Abstract:
:We studied four patients with adrenocorticotropic hormone (ACTH)-independent hypercortisolism due to bilateral massive enlargement of the adrenal glands. The combined weight of the adrenal glands ranged from 69 to 149 g and the adrenal cortex was replaced in three of four patients by multiple nodules ranging from microscopic to 4 cm in diameter. One patient had massive diffuse enlargement. All patients had low or undetectable levels of serum ACTH, absence of petrosal sinus to peripheral gradients of ACTH in bilateral samples from the inferior petrosal sinuses before and after stimulation by corticotropin releasing hormone, and absence of an adenoma on MR imaging of the pituitary gland. The marked degree of adrenocortical enlargement and absence of ACTH dependency separates this massive macronodular disease from the more common ACTH-dependent macronodular hyperplasia encountered in older patients with pituitary-dependent Cushing disease. All patients required bilateral adrenalectomy to control hypercortisolism. We present the spectrum of nodular adrenal disease associated with hypercortisolism and a differential diagnosis based on morphologic criteria.
journal_name
J Comput Assist Tomogrjournal_title
Journal of computer assisted tomographyauthors
Doppman JL,Nieman LK,Travis WD,Miller DL,Cutler GB Jr,Chrousos GP,Norton JAdoi
10.1097/00004728-199109000-00009keywords:
subject
Has Abstractpub_date
1991-09-01 00:00:00pages
773-9issue
5eissn
0363-8715issn
1532-3145journal_volume
15pub_type
杂志文章,评审abstract::In a 64-year-old female patient with verified dural venous thrombosis, postcontrast computed tomography showed dilatation of the transcerebral medullary veins, a feature that is probably pathognomonic. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197908000-00020
更新日期:1979-08-01 00:00:00
abstract::Thirty-three patients with rheumatoid arthritis had computed tomographic examination of the craniocervical junction. This demonstrated soft tissue features which have not previously been described in published reports. A low attenuation lesion between the odontoid and the transverse ligament shown in 11 patients was c...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198302000-00006
更新日期:1983-02-01 00:00:00
abstract::A new 6 mm collimator for the EMI CT5000/5005 scanner is described. It consists of a narrower tube side and detector side collimator that can be set up in less than 5 min. The applications are primarily for the orbit and parasellar area. Future applications with the aid of new software include coronal reconstruction. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197807000-00029
更新日期:1978-07-01 00:00:00
abstract:OBJECTIVE:To assess the feasibility of a time-efficient, high-resolution magnetic resonance lymphangiography (HR MRL) protocol without image subtraction for the detection of lymphatic vessels in patients with primary and secondary lymphedema. METHODS:Three consecutive patients with lymphedema of the lower extremities ...
journal_title:Journal of computer assisted tomography
pub_type: 临床试验,杂志文章
doi:10.1097/01.rct.0000237814.33925.32
更新日期:2007-03-01 00:00:00
abstract::Compressive sensing (CS)-based interior tomography is a state-of-the-art method for accurate image reconstruction from only locally truncated projections. Here, we report our preliminary interior tomography results reconstructed from raw projections of a patient acquired on a GE Discovery CT750 HD scanner. This is the...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e318231c578
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To know the CT changes that may be seen in the mediastinum after uncomplicated mediastinoscopy. MATERIALS AND METHODS:Noncontrast CT was performed on 10 patients on the 1st, 3rd, and 5th days after the procedure. RESULTS:We encountered linear and diffuse increased attenuation within the mediastinum as well ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199407000-00011
更新日期:1994-07-01 00:00:00
abstract:OBJECTIVE:To analyze and to describe the shape and contraction of the normal right ventricle (RV) as visualized by magnetic resonance imaging (MRI). METHODS:Thirty normal volunteers were imaged using cine MRI in axial, short-axis, and long-axis planes. The shape and contraction of the RV were qualitatively evaluated. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/01.rct.0000179596.86221.38
