Table 4.
Imaging Characteristics of ACC
Lesion Characteristics | ACC | ACA |
---|---|---|
Size | >4 cm | <4 cm |
Necrosis | + | − |
Hemorrhage | + | − |
Calcification | +/− | − |
CT density | Heterogeneous, >10 HU | Homogeneous, <10 HU |
Chemical-shift MRI | Heterogeneous signal drop +/− | Homogeneous signal drop |
Contrast enhancement | Heterogeneous, absolute % washout <60% | Homogeneous, absolute % washout >60% |
SUV on [18F]FDG-PET/CT | Adrenal to liver SUV ratio >1.45 | Adrenal to liver SUV ratio <1.45 |