ババ ヤスタカ   BABA Yasutaka
  馬場 康貴
   所属   埼玉医科大学  医学部 国際医療センター 放射線科(放射線腫瘍科、画像診断、核医学科)
   職種   教授
論文種別 学術雑誌(原著)
言語種別 英語
査読の有無 査読あり
表題 Comparison of adrenal vein sampling value between aldosterone producing adrenal adenoma and non-functioning adrenal adenoma: Evaluation using receiver operating characteristic analysis
掲載誌名 正式名:ACTA RADIOLOGICA
ISSNコード:02841851
出版社 TAYLOR&FRANCIS LTD
巻・号・頁 46(7),750-755頁
著者・共著者 Y Baba,H Hokotate,M Nakajo
発行年月 2005/11
概要 Purpose: To evaluate adequate criteria for adrenal vein sampling values in patients with aldosterone producing adrenal adenoma (APA), retrospectively.Material and Methods: Between 1988 and 2002, 59 hypertensive patients (15 M and 44 F, aged 47.58 +/- 9.45 years) were referred to our hospital and diagnosed with APA based on established criteria. During the same period, 23 patients with non-functioning adrenal adenoma (11 M and 12 F aged 53.56 +/- 11.76 years) were diagnosed based on computed tomography and laboratory data.Results: All 82 patients were enrolled in the present study. Bilateral adrenal vein sampling (AVS) for measurement of plasma aldosterone (A) and cortisol (C) was performed, and a receiver operating characteristics (ROC) analysis was conducted to establish the best criteria from the AVS-derived index in patients with APA. A (APA side)/A (contralateral side) was confirmed to provide the best diagnostic accuracy {(>2.5: right APA, sensitivity 83.3%, specificity 79.5%), (> 3: left APA, sensitivity 84.2%, specificity 76.9)}. The Az values for A (APA side)/A (contralateral side) were 0.8948 and 0.9260 for right and left APA, respectively.Conclusion: The A (APA s
DOI 10.1080/02841850500215568