更新日期:2005-11-01 00:00:00
abstract::Lumbar apophyseal fracture is an uncommon injury that occurs during adolescence. We described two cases in young adults with back pain. The radiographic findings were distinctive. In both cases CT demonstrated characteristic bony fragments displaced posteriorly into the spinal canal and a corresponding defect in the p...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198507010-00013
更新日期:1985-07-01 00:00:00
abstract::Dialysate leakage into subcutaneous tissues occurs not uncommonly in patients on continuous ambulatory peritoneal dialysis. When the leakage site cannot be localized clinically, CT with intraperitoneal contrast medium administration may localize the site. We report our experience with three cases in which this techniq...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198703000-00016
更新日期:1987-03-01 00:00:00
abstract:PURPOSE:The clinical and imaging findings of children with Swyer-James-MacLeod syndrome (SJMS) were reviewed to determine the incidence and type of bronchiectasis and analyze whether the clinical course of patients with bronchiectasis differed from that of patients without bronchiectasis. METHOD:Our study population c...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199807000-00015
更新日期:1998-07-01 00:00:00
abstract:PURPOSE:The goal of our study was to assess the prevalence of pseudolesion in segment IV of the liver on MRI in patients with and without liver cirrhosis. METHOD:Patients were divided into three groups: 10 patients with angiographically confirmed aberrant gastric venous drainage and liver cirrhosis (Group 1), 250 cons...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199901000-00014
更新日期:1999-01-01 00:00:00
abstract::Fifteen patients with 21 subdural effusions were investigated both with transmission computer assisted tomography (CAT) and positron emission tomography (PET). The tracer in the emission studies was 68Ga-EDTA. Twelve lesions were visualized both with CAT and PET. Five lesions that were negative or doubtful on CAT were...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198012000-00002
更新日期:1980-12-01 00:00:00
abstract::Proton MR spectroscopy of the brain has been undertaken in 8 healthy volunteers and in 11 patients with human immunodeficiency virus infection and varying stages of AIDS dementia complex (ADC). Spectral appearances in patients with no ADC or early ADC were not significantly different from normal volunteers. Spectra fr...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199207000-00007
更新日期:1992-07-01 00:00:00
abstract::Pancreas transplantation has become more commonplace over the past several decades. Consequently, the radiological evaluation of patients with such transplants has also become more common. Radiologists must therefore be familiar with the normal imaging appearances of pancreas transplant grafts as well as a wide variet...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/RCT.0b013e3181966988
更新日期:2009-07-01 00:00:00
abstract::We describe a patient with CT-proven ischemic infarction of the left middle cerebral artery (MCA) territory. The emergency CT, on admission, was suggestive of intracranial internal carotid artery dissection by demonstrating gaseous gap defects in the arterial wall and a subsequent thromboembolic process in the MCA. To...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章,评审
doi:10.1097/00004728-200211000-00015
更新日期:2002-11-01 00:00:00
abstract:OBJECTIVE:To assess the degree of extra scanning beyond the prescribed anatomic boundaries for thoracic and body computed tomographic (CT) scans and to identify associated factors. METHODS:For 442 consecutive chest, abdomen, and/or pelvis CT examinations, the length of extra scanning beyond the prescribed anatomic bou...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e3181f5a652
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to explore the usefulness of combined virtual monochromatic imaging and metal artifact reduction software (MARS) for the evaluation of musculoskeletal periprosthetic tissue. METHODS:Measurements were performed in periprosthetic and remote regions in 80 patients using a high-definiti...
