MRI as an Alternative to CT-Guided Biopsy of Adrenal Masses in Patients With Lung Cancer Lawrence H Schwartz, Michelle S Ginsberg, Michael E Burt, Karen.

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Date of download: 6/20/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Evaluation of Benign vs Malignant Hepatic Lesions.

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MRI as an Alternative to CT-Guided Biopsy of Adrenal Masses in Patients With Lung Cancer Lawrence H Schwartz, Michelle S Ginsberg, Michael E Burt, Karen T Brown, George I Getrajdman, David M Panicek The Annals of Thoracic Surgery Volume 65, Issue 1, Pages 193-197 (January 1998) DOI: 10.1016/S0003-4975(97)01038-2

Fig. 1 Comparison of adrenal-to-spleen signal intensity ratios at chemical shift magnetic resonance imaging for benign adrenal lesions (adrenocortical adenomas) versus malignant adrenal lesions (metastases) from lung cancer. The Annals of Thoracic Surgery 1998 65, 193-197DOI: (10.1016/S0003-4975(97)01038-2)

Fig. 2 Expected distribution of 100 patients presenting with lung cancer and an adrenal mass, based on 55% prevalence of adrenocortical adenoma in this population, and sensitivity of 96% and specificity of 100% for diagnosing adrenocortical adenoma with chemical shift magnetic resonance imaging (CSMRI). (CT = computed tomography.) The Annals of Thoracic Surgery 1998 65, 193-197DOI: (10.1016/S0003-4975(97)01038-2)

Fig. 3 Chemical shift magnetic resonance imaging scan of typical adrenal adenoma. The patient is a 54-year-old woman with poorly-differentiated non–small cell carcinoma. The 1.8-cm left adrenal adenoma (arrow) has a very dark signal because the adenoma contains both water and lipid. The Annals of Thoracic Surgery 1998 65, 193-197DOI: (10.1016/S0003-4975(97)01038-2)

Fig. 4 Chemical composition and chemical shift (fast) magnetic resonance imaging (MRI) findings in adrenal adenomas, metastases, and lipomas. The Annals of Thoracic Surgery 1998 65, 193-197DOI: (10.1016/S0003-4975(97)01038-2)

Fig. 5 Chemical shift magnetic resonance imaging scan of typical adrenal metastasis from non–small cell lung cancer. The patient is a 70-year-old woman with adenocarcinoma. The 4-cm left adrenal metastasis (arrow) has intermediate signal (similar to that of spleen) because no appreciable amount of lipid is present to cancel the signal from water within the metastasis. The Annals of Thoracic Surgery 1998 65, 193-197DOI: (10.1016/S0003-4975(97)01038-2)