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Updated: May 19, 2026

A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Adrenal imaging: a primer for oncosurgeons.
Ajit H Goenka1, Shetal N Shah, Erick M Remer
1Section of Abdominal Imaging, Cleveland Clinic, Imaging Institute, Cleveland, Ohio 44195, USA.
Differentiating incidental adrenal lesions (IALs) non-invasively is crucial. Imaging advances and American College of Radiology (ACR) guidelines aid in distinguishing benign from malignant causes, optimizing patient care.
Area of Science:
- Radiology
- Endocrinology
- Oncology
Background:
- Incidental adrenal lesions (IALs) are common findings.
- Distinguishing benign from malignant IALs is clinically significant.
- Non-invasive imaging plays a key role in IAL evaluation.
Purpose of the Study:
- To review current imaging modalities for IAL differentiation.
- To emphasize evidence-based approaches guided by ACR guidelines.
- To promote cost-effective and streamlined IAL investigations.
Main Methods:
- Review of current literature and imaging techniques.
- Analysis of American College of Radiology (ACR) guidelines for IALs.
- Discussion of the potential and limitations of various imaging modalities.
Main Results:
- Advanced imaging techniques allow for high-proportion differentiation of IALs.
- ACR guidelines provide a framework for evidence-based management.
- Understanding modality strengths and weaknesses is key for efficient workup.
Conclusions:
- Non-invasive imaging is effective for evaluating incidental adrenal lesions.
- Adherence to ACR guidelines ensures a clinically meaningful approach.
- Optimizing diagnostic pathways improves cost-effectiveness and patient outcomes.
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