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% | * 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 | :* 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> | ||
<gallery> | <gallery> | ||
Line 23: | Line 23: | ||
</gallery> | </gallery> | ||
==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]
-
Case courtesy of Dr G Balachandran, [7]
Reference
- ↑ Blake, Michael (2009). Adrenal imaging. Totowa, NJ: Humana Press. ISBN 193411586X.
- ↑ Reiser, Maximilian (2008). Magnetic resonance tomography. Berlin: Springer. ISBN 354029354X.
- ↑ "http://radiopaedia.org/">Radiopaedia.org
- ↑ "http://radiopaedia.org/cases/8550">rID: 8550
- ↑ "http://radiopaedia.org/">Radiopaedia.org
- ↑ "http://radiopaedia.org/cases/9920">rID: 9920
- ↑ "http://radiopaedia.org/">Radiopaedia.org</a>. From the case <a href="http://radiopaedia.org/cases/10249">rID: 10249