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作者为证实化学位移FLASH成象可以鉴别肾上腺皮质腺瘤与转移瘤及嗜铬细胞瘤的假说,前瞻性地对46例病人的53个肾上腺肿块进行了化学位移FLASH成象。39例为单侧肿块、7例为双侧肿块。其中30例(共32个肿块)为皮质腺癌(11个为高功能腺瘤,21个为无功能腺瘤),12例(17个肿块)是转移瘤,另外4例是嗜铬细胞瘤。所有原发瘤均经手术或活检证实,17个转移瘤中,13个因其增大
To confirm the hypothesis that chemical shift FLASH imaging can distinguish adrenocortical adenomas from metastatic tumors and pheochromocytoma, prospectively performed chemical shift FLASH imaging of 53 adrenal masses in 46 patients. Thirty-nine patients were unilateral masses and 7 were bilateral masses. Among them, 30 cases (32 cases in total) were cortical adenocarcinoma (11 were high-functioning adenomas, 21 were non-functional adenomas), 12 cases (17 tumors) were metastatic tumors, and 4 cases were pheochromocytoma . All primary tumors were confirmed by surgery or biopsy. Of the 17 metastases, 13 were enlarged because of their increased size.