RESUMO
Interventional radiography performed for diagnostic and therapeutic purposes enables specific orientation of the diagnostic and/or therapeutic interention under radiographic guidance. This minimally invasive approach reduces intervention related morbidity. Mortality remains exceptional. Pleural biopsies and pleural drainage are two interventional procedures performed as routine practices in many centers.
Assuntos
Drenagem/métodos , Pleura/patologia , Radiografia Intervencionista , Biópsia , Humanos , Neoplasias Pleurais/diagnósticoRESUMO
Adrenal masses may be discovered incidentally by sonography. Nevertheless, CT is the modality of choice for the detection of adrenal mass when primary or secondary neoplasm is suspected. The distinction between benign and metastatic lesions relies mainly on the relatively high lipid content of most of the adenomas. CT (evaluation of non-enhanced attenuation) and MRI (chemical shift imaging) have comparable performances in the evaluation of lipid content. Lipid-poor adenomas benefit from the evaluation of tumoral wash-out, and, if necessary, CT-guided biopsy. Primary neoplasms are uncommon, reliability of biopsy is poor and surgical resection is generally performed.
