification of pheochromocytomas, and is particularly useful in cases of extra-adrenal location. The overall sensitivity is said to be 98% 6.
* '''T1'''
:* Slightly hypointense to the remainder of the adrenal
:* If necrotic and/or haemorrhagic then signal will be more heterogeneous
* '''T2'''
:* Markedly hyperintense (lightbulb sign): this is a helpful feature
:* Areas of necrosis/haemorrhage/calcification will alter signal
* '''T1 C+ (Gd)'''
:* Heterogenous enhancement
:* Enhancement is prolonged, persisting for as long as 50 minutes 4
 
<gallery>
<gallery>
Image:Pheochromocytoma CT 3.jpg|Case courtesy of Dr Hani Al Salam, <ref>"http://radiopaedia.org/">Radiopaedia.org</ref>. From the case <ref>"http://radiopaedia.org/cases/8550">rID: 8550</ref>
Image:Pheochromocytoma CT 3.jpg|Case courtesy of Dr Hani Al Salam, <ref>"http://radiopaedia.org/">Radiopaedia.org</ref>. From the case <ref>"http://radiopaedia.org/cases/8550">rID: 8550</ref>
Image:Pheochromocytoma MRI.jpg|Case courtesy of Dr Frank Gaillard, <ref>"http://radiopaedia.org/">Radiopaedia.org</ref>. From the case <ref>"http://radiopaedia.org/cases/9920">rID: 9920</ref>
Image:Pheochromocytoma MRI.jpg|Case courtesy of Dr Frank Gaillard, <ref>"http://radiopaedia.org/">Radiopaedia.org</ref>. From the case <ref>"http://radiopaedia.org/cases/9920">rID: 9920</ref>

Revision as of 17:55, 23 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]

Overview

MRI

Pheochromocytoma

  • MRI is the most sensitive modality for identification of pheochromocytomas, and is particularly useful in cases of extra-adrenal location. The overall sensitivity is said to be 98% 6.
  • T1
  • Slightly hypointense to the remainder of the adrenal
  • If necrotic and/or haemorrhagic then signal will be more heterogeneous
  • T2
  • Markedly hyperintense (lightbulb sign): this is a helpful feature
  • Areas of necrosis/haemorrhage/calcification will alter signal
  • T1 C+ (Gd)
  • Heterogenous enhancement
  • Enhancement is prolonged, persisting for as long as 50 minutes 4

Reference

  1. "http://radiopaedia.org/">Radiopaedia.org
  2. "http://radiopaedia.org/cases/8550">rID: 8550
  3. "http://radiopaedia.org/">Radiopaedia.org
  4. "http://radiopaedia.org/cases/9920">rID: 9920
  5. "http://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="http://radiopaedia.org/cases/10249">rID: 10249