Research Article

Value of 18-F-FDG PET/CT and CT in the Diagnosis of Indeterminate Adrenal Masses

Table 1

Imaging features of adrenocortical adenomas, adrenal metastases, and adrenocortical carcinomas.

CharacteristicAdrenocortical adenomasAdrenal metastasesAdrenocortical carcinomas

Size (cm) ( = 0.001)
Well-defined margins (%)10015.8 ( = 0.000)41.2 ( = 0.000)
Homogeneous (%)6.2572.2 ( = 0.001)30.3
Hemorrhage (%)12.5612.5
Calcifications (%)81.30 ( = 0.000)20.6 ( = 0.000)
Cyst/necrosis (%)31.329.458.8
Macroscopic fat (%)62.50 ( = 0.000)0 ( = 0.000)
Walls (%)18.80 ( = 0.04)22
SUVmax3.24 ± 1.557.5 ± 2.7 ( = 0.003)11.38 ± 2.77 ( = 0.000)
SUVmax/SUVliver1.33 ± 0.762.68 ± 0.9 ( = 0.003)4.3 ± 0.98 ( = 0.000)
ADC (mm2/s)1842 1035 986 ( = 0.045)
Unenhanced density (HU)27 ± 634 ± 6 33.6 ± 5