Should we be using a cut off of 20 rather than the traditional 10 Hounsfield units to distinguish between benign and malignant adrenocortical tumors on imaging?

Topics: Endocrinology • Adrenal Disorders

Viëtor et al., PMID 34503194

Answer from: at Community Practice

A higher CT density cut-off of 20 (even 30 in most cases) may be used to rule out ACC. However, some metastatic lesions can have a non-contrast CT density between 10 and 20 HU. A combination of a tumor size <4 cm and CT density <20 HU is pretty good in excluding almost all malignant les...

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at Ohiohealth Physician Group Endocrinology
This is a common issue, and we need to keep the di...

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