Abstract
The adrenal glands are paired retroperitoneal organs lying superomedial to each kidney. Each adrenal gland consists of an outer cortex and an embryologically, histologically and functionally distinct medulla. The cortex is derived from the posterior coelomic mesoderm (the urogenital ridge). It is responsible for the synthesis of glucocorticoids (principally Cortisol), mineralocor-ticoids (principally aldosterone) and weak androgens (dehydroepiandrosterone (DHEA), its sulphate (DHEA-S) and androstenedione). The adrenal medulla shares its origin from the neural crest with the sympathetic ganglia and paraganglia and other adrenergic tissues. Like those organs, it synthesizes and stores noradrenaline, but it is unique in its ability to convert noradrenaline to adrenaline.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ackery, D. M. et al. (1984) New approach to the localisation of phaeochromocytoma: imaging with iodine-131-meta-iodobenzylguanidine. Br. Med. J., 288, 1587–91.
Beierwaltes, W. H. et al. (1971), Visualization of human adrenal glands in vivo by scintillation scanning. JAMA, 216, 275–7.
Bomanji, J. and Britton, K. E. (1987) Uterine uptake of iodine-123 metaiodobenzylguanidine during the menstrual phase of uterine cycle. Clin. Nucl. Med., 12, 601–3.
Bomanji, J. et al. (1987a) Quantitation of meta (I-123) iodobenzylguanidine uptake by normal adrenal medulla in hypertensive patients. J. Nucl. Med., 28, 319–24.
Bomanji, J. et al. (1987b) Uptake of I-123 metaiodobenzylguanidine by phaeochromocytomas, other paragangliomas and neuroblastomas: a histo-pathological comparison. J. Nucl. Med., 28, 973–8.
Bomanji, J. et al. (1987c) Observations on the function of normal adrenomedullary tissue in phaeochromocytomas and paragangliomas. Eur. J. Nucl. Med., 13, 86–9.
Bomanji, J. et al. (1988) Imaging neural crest tumours with I-123 metaiodobenzylguanidine and X-ray computed tomography: a comparative study. Clin. Rad., 39, 502–6.
Bravo, E. L. and Gifford, R. W. (1984) Pheochromocytoma: diagnosis, localization and management. N. Engl. J. Med., 311, 1298–303.
Cain, M. D. et al. (1971) Effects of oral contraceptive therapy on the renin-angiotensin system. J. Clin. Endocrinol. Metab., 33, 671–6.
Carey, J. E. et al. (1979) Absorbed dose to the human adrenals from iodomethyl-norcholesterol (I-131), ‘NP-59’. J. Nucl. Med., 20, 60–1.
Chatal, J. F. and Charbonnel, B. (1985) Comparison of iodobenzylguanidine imaging with computed tomography in locating pheochromocytoma. J. Clin. Endocrinol. Metab, 61, 769–72.
Conn, J. W. and Hinerman, D. L. (1977) Spironolactone-induced inhibition of aldosterone biosynthesis in primary hyperaldosteronism: morphological and functional studies. Metabolism, 26, 1293–307.
Copeland, P. M. (1983) The incidentally discovered adrenal mass. Ann. Intern. Med., 98, 940–5.
Fig L. M. et al. (1988). Adrenal localization in ACTH-independent Cushing’s syndrome. Ann. Intern. Med., 109, 547–53.
Fischer, M. et al. (1982) Adrenal scintigraphy in primary aldosteronism: spironolactone as a cause of incorrect classification between adenoma and hyperplasia. Eur. J. Nucl. Med., 7, 222–4.
Fischer, M. et al. (1984a) 1311-metaiodo-benzylguanidine: a new agent for scintigraphic imaging and treatment of pheochromocytoma. Nuklearmedizin, 23, 77–9.
Fischer, M. et al. (1984b) Nuclear medical therapy of pheochromocytoma. Schweiz. Med. Wochenschr., 114, 1841–3.
Geatti, O. et al. (1985), 131I-metaiodobenzylguanidine (131I-MIBG) scintigraphy for the localization of neuroblastoma: preliminary experience in 10 cases. J. Nucl. Med., 26, 736–42.
