%0 Journal Article
%T Multi-Detector-Row CT Diagnosis of Adrenal Incidentaloma in Patients with Hepatocellular Carcinoma
%A Taisuke Harada
%A Tamotsu Kamishima
%A Satoshi Terae
%A Yuya Onodera
%A Hiroki Shirato
%J Advances in Computed Tomography
%P 34-40
%@ 2169-2483
%D 2013
%I Scientific Research Publishing
%R 10.4236/act.2013.21007
%X We investigate the diagnostic reliability of differentiating between lipid-poor adrenal adenomas and metastatic adrenal tumors originating from hepatocellular carcinoma (HCC) using a routine dynamic CT protocol for liver imaging. Eighteen metastatic adrenal tumors originating from HCC and 13 lipid-poor adrenal adenomas were identified. Dynamic CT data were analyzed for CT attenuation of adrenal lesions before and after contrast administration. When a cutoff of 36 HU was set for adrenal lesions at pre-contrast attenuation, the sensitivity and specificity for the diagnosis of metastatic lesions were 94.4%and 92.3%, respectively. Attenuation criteria on pre-contrast CT may help optimize the differentiation between these lesions.
%K CT
%K Adrenal Incidentaloma
%K Hepatocellular Carcinoma
%K Lipid-Poor Adrenal Adenomas
%K Metastatic  Adrenal Tumors
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=29142