Multiple endocrine neoplasia type 2 MRI: Difference between revisions

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==MRI==
==MRI==
===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.
* 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%.<ref>{{cite book | last = Blake | first = Michael | title = Adrenal imaging | publisher = Humana Press | location = Totowa, NJ | year = 2009 | isbn = 193411586X }}</ref><ref name=Radiopaedia 2015 Pheochromocytoma>{{cite web | title = Radiopedia 2015 Pheochromocytoma  [Dr Matt A. Morgan and Dr Frank Gaillard]| url = http://radiopaedia.org/articles/pheochromocytoma-2 }}</ref>
* '''T1'''
* '''T1'''
:* Slightly hypointense to the remainder of the adrenal
:* Slightly hypointense to the remainder of the adrenal
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* '''T1 C+ (Gd)'''
* '''T1 C+ (Gd)'''
:* Heterogenous enhancement
:* Heterogenous enhancement
:* Enhancement is prolonged, persisting for as long as 50 minutes 4
:* Enhancement is prolonged, persisting for as long as 50 minutes<ref>{{cite book | last = Reiser | first = Maximilian | title = Magnetic resonance tomography | publisher = Springer | location = Berlin | year = 2008 | isbn = 354029354X }}</ref>


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==Reference==
==Reference==
{{Reflist|2}}
{{Reflist|2}}

Revision as of 17:57, 23 September 2015

Multiple endocrine neoplasia type 2 Microchapters

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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%.[1]
  • 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[2]

Reference

  1. Blake, Michael (2009). Adrenal imaging. Totowa, NJ: Humana Press. ISBN 193411586X.
  2. Reiser, Maximilian (2008). Magnetic resonance tomography. Berlin: Springer. ISBN 354029354X.
  3. "http://radiopaedia.org/">Radiopaedia.org
  4. "http://radiopaedia.org/cases/8550">rID: 8550
  5. "http://radiopaedia.org/">Radiopaedia.org
  6. "http://radiopaedia.org/cases/9920">rID: 9920
  7. "http://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="http://radiopaedia.org/cases/10249">rID: 10249