Gross, M. D. et al. (1979) The normal dexamethasone-suppression adrenal scan. J. Nucl. Med., 20, 1131–5.
Gross, M. D. et al. (1981a) The role of pharmacologic manipulation in adrenal cortical scintigraphy. Semin. Nucl. Med., 9, 128–48.
Gross, M. D. et al. (1981b) The relationship of adrenal iodomethylnorcholesterol uptake to indices of adrenal cortical function in Cushing’s syndrome. J. Clin. Endocrinol. Metab., 52, 1062–6.
Gross, M. D. et al. (1982) Scintigraphic approach to the localization of adrenal lesions causing hypertension. Urol. Radiol., 3, 241–4.
Gross, M. D. et al. (1983) The relationship of adrenal gland iodomethylnorcholesterol uptake to zona glomerulosa function in primary aldosteronism. J. Clin. Endocrinol. Metab., 57, 477–81.
Gross, M. D. et al. (1984a) Scintigraphic localization of adrenal lesions in primary aldosteronism. Am. J. Med., 77, 839–44.
Gross, M. D. et al. (1984b) The relationship of I-131 6beta-iodomethyl-19-norcholesterol (NP-59) adrenal cortical uptake to indices of androgen secretion in women with hyperandrogenism. Clin. Nucl. Med., 9, 264–70.
Gross, M. D. et al. (1985) Limited significance of asymmetric adrenal visualization on dexamethasone-suppression scintigraphy. J. Nucl. Med., 26, 43–8.
Gross, M. D. et al. (1986) Scintigraphic evidence of adrenal cortical dysfunction in the polycystic ovary syndrome. J. Clin. Endocrinol. Metab., 62, 197–201.
Gross, M. D. et al. (1988) Distinguishing benign from malignant enadrenal masses. Ann. Intern. Med., 109, 613–18.
Hawkins, L. A. et al. (1980) 75Se selenomethyl cholesterol: a new agent for quantitative functional scintigraphy of the adrenals: physical aspects. Br. J. Radiol., 53, 883–9.
Hoefnagel, C. A. et al. (1987) Radionuclide diagnosis and therapy of neural crest tumors using iodine-131-metaiodobenzylguanidine. J. Nucl. Med., 28, 308–14.
Jaques, S. et al. (1987) Effect of calcium channel blockers on acetylcholine stimulated and basal release of metaiodobenzylguanidine and norepinephrine in cultured bovine adrenomedullary cells. J. Nucl. Med., 28, 639–40 (Abstract).
Khafagi, F. A. et al. (1989) Labetalol reduces iodine-131-MIBG uptake by pheochromocytoma and normal tissues. J. Nucl. Med., 30, 481–9.
Kimmig, B. et al. (1984) Scintigraphy of neuroblastoma with 131I-MIBG. J. Nucl. Med., 25, 773–5.
Koral, K. F. and Sarkar, S. D. (1977) An operator-independent method for background subtraction in adrenal uptake measurements: Concise communication. J. Nucl Med., 18, 925–8.
Lynn, M. D. et al. (1985) Pheochromocytoma and the normal adrenal medulla: improved visualization with I-123 MIBG scintigraphy. Radiology, 155, 789–92.
Lynn, M. D. et al. (1986) The influence of hypercholesterolemia on the adrenal uptake and metabolic handling of 131I-6 beta-iodomethyl-19-norcholesterol (NP-59). Nucl. Med. Commun., 7, 631–7.
Mangner, T. J. et al. (1986) Metabolism of iodine-131 metaiodobenzylguanidine in patients with metastatic pheochromocytoma. J. Nucl Med., 27, 37–44.
Munkner, T. (1985) 131I-metaiodobenzylguanidine scintigraphy of neuroblastoma. Semin. Nucl. Med., 15, 154–60.
Nakajo, M. et al. (1983a) The normal and abnormal distribution of the adrenomedullary imaging agent m [I-131]iodobenzylguanidine (131-I-MIBG) in man: evaluation by scintigraphy. J. Nucl. Med., 24, 672–82.
Nakajo, M. et al. (1983b) Inverse relationship between cardiac accumulation of meta-(131I)-iodo-benzylguanidine (I-131 MIBG) and circulating catecholamines in suspected pheochromocytoma. J. Nucl. Med., 24, 1127–34.
