Common indications for CT and MRI of the adrenal glands

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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