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Prediction of Adrenal Adenomas With Hypercortisolism by Using Adrenal Computed Tomography: Emphasis on Contralateral Adrenal Thinning
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박성윤 | - |
dc.contributor.author | 오영택 | - |
dc.contributor.author | 이유미 | - |
dc.contributor.author | 정대철 | - |
dc.date.accessioned | 2016-02-04T11:47:31Z | - |
dc.date.available | 2016-02-04T11:47:31Z | - |
dc.date.issued | 2015 | - |
dc.identifier.issn | 0363-8715 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/141211 | - |
dc.description.abstract | PURPOSE: To analyze computed tomography (CT) characteristics of adrenal adenomas with hypercortisolism on adrenal CT compared to adenomas with hyperaldosteronism. MATERIALS AND METHODS: Thirty-two adrenal adenomas, consisting of group A (hypercortisolism, n = 16) and group B (hyperaldosteronism, n = 16), were evaluated with adrenal CT. Thirty-four patients without adrenal nodule on CT and hormonal abnormality (group C) were selected for comparison. In adenomas, lesion size, attenuation value, and absolute and relative washout were compared between groups A and B. The mean adrenal thickness was compared quantitatively and qualitatively between groups. RESULTS: All of adenomas satisfied absolute (≥60%) or relative (≥40%) washout criteria of adrenal CT. The mean adrenal thickness was 1.6 ± 0.3 mm in group A, 2.9 ± 0.5 mm in group B, and 3.0 ± 0.4 mm in group C (group A versus B or C, P < 0.001; group B versus C, P = 0.775). For differentiating group A from B, the area under the curve of quantitative and qualitative analyses for contralateral adrenal thickness was 0.982 and 0.934, respectively. Both sensitivity and specificity with cutoff of 2.0 mm or less in thickness and probably thin or more in visual score were 93.7% and 93.7%, and 87.5% and 93.7%, respectively, for predicting group A. CONCLUSIONS: Contralateral adrenal thinning on CT helps predict adrenal adenomas with hypercortisolism. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 741~746 | - |
dc.relation.isPartOf | JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adrenal Cortex/diagnostic imaging | - |
dc.subject.MESH | Adrenal Cortex Neoplasms/complications | - |
dc.subject.MESH | Adrenal Cortex Neoplasms/diagnostic imaging* | - |
dc.subject.MESH | Adrenocortical Adenoma/complications | - |
dc.subject.MESH | Adrenocortical Adenoma/diagnostic imaging* | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cushing Syndrome/complications | - |
dc.subject.MESH | Cushing Syndrome/diagnostic imaging* | - |
dc.subject.MESH | Diagnosis, Differential | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Reproducibility of Results | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Tomography, X-Ray Computed* | - |
dc.title | Prediction of Adrenal Adenomas With Hypercortisolism by Using Adrenal Computed Tomography: Emphasis on Contralateral Adrenal Thinning | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Radiology (영상의학) | - |
dc.contributor.googleauthor | Park, Sung Yoon | - |
dc.contributor.googleauthor | Oh, Young Taik | - |
dc.contributor.googleauthor | Jung, Dae Chul | - |
dc.contributor.googleauthor | Rhee, Yumie | - |
dc.identifier.doi | 10.1097/RCT.0000000000000269 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A01509 | - |
dc.contributor.localId | A02390 | - |
dc.contributor.localId | A03012 | - |
dc.contributor.localId | A03592 | - |
dc.relation.journalcode | J01350 | - |
dc.identifier.eissn | 1532-3145 | - |
dc.identifier.pmid | 26035405 | - |
dc.identifier.url | http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00004728-201509000-00016&LSLINK=80&D=ovft | - |
dc.subject.keyword | adrenal adenoma | - |
dc.subject.keyword | hypercortisolism | - |
dc.subject.keyword | hyperaldosteronism | - |
dc.subject.keyword | adrenal atrophy | - |
dc.subject.keyword | computed tomography | - |
dc.contributor.alternativeName | Park, Sung Yoon | - |
dc.contributor.alternativeName | Oh, Young Taik | - |
dc.contributor.alternativeName | Rhee, Yumie | - |
dc.contributor.alternativeName | Jung, Dae Chul | - |
dc.contributor.affiliatedAuthor | Park, Sung Yoon | - |
dc.contributor.affiliatedAuthor | Oh, Young Taik | - |
dc.contributor.affiliatedAuthor | Rhee, Yumie | - |
dc.contributor.affiliatedAuthor | Jung, Dae Chul | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 39 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 741 | - |
dc.citation.endPage | 746 | - |
dc.identifier.bibliographicCitation | JOURNAL OF COMPUTER ASSISTED TOMOGRAPHY, Vol.39(5) : 741-746, 2015 | - |
dc.identifier.rimsid | 31410 | - |
dc.type.rims | ART | - |
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