journal_title:Journal of computer assisted tomography
pub_type: 临床试验,杂志文章
doi:10.1097/RCT.0000000000000399
更新日期:2016-07-01 00:00:00
abstract:PURPOSE:To determine the feasibility of diffusion-weighted magnetic resonance (MR) imaging (DWI) of uterine cervical cancer and to investigate whether the apparent diffusion coefficient (ADC) values of cervical cancer differ from those of normal cervix and whether they could indicate the histologic type and the patholo...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e31819e93af
更新日期:2009-11-01 00:00:00
abstract::Complete duplication of the pituitary gland is an extremely rare condition which is associated with a wide range of anomalies. An incomplete duplication affecting only the anterior pituitary gland or the pituitary stalk has not been described so far. We report 2 such cases of partial duplication of the hypophysis and ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/01.rct.0000243458.08061.f1
更新日期:2007-05-01 00:00:00
abstract::The value of routinely used MR sequences in the detection of focal changes of femorotibial articular cartilage was studied. T1-weighted, proton density, and T2-weighted SE as well as gradient echo images were acquired in 20 cadaveric knees (56-88 years old, mean 73.8 years). Three hundred five coronal and sagittal (3 ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199207000-00020
更新日期:1992-07-01 00:00:00
abstract::The computed tomography (CT) and ultrasound findings in 18 patients (35 kidneys) with non-Hodgkin lymphoma involving the kidneys are presented. Renal involvement was bilateral in 13 patients. The most common presentation was that of multiple intraparenchymal nodules (15 kidneys). Other types of involvement included di...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198304000-00007
更新日期:1983-04-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to compare image quality for abdominal computed tomographic (CT) images acquired at 200 and 50 mA s and reconstructed with image-based iterative reconstruction. MATERIALS AND METHODS:In this institutional review board-approved prospective study, 22 patients (mean [SD] age, 64....
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e3182a17629
更新日期:2014-01-01 00:00:00
abstract::We present a unique case of aggressive osteoblastoma arising from thyroid cartilage. A 52-year-old man presented with a 10 month history of neck discomfort but without frank pain. CT and MR examinations disclosed a well defined mass arising from the thyroid cartilage. This lesion had areas of coarse calcifications and...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199601000-00021
更新日期:1996-01-01 00:00:00
abstract::Pulmonary vein stenosis is one of the frequent complications after radiofrequency ablation for atrial fibrillation. MRI plays an important role in depicting the pathoanatomic structure of the pulmonary veins, and measuring the blood flow velocity in the pulmonary veins before and after therapy, and is superior to tran...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200101000-00006
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:To compare the volume rendering (VR) and maximum intensity projection (MIP) computed tomography angiography (CTA) techniques using multidetector-row CT for hepatic artery evaluation of potential donors for living donor liver transplantation (LDLT). METHOD:Over a 9-month period, CTA using multidetector-row CT a...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200303000-00004
更新日期:2003-03-01 00:00:00
abstract::The use of magnetic resonance (MR) to preoperatively evaluate patients with primary hyperparathyroidism was assessed using a 1.5 T system and surface coil reception. Twenty-five patients with primary hyperparathyroidism were studied before surgical exploration. Axial images, 5 mm thick, were obtained from the thyroid ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198709000-00023
更新日期:1987-09-01 00:00:00
abstract::A hepatic specific contrast agent was used in an attempt to detect a biopsy-proven hepatoma. This lesion had been missed by routine computed tomography and was poorly detected with the hepatic specific contrast agent EOE 13. It was also poorly detected by technetium-sulfur colloid hepatic scintigraphy. The true extent...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198310000-00032
更新日期:1983-10-01 00:00:00
abstract::The goal of neuro-oncologic surgery is to maximize tumor resection while preserving vital brain functions. Identification of the relation between the tumor and adjacent functional cortical areas as well as efferent subcortical white matter tracts is important for preservation of function. Combined diffusion tensor ima...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200407000-00019
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVE:Our objective was to determine and report the CT findings in patients with diffuse pulmonary lymphangiomatosis (DPL). MATERIALS AND METHODS:We retrospectively reviewed the CT findings in eight patients with pathologically proven DPL. The patients ranged in age from 3 to 35 years (mean 15 years) and included ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199505000-00002
更新日期:1995-05-01 00:00:00
abstract:PURPOSE:To assess radiation dose reduction and image quality for weight-based chest computed tomographic (CT) examination results reconstructed using adaptive statistical iterative reconstruction (ASIR) technique. MATERIALS AND METHODS:With local ethical committee approval, weight-adjusted chest CT examinations were p...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e3181b26c67
更新日期:2010-01-01 00:00:00