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::A case of a 26-year-old woman with decreasing vision in her right eye, diplopia, headache, and galactorrhea is presented. Both CT and MR studies showed a large sphenoid fibroosseous lesion that had a ground glass appearance on CT and low-to-intermediate proton density and low T2-weighted and low T1-weighted signal int...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199305000-00032
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:To assess the incidence and cause of discrepancies between coronary computed tomography angiography (CTA) and catheterization in a high-risk, diverse, predominantly overweight inner-city population. METHODS:Ninety-two patients who underwent coronary CTA and catheterization on March 2007 to December 2012 were...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000481
更新日期:2017-01-01 00:00:00
abstract::Radiographic evaluation of the penis is difficult and essentially limited to invasive studies. We report cases of idiopathic and iatrogenic corpora cavernosa thromboses diagnosed by magnetic resonance imaging. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198807000-00012
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVE:To illustrate the techniques and the MRI appearance of meniscal transplants. MATERIALS AND METHODS:Three patients underwent MRI of the knee between 2 weeks and 14 months after meniscal transplantation. RESULTS:Although postoperative artifacts were present, in all three patients the position, signal intensit...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199503000-00015
更新日期:1995-03-01 00:00:00
abstract::Proper therapeutic management of acute spinal trauma depends considerably on the assessment of the condition of the underlying spinal cord and the relative stability of the surrounding bony architecture. A series of 14 patients who were examined by magnetic resonance (MR) imaging following spinal trauma is presented. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198705000-00008
更新日期:1987-05-01 00:00:00
abstract::Three noninvasive imaging methods, CT, scintigraphy with 201TlCl and 99mTcO4-, and ultrasonography, were performed on 36 patients with chronic renal failure and secondary hyperparathyroidism. The patients subsequently underwent total parathyroidectomy and parathyroid autograft. The detection rates of the three methods...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198507010-00014
更新日期:1985-07-01 00:00:00
abstract::Two cases of thyroid-related papillary adenocarcinoma are presented. Both patients had clinically benign neck masses that were clearly separated from the thyroid gland. In both cases the thyroid gland was normal to clinical evaluation, CT, and 99mTc scanning. One patient had an occult thyroid carcinoma with a solitary...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198501000-00027
更新日期:1985-01-01 00:00:00
abstract::Retroperitoneal fat necrosis is a well-known complication of acute pancreatitis. We describe an unusual case of fat necrosis presenting as multiple, bilateral renal pseudotumors in a patient with acute pancreatitis. The imaging findings on CT and MR are discussed. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200103000-00014
更新日期:2001-03-01 00:00:00
abstract::We describe a case of disruption of the blood-brain barrier (BBB) by nonionic, low osmolality contrast medium after abdominal angiography. One plausible explanation of this event is that acute hypertension during angiography may have increased the BBB permeability, allowing the contrast medium to leak across it. ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198909000-00027
更新日期:1989-09-01 00:00:00
abstract::The clinical and MR features of an alcoholic woman with Wernicke encephalopathy are reported. During the acute stage Gd-diethylenetriamine pentaacetic acid enhanced MR revealed damage of the blood-brain barrier bilaterally and symmetrically adjacent to the third ventricle, cerebral aqueduct, and fourth ventricle. The ...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199111000-00034
更新日期:1991-11-01 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::We describe a patient in whom a secondary aortocaval fistula was diagnosed on dynamic CT by noting transient enhancement of the inferior vena cava simultaneously with maximum enhancement of the aorta. This pattern of caval enhancement is contrasted with the gradual increase and subsequent plateauing of caval opacifica...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198703000-00031
更新日期:1987-03-01 00:00:00
abstract::We report the MR features in two patients presenting with symptomatic thecal impingement by posterior epidural cysts linking a bilateral lumbar spondylolysis. Large fluid-filled channels bridging the ruptured partes interarticulares were present in spite of the absence of significant arthritic changes within the adjac...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199907000-00008
更新日期:1999-07-01 00:00:00
abstract:PURPOSE:The purpose of this work was to demonstrate the variety of causes of crazy-paving appearance (CPA) on high resolution CT (HRCT). METHOD:To identify cases exhibiting CPA (ground-glass opacity with superimposed interlobular septal thickening and intralobular interstitial thickening) on HRCT, we prospectively sea...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199909000-00021
更新日期:1999-09-01 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::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:OBJECTIVE:This study examined the effect of coronary artery calcification score by lifestyle and correlation with coronary artery stenosis in persons who underwent coronary artery computed tomography (CT) angiography among health examinees for heart diseases in Korea. METHODS AND MATERIALS:The study included 506 subje...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000497
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:The space below the kidneys where the anterior and posterior pararenal spaces converge has been defined only vaguley in the past. We describe observations on clinical CT cases and studies on cadavers that lead to a refinement in the terminology for this extraperitoneal compartment. METHOD:Abdominal/pelvic CT s...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199703000-00011
更新日期:1997-03-01 00:00:00
abstract:PURPOSE:The purpose of this work was to determine the optimal delay times in two-phase helical CT for nodular hepatocellular carcinoma (HCC). METHOD:Twenty-four patients with nodular HCC (size 2.1-6.7 cm, mean 4.2 cm) were divided into three groups to undergo single-level dynamic CT with 150 ml of contrast material (i...
