Determination of adrenal volume by MRI in healthy children: associations with age, body size, pubertal stage and serum levels of adrenal androgens
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Determination of adrenal volume by MRI in healthy children : associations with age, body size, pubertal stage and serum levels of adrenal androgens. / Mouritsen, Annette; Johansen, Marie Lindhardt; Wohlfahrt-Veje, Christine; Hagen, Casper P; Tinggaard, Jeanette; Mieritz, Mikkel G; Tefre de Renzy-Martin, Katrine; Soeborg, Tue; Fallentin, Eva; Juul, Anders; Main, Katharina M.
In: Clinical Endocrinology, Vol. 81, No. 2, 08.2014, p. 183-189.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Determination of adrenal volume by MRI in healthy children
T2 - associations with age, body size, pubertal stage and serum levels of adrenal androgens
AU - Mouritsen, Annette
AU - Johansen, Marie Lindhardt
AU - Wohlfahrt-Veje, Christine
AU - Hagen, Casper P
AU - Tinggaard, Jeanette
AU - Mieritz, Mikkel G
AU - Tefre de Renzy-Martin, Katrine
AU - Soeborg, Tue
AU - Fallentin, Eva
AU - Juul, Anders
AU - Main, Katharina M
N1 - © 2014 John Wiley & Sons Ltd.
PY - 2014/8
Y1 - 2014/8
N2 - BACKGROUND: Adrenal disorders such as congenital adrenal hyperplasia result in abnormal adrenal size and morphology, but little is known about the clinical value of magnetic resonance imaging (MRI) in determining adrenal volume.OBJECTIVE: To evaluate the potential usefulness of MR methodology, to estimate adrenal size in healthy children and to evaluate determinants of adrenal volume such as age, gender, body size, pubic hair stage and serum levels of adrenal androgens.DESIGN: Two hundred and thirty-five healthy children (116 girls and 119 boys) (age range 10.0-14.8 years) were examined by MRI. Clinical examinations (anthropometry and pubertal staging) were performed, and five androgen metabolites were measured in blood samples by liquid chromatography-tandem mass spectrometry (LC-MS/MS).RESULTS: It was possible to determine adrenal volume in 115/235 children using MRI. The adrenals were not measurable in 51% of children due to breathing and moving artefacts. The median volume of the right adrenal gland was 0.46 ml in girls and 0.46 ml in boys. The median volume of the left adrenal gland was 0.34 ml in girls and 0.40 ml in boys. Adrenal size was positively associated with body surface area (estimate B = 0.34 ml/year, P = 0.03), age (estimate B = 0.05 ml/year, P = 0.021) and pubic hair stage (estimate B = 0.05 ml/stage, P = 0.075). No associations between adrenal size and serum levels of adrenal androgens were observed.CONCLUSION: It was possible to determine adrenal volume by MRI in only 50% of healthy children aged 10-15 years. Adrenal volume increased with age and Tanner stage of pubic hair. Future studies will unravel whether adrenal MRI is useful when evaluating children with adrenal diseases.
AB - BACKGROUND: Adrenal disorders such as congenital adrenal hyperplasia result in abnormal adrenal size and morphology, but little is known about the clinical value of magnetic resonance imaging (MRI) in determining adrenal volume.OBJECTIVE: To evaluate the potential usefulness of MR methodology, to estimate adrenal size in healthy children and to evaluate determinants of adrenal volume such as age, gender, body size, pubic hair stage and serum levels of adrenal androgens.DESIGN: Two hundred and thirty-five healthy children (116 girls and 119 boys) (age range 10.0-14.8 years) were examined by MRI. Clinical examinations (anthropometry and pubertal staging) were performed, and five androgen metabolites were measured in blood samples by liquid chromatography-tandem mass spectrometry (LC-MS/MS).RESULTS: It was possible to determine adrenal volume in 115/235 children using MRI. The adrenals were not measurable in 51% of children due to breathing and moving artefacts. The median volume of the right adrenal gland was 0.46 ml in girls and 0.46 ml in boys. The median volume of the left adrenal gland was 0.34 ml in girls and 0.40 ml in boys. Adrenal size was positively associated with body surface area (estimate B = 0.34 ml/year, P = 0.03), age (estimate B = 0.05 ml/year, P = 0.021) and pubic hair stage (estimate B = 0.05 ml/stage, P = 0.075). No associations between adrenal size and serum levels of adrenal androgens were observed.CONCLUSION: It was possible to determine adrenal volume by MRI in only 50% of healthy children aged 10-15 years. Adrenal volume increased with age and Tanner stage of pubic hair. Future studies will unravel whether adrenal MRI is useful when evaluating children with adrenal diseases.
KW - Adolescent
KW - Adrenal Glands
KW - Androgens
KW - Anthropometry
KW - Body Size
KW - Child
KW - Chromatography, Liquid
KW - Female
KW - Humans
KW - Magnetic Resonance Imaging
KW - Male
KW - Sexual Maturation
KW - Tandem Mass Spectrometry
U2 - 10.1111/cen.12414
DO - 10.1111/cen.12414
M3 - Journal article
C2 - 24455980
VL - 81
SP - 183
EP - 189
JO - Clinical Endocrinology
JF - Clinical Endocrinology
SN - 0300-0664
IS - 2
ER -
ID: 138139372