Diagnostic Accuracy of CT Texture Analysis in Adrenal Masses: A Systematic Review
- Crimi' F.
- Quaia E.
- Cabrelle G.
- Zanon C.
- Pepe A.
- Regazzo D.
- Tizianel I.
- Scaroni C.
- Ceccato F.
DOIAbstract
Adrenal incidentalomas (AIs) are incidentally discovered adrenal neoplasms. Overt endocrine secretion (glucocorticoids, mineralocorticoids, and catecholamines) and malignancy (primary or metastatic disease) are assessed at baseline evaluation. Size, lipid content, and washout charac-terise benign AIs (respectively, <4 cm, <10 Hounsfield unit, and rapid release); nonetheless, 30% of adrenal lesions are not correctly indicated. Recently, image-based texture analysis from computed tomography (CT) may be useful to assess the behaviour of indeterminate adrenal lesions. We performed a systematic review to provide the state-of-the-art of texture analysis in patients with AI. We considered 9 papers (from 70 selected), with a median of 125 patients ...
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