journal_title:Journal of computer assisted tomography
pub_type: 临床试验,杂志文章
doi:10.1097/00004728-200003000-00005
更新日期:2000-03-01 00:00:00
abstract:PURPOSE:The purpose of this work was to determine the sensitivity of hepatic digital subtraction arteriography (DSA) for the detection of hepatocellular carcinoma (HCC) and dysplastic nodules (DNs) when compared with pathological findings from whole liver explants. METHOD:Twenty-one patients 30-72 years old (mean 54 y...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200007000-00022
更新日期:2000-07-01 00:00:00
abstract::The anatomy of 60 right and 80 left normal suprarenal (adrenal) glands in 90 patients was studied. In the transaxial view, the glands have a triradiate shape, which varies on serial sections. The medial posterior limbs of each gland were visualized on the more cranial sections. The transaxial positions of the glands a...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197801000-00001
更新日期:1978-01-01 00:00:00
abstract:PURPOSE:To describe magnetic resonance (MR) imaging and MR cholangiopancreatography (MRCP) findings in gallbladder carcinoma, and to correlate these findings with available surgical and biopsy information. METHODS:Preoperative MR images (T1-weighted spin-echo, T2-weighted fast spin-echo, single shot fast spin-echo, an...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-200205000-00015
更新日期:2002-05-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to investigate if Hounsfield unit (HU) values from virtual noncontrast (VNC) images derived from portal venous phase spectral-detector computed tomography can help to differentiate adrenal adenomas and metastases. METHODS:Spectral-detector computed tomography datasets of 33 patients...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000982
更新日期:2021-01-01 00:00:00
abstract::A technique is described that permits the 19F nuclear magnetic resonance (NMR) imaging of the vascular system in animals that have been infused with certain perfluorocarbon blood substitutes. The essence of the technique is the selection for imaging of a narrow group of spectral lines from the fluorocarbon using a com...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198511000-00003
更新日期:1985-11-01 00:00:00
abstract::Antemortum detection of renal metastases can be made by computed tomography (CT), particularly if the known primary malignancy is in a late stage. The CT scans of 10 oncologic patients with focal renal metastases were reviewed (confirmation by surgery in four, follow-up CT demonstrating new lesions or lesion growth in...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-198312000-00017
更新日期:1983-12-01 00:00:00
abstract::The inhalation of small quantities of carbon-11 labeled carbon monoxide results in a useful red cell label to identify vascular structures in the body and quantitate red cell concentration in tissues. Transverse section images are obtained using PC-II, the Massachusetts General Hospital (MGH) Positron Camera. Attenuat...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-197811000-00001
更新日期:1978-11-01 00:00:00
abstract:PURPOSE:This study was designed to compare the sensitivity of T1- and diffusion-weighted images for the assessment of brain maturation in human brains. METHODS:T1- and diffusion-weighted images were obtained in 32 children without neurological abnormalities or growth retardation. The ages at which signal intensity cha...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199701000-00001
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVES:To compare and evaluate, using computer-aided volumetric measurements, the accuracy and reliability of nonpreformed mesh plates (NPMPs) versus 3-dimensionally preformed titanium mesh plates (PMPs) in posttraumatic orbital volume restoration. PATIENTS AND METHODS:Facial coronal computed tomographic scan slic...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0b013e3181ac1975
更新日期:2010-01-01 00:00:00
abstract::A 65-year-old man with lung carcinoma is presented. Chest radiography showed unilateral Kerley B lines in the right midlung and base, suggestive of lymphangitic carcinomatosis. High resolution CT demonstrated that this finding was due to residual normal interlobular septa, suspended between areas of paraseptal emphyse...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/00004728-199309000-00027
更新日期:1993-09-01 00:00:00
abstract:OBJECTIVE:The aim of the study was to investigate the accuracy of dual-energy computed tomography (DECT) compared with magnetic resonance (MR) imaging for the detection of edema of the mandible. MATERIALS AND METHODS:Fifteen adult Göttingen mini pigs received irradiation to the mandible with an equivalent dose of 0, 2...
journal_title:Journal of computer assisted tomography
pub_type: 杂志文章
doi:10.1097/RCT.0000000000000559
更新日期:2017-07-01 00:00:00