One of the initial applications of CT scanning back in the late 1970's and early 1980's was the evaluation of suspected adrenal pathology. CT became the first imaging study that could directly visualize the adrenal gland and was therefore ordered by clinicians to evaluate a range of pathologies from suspected adenoma in Cushings disease to the presence of metastases in small cell lung cancer. The role of CT has grown over the last 25 years with continued improvements in technology as well as in our understanding of CT of the adrenal gland.
The introduction of MDCT has improved our ability to define the adrenal gland as well as to expand the use of multiplanar and 3D rendering for analysis of complex or confusing cases. The recent understanding of the behavior of adrenal adenomas on contrast enhanced scanning (wash out analysis) provides ever increasing value for the use of CT as the key diagnostic study for the evaluation of the adrenal gland. In this learning module we provide scan protocols, didactic text in syllabus format, enhanced learning points or pearls, a gallery of 400 quiz cases as well as lectures to help provide you with the current state of the art of adrenal CT scanning. We hope you enjoy this multimedia presentation.