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Publication Name World Journal of Clinical Oncology
Manuscript ID 106511
Country Greece
Category Endocrinology & Metabolism
Manuscript Type Minireviews
Article Title Changing paradigms in evaluating adrenal incidentalomas: Bayesian evaluation of [18F]Fluorodeoxyglucose positron emission tomography use, honed on adrenocortical carcinoma
Manuscript Source Invited Manuscript
All Author List Ioannis Ilias and Georgios Meristoudis
Funding Agency and Grant Number
Corresponding Author Ioannis Ilias, Director, MD, PhD, Department of Endocrinology, Hippocration General Hospital, 63, Evrou Street, Athens GR-11527, Greece. iiliasmd@yahoo.com
Key Words Adrenal gland neoplasms; Diagnosis; Epidemiology; Positron emission tomography; Bayes theorem
Core Tip [18F]Fluorodeoxyglucose positron emission tomography (FDG PET) diagnostic performance for adrenal incidentalomas (AdIn) was evaluated based on their size as measured on computed tomography (CT) and their unenhanced density in Hounsfield units (HU), using a 20 HU cutoff to assess adrenocortical carcinoma (ACC) risk. The likelihood ratios for positive/negative tests do not meet the usual thresholds, respectively, indicating strong but not definitive diagnostic accuracy. FDG PET should be combined with CT or magnetic resonance imaging for optimal assessment of AdIns.
Citation Ilias I, Meristoudis G. Changing paradigms in evaluating adrenal incidentalomas: Bayesian evaluation of [18F]Fluorodeoxyglucose positron emission tomography use, honed on adrenocortical carcinoma. World J Clin Oncol 2025; In press
Received
2025-02-28 12:14
Peer-Review Started
2025-02-28 12:14
To Make the First Decision
Return for Revision
2025-03-18 09:18
Revised
2025-03-20 10:53
Second Decision
2025-04-25 02:40
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-04-25 06:51
Articles in Press
2025-04-25 06:51
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ISSN 2218-4333 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
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