Common indications for CT and MRI of the adrenal glands

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What are common indications for computed tomography (CT) and magnetic resonance imaging (MRI) of the adrenal glands?

The most common clinical indications include:

  • • Characterization of indeterminate adrenal lesions incidentally detected on prior cross-sectional imaging. The main goal in this situation is to determine whether an adrenal lesion represents a benign lesion, such as an adenoma, or a malignant lesion.
  • • Detection and characterization of culprit adrenal lesions in patients with symptoms or signs suggestive of an endocrine disorder such as hyperaldosteronism, hypercortisolism, or increased catecholamine secretion.
  • • Staging and response assessment of patients with primary adrenal malignancies.
  • • Staging and response assessment of patients with extraadrenal malignancies that may metastasize to the adrenal glands.
  • • Providing guidance for percutaneous biopsy or intervention for an adrenal lesion.

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