Adrenal_washout v.1

The Adrenal washout calculator determines absolute and relative washout based on pre and post contrast and 15 minutes delayed CT scans.

Therese Lindberg

therese.lindberg@cambio.se

Cambio CDS

To calculate the absolute and relative washout.

Use to calculate the absolute and relative washout. Formulas: Absolute Washout = 100 x (Post contrast HU – Delayed phase HU) / (Post contrast HU – Pre contrast HU) Relative Washout = 100 x (Post contrast HU – Delayed phase HU) / Post contrast HU Interpretation: Absolute washout ≥ 60% is strongly suggestive of adrenal adenoma. Relative washout ≥ 40% is strongly suggestive of adrenal adenoma. Regardless of absolute or relative washout, if pre-contrast attenuation is low (<10 HU), then adenoma should be further investigated.

Boland GW, Lee MJ, Gazelle GS, Halpern EF, McNicholas MM, Mueller PR. Characterization of adrenal masses using unenhanced CT: an analysis of the CT literature. AJR Am J Roentgenol. 1998 Jul;171(1):201-4. doi: 10.2214/ajr.171.1.9648789. PMID: 9648789.

OBSERVATION.adrenal_washout.v0