Nakajo, M. et al. (1985) Rapid clearance of iodine-131 MIBG from the heart, and liver of patients with adrenergic dysfunction and phaeochromocytoma. J. Nucl. Med., 26, 357–65.
Sarkar, S. D. et al. (1977) A new and superior adrenal imaging agent 131I-6β-iodomethyl-19-norcholesterol (NP-59): evaluation in humans. J. Clin. Endocrinol. Metab., 45, 353–62.
Seabold, J. E. et al. (1977) Detection of metastatic adrenal carcinoma using 131I-6β-iodomethyl-19-norcholesterol total body scans. J. Clin. Endocrinol. Metab., 45, 788–97.
Shapiro, B. et al. (1981) Clinical experience with 75Se selenomethyl cholesterol adrenal imaging. Clin. Endocrinol, 15, 19–27.
Shapiro, B. et al. (1983) Value of bowel preparation in adrenocortical scintigraphy with NP-59. J. Nucl. Med., 24, 732–4.
Shapiro, B. et al. (1984a) The location of middle mediastinal pheochromocytomas. J. Thorac. Cardiovasc. Surg., 87, 814–20.
Shapiro, B. et al. (1984b) Malignant phaeochromocytoma: clinical, biochemical and scintigraphic characterisation. Clin. Endocrinol., 20, 189–203.
Shapiro, B. et al. (1985) Iodine-131 metaiodobenzyl-guanidine for the locating of suspected pheochromocytomas: experience in 400 cases. J. Nucl. Med., 26, 576–85.
Shulkin, B. et al. (1988) Conjugate-view gamma camera method for estimating tumour uptake of iodine-131-metaiodobenzylguanidine. J. Nucl. Med., 29, 542–8.
Sisson, J. C. et al. (1981) Scintigraphic localization of pheochromocytoma. N. Engl. J. Med., 305, 12–17.
Sisson, J.C. et al. (1984) Radiopharmaceutical treatment of malignant pheochromocytoma. J. Nucl. Med., 25, 197–206.
Sisson, J. C. et al. (1987) Metaiodobenzylguanidine to map scintigraphically the adrenergic nervous system in man. J. Nucl. Med., 28, 1625–36.
Swensen, S. J. et al. (1985) Use of 131I-MIBG scintigraphy in the evaluation of suspected pheochromocytoma. Mayo Clin. Proc., 60, 299–304.
Taylor, L. et al. (1986) Diagnostic considerations in virilization: iodomethyl-norcholesterol scanning in the localization of androgen secreting tumors. Fertil. Steril, 46, 1005–10.
Tobes, M. C. et al. (1985) Effect of uptake-one inhibitors on the uptake of norepinephrine and metaiodobenzylguanidine. J. Nucl. Med., 26, 897–907.
Valk, T. W. et al. (1981) Spectrum of pheochromocytoma in multiple endocrine neoplasia: a scintigraphic portrayal using 131I-metaiodobenzylguanidine. Ann. Intern. Med., 94, 762–7.
Von Moll, L. et al. (1987) Iodine-131 MIBG scintigraphy of neuroendocrine tumors other than pheochromocytoma and neuroblastoma. J. Nucl Med., 28, 979–88.
Further Reading
Gross, M. D. et al. (1984) The scintigraphic imaging of endocrine organs. Endocr. Rev., 5, 221–81.
McEwan, A. J. et al. (1985) Radioiodobenzylguanidine for the scintigraphic location and therapy of adrenergic tumors. Semin. Nucl Med., 15, 132–53.
Mulrow, P. J. (ed.) (1986) The Adrenal Gland, Elsevier, New York.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1991 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Khafagi, F.A., Shapiro, B., Gross, M.D. (1991). The adrenal gland. In: Maisey, M.N., Britton, K.E., Gilday, D.L. (eds) Clinical Nuclear Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3358-4_11
Download citation
DOI: https://doi.org/10.1007/978-1-4899-3358-4_11
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-412-27900-3
Online ISBN: 978-1-4899-3358-4
eBook Packages: Springer Book Archive