Adrenal cortex dysfunction: CT findings.

Huebener, K.-H.; Treugut, H.

doi:10.1148/radiology.150.1.6689760

Cited by 43 publications

(13 citation statements)

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“…Quantitative analysis of the adrenal glands visualized on the CT scan makes it possible to distinguish adrenal hyperplasia from those adrenal glands with or without small tumors [30]. Among the three measurements of adrenal size (thickness, length and width), thickness discriminated most clearly between normal and hyperplastic glands.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Adrenocortical Hyperplasia by Computed Tomography in Patients with Cushing's Disease, Idiopathic Hyperaldosteronism and Adrenogenital Syndrome.

et al. 1994

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Abstract. We assessed the usefulness and reliability of computed tomography (CT scan) in evaluating adrenal hyperplasia in 38 patients, including 14 with Cushing's disease, 17 with idiopathic hyperaldosteronism (IHA), and 7 with the adrenogenital syndrome (AGS). Eighty-two normal subjects were also examined. We analyzed the shape of the adrenal gland and quantitated its thickness, width and length. Visual inspection revealed V-shaped right adrenal glands in 100% of patients with Cushing's disease, 94% of patients with IHA,100% of patients with AGS and in 41% of the normal subjects. Triangular left adrenal glands were observed in 100% of patients with Cushing's disease, 82% of patients with IHA, 67% of patients with AGS and in 12% of the normal subjects. Quantitative analysis showed that the right adrenal gland was significantly thicker and longer in patients with Cushing's disease, IHA and in those with AGS than in normal subjects. The right adrenal gland was significantly wider in the patients with Cushing's disease and AGS than in control subjects. The left adrenal gland was significantly wider and longer in patients with Cushing's disease and AGS than in the normal controls. Analysis of individual data indicated that the upper limit of normal for thickness of the right adrenal was 7 mm. Therefore, adrenal hyperplasia was strongly suggested when the right adrenal gland was more than 7 mm thick. Our findings suggest that the CT scan is useful and reliable in diagnosing adrenal hyperplasia.

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Section: Resultsmentioning

confidence: 99%

Analysis of Adrenocortical Hyperplasia by Computed Tomography in Patients with Cushing's Disease, Idiopathic Hyperaldosteronism and Adrenogenital Syndrome.

et al. 1994

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“…CT scanning was performed as reported previously: sufficient images were obtained to ensure that the entire gland was imaged). The maximum width of the gland (defined as the maximum width perpendicular to the long axis of the body of the gland, at the junction of the adrenal limbs and the body) and width of the adrenal limbs (defined as the maximum thickness of the medial and lateral limbs of the gland perpendicular to the long axis of the limb) were measured as described previously (14)(15)(16). Figure 1 shows the technique of measurement of the adrenal gland size.…”

Section: Radiological Evaluationmentioning

confidence: 99%

Evaluation of the hypothalamic–pituitary–adrenal axis in untreated patients with polymyalgia rheumatica and healthy controls

Demir¹,

Tanrıverdi

Ozogul³

et al. 2006

Scandinavian Journal of Rheumatology

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“…We have previously reported a patient characterized [3]. Adrenal failure may therefore be developed during acute pulmonary tuberculosis as a result of involvement of the adrenal gland by tuberculosis, or as seen more commonly, following haematogenous dissemination which is often not apparent for as many as 10 years after infection [4].…”

Section: Tuberculosismentioning

confidence: 99%

Changes in the Size of Adrenal Glands in Acute Pulmonary Tuberculosis with Therapy.

et al. 1996

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Abstract. Adrenal glands may be involved during both acute and chronic tuberculosis.They are enlarged in acute pulmonary tuberculosis. We aimed to investigate the changes in adrenal size in acute pulmonary tuberculosis before and after therapy in a prospective study. Eleven hospitalized patients with newly diagnosed sputum positive pulmonary tuberculosis were studied. Basal cortisol levels were measured in the patients before and after the therapy. Cortisol levels were also measured 30 and 60 min after Synacthen (250 µg iv.) injection in the patients before the therapy. The size of the adrenal glands was measured by computerized tomography. The maximum width perpendicular to the long axis of the body of the gland, maximum width of the medial and lateral limbs and the length of the adrenals were measured. All measurements were done before and after the eight-month anti-tuberculosis therapy. All 11 patients had an intact adrenal cortisol reserve. Both the width and length of the right and left adrenal glands were significantly greater before the therapy than after the therapy. We conclude that adrenal enlargement demonstrated by computerized tomography in acute pulmonary tuberculosis is reduced after appropriate therapy.

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Adrenal cortex dysfunction: CT findings.

Cited by 43 publications

References 0 publications

Analysis of Adrenocortical Hyperplasia by Computed Tomography in Patients with Cushing's Disease, Idiopathic Hyperaldosteronism and Adrenogenital Syndrome.

Analysis of Adrenocortical Hyperplasia by Computed Tomography in Patients with Cushing's Disease, Idiopathic Hyperaldosteronism and Adrenogenital Syndrome.

Evaluation of the hypothalamic–pituitary–adrenal axis in untreated patients with polymyalgia rheumatica and healthy controls

Changes in the Size of Adrenal Glands in Acute Pulmonary Tuberculosis with Therapy.

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