AIM:To describe the role of nuclear imaging modalities using nor-cholesterol,metaiodobenzylguanidine(MIBG)and fluorine-deoxy-glucose(FDG)in adrenal tumors for lesion characterization in comparison with magnetic resona...AIM:To describe the role of nuclear imaging modalities using nor-cholesterol,metaiodobenzylguanidine(MIBG)and fluorine-deoxy-glucose(FDG)in adrenal tumors for lesion characterization in comparison with magnetic resonance(MR).METHODS:Population was classified in group 1 consisting of 30 patients with non-hypersecreting unilateral adrenal masses,in group 2 consisting of 34 patients with hypersecreting(n=19)or non-hypersecreting(n=15)adrenal adenomas and in group 3 consisting of 18 patients with chromaffin-tissue tumors(CTT),of which 14 were pheochromocytomas while 4 were paragangliomas(n=4).All patients underwent MR and nuclear studies(nor-cholesterol,MIBG and FDG).Pathology samples(n=63)or follow-up data in adenomas(n=19)were used as standard of reference forimaging studies interpretation.RESULTS:In group 1,MR findings were not highly accurate for lesion characterization,while the results of nuclear scans showed abnormal nor-cholesterol,MIBG and FDG concentration in all cases of adenomas,pheos and malignant tumors,respectively.In group 2,no differences in MR parameters were found between hyperfunctioning and non-hyperfunctioning adenomas,while nor-cholesterol uptake was significantly higher in hyperfunctioning compared to non-hyperfunctioning lesions.In group 3,no differences in MR parameters were found between benign and malignant CCT,while MIBG uptake was significantly higher in malignant compared to benign tumors.CONCLUSION:On the basis of our findings,nuclear imaging modalities using specific target agents are able to better characterize adrenal tumors,compared with MR.In particular,radionuclide techniques are able to identify the nature of adrenal incidentalomas and to differentiate between hypersecreting and non-hypersecreting adenomas as well as between benign and malignant CTT.展开更多
肝X受体（liver X receptor，LXRs）是核受体超家族成员，能被氧化的胆固醇衍生物结合并激活，在胆固醇逆向转运中起着非常重要的作用。LXRs在人体的代谢和炎症中都有重要作用。现从获得性免疫反应中LXRs通过调控胞膜的重要组成物质-胆...肝X受体（liver X receptor，LXRs）是核受体超家族成员，能被氧化的胆固醇衍生物结合并激活，在胆固醇逆向转运中起着非常重要的作用。LXRs在人体的代谢和炎症中都有重要作用。现从获得性免疫反应中LXRs通过调控胞膜的重要组成物质-胆固醇胞内水平，从而抑制T细胞增殖的方向，在硫转移酶2B-肝X受体-膜转运体G1（SULT281-LXR—ABCG1）轴线上探讨LXRs对获得性免疫的调节作用，以及LXRs对神经元衍生孤核受体（NOR-1）的调控作用，以进一步认识LXRs的调控功能。展开更多
文摘AIM:To describe the role of nuclear imaging modalities using nor-cholesterol,metaiodobenzylguanidine(MIBG)and fluorine-deoxy-glucose(FDG)in adrenal tumors for lesion characterization in comparison with magnetic resonance(MR).METHODS:Population was classified in group 1 consisting of 30 patients with non-hypersecreting unilateral adrenal masses,in group 2 consisting of 34 patients with hypersecreting(n=19)or non-hypersecreting(n=15)adrenal adenomas and in group 3 consisting of 18 patients with chromaffin-tissue tumors(CTT),of which 14 were pheochromocytomas while 4 were paragangliomas(n=4).All patients underwent MR and nuclear studies(nor-cholesterol,MIBG and FDG).Pathology samples(n=63)or follow-up data in adenomas(n=19)were used as standard of reference forimaging studies interpretation.RESULTS:In group 1,MR findings were not highly accurate for lesion characterization,while the results of nuclear scans showed abnormal nor-cholesterol,MIBG and FDG concentration in all cases of adenomas,pheos and malignant tumors,respectively.In group 2,no differences in MR parameters were found between hyperfunctioning and non-hyperfunctioning adenomas,while nor-cholesterol uptake was significantly higher in hyperfunctioning compared to non-hyperfunctioning lesions.In group 3,no differences in MR parameters were found between benign and malignant CCT,while MIBG uptake was significantly higher in malignant compared to benign tumors.CONCLUSION:On the basis of our findings,nuclear imaging modalities using specific target agents are able to better characterize adrenal tumors,compared with MR.In particular,radionuclide techniques are able to identify the nature of adrenal incidentalomas and to differentiate between hypersecreting and non-hypersecreting adenomas as well as between benign and malignant CTT.
文摘肝X受体（liver X receptor，LXRs）是核受体超家族成员，能被氧化的胆固醇衍生物结合并激活，在胆固醇逆向转运中起着非常重要的作用。LXRs在人体的代谢和炎症中都有重要作用。现从获得性免疫反应中LXRs通过调控胞膜的重要组成物质-胆固醇胞内水平，从而抑制T细胞增殖的方向，在硫转移酶2B-肝X受体-膜转运体G1（SULT281-LXR—ABCG1）轴线上探讨LXRs对获得性免疫的调节作用，以及LXRs对神经元衍生孤核受体（NOR-1）的调控作用，以进一步认识LXRs的调控功能。
