Noninvasive adrenal imaging in hyperaldosteronism.

Noninvasive adrenal imaging in hyperaldosteronism. Research Abstract Details 

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Noninvasive adrenal imaging in hyperaldosteronism. Abstract Text:

Daniel R Simon,Michael A Palese,Daniel R Simon,Michael A Palese,

Proper management of primary aldosteronism requires localization of excess aldosterone production. Partial or radical adrenalectomy may cure cases of aldosterone-producing adenomas; however, pharmacologic management is indicated in cases of bilateral adrenal hyperplasia. Differentiating among the causes of primary aldosteronism can be a diagnostic challenge. Adrenal vein sampling, the gold standard for diagnosing subtypes of primary aldosteronism, is an invasive and often difficult procedure. Advancements in CT and MRI have improved their adrenal-imaging capabilities, but accuracy in identifying aldosterone-producing adenomas remains inferior to adrenal vein sampling. Radionuclide scintigraphy has been used for many years and can also provide functional information for diagnosis. No diagnostic test, however, distinguishes with complete accuracy aldosterone-producing adenomas from bilateral adrenal hyperplasia in primary aldosteronism. Therefore, a combination of diagnostic techniques may most effectively guide medical management.

Noninvasive adrenal imaging in hyperaldosteronism. Publishing Authors By Initials

DR Simon,MA Palese,DR Simon,MA Palese,

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Noninvasive adrenal imaging in hyperaldosteronism. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Current urology reports

VOLUME: 9

Page Numbers: 80-7

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ISSN: 1534-6285

DAY: 27

MONTH: Jan

YEAR: 2008

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LANGUAGE: eng

NlmUniqueID: 100900943

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AFFILIATION: Department of Urology, The Mount Sinai Hospital, Mount Sinai School of Medicine, One Gustave L. Levy Place, New York, NY 10029, USA. daniel.simon@mssm.edu.

Country: United States

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MEDLINETA: Curr Urol Rep

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