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Accurate characterization of ACC with imaging is essential to ensure prompt and appropriate management and avoid useless biopsy or delayed surgery. Magnetic resonance imaging (MRI) provides additional information with respect to the internal content of ACC by comparison with CT. Recent studies evaluating the capabilities of radiomics have shown encouraging results in the characterization of ACC and differentiation from other adrenal masses. Surgical resection remains the primary treatment for localized ACC. Complete surgical resection (\n                    <jats:italic toggle=\"yes\">i.e.<\/jats:italic>\n                    , R0 resection) offers the best chance for long-term survival for patients with ACC. Preoperative planning with imaging should be performed to identify local extent of ACC into the liver, the ipsilateral kidney, and the inferior vena cava as well as to exclude distant metastases. A precise preoperative assessment is critical to anticipate the radicality of surgery and best manage potential surgical complications. This review article aims to provide a thorough overview of the current role of CT and MRI in the diagnosis and preoperative planning of ACC.\n                  <\/jats:p>","DOI":"10.1177\/08465371261438317","type":"journal-article","created":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T07:18:51Z","timestamp":1776496731000},"page":"734-746","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["CT and MRI in the Characterization and Preoperative Assessment of Adrenocortical Carcinoma: Current Concepts and Perspectives"],"prefix":"10.1177","volume":"77","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0360-0875","authenticated-orcid":false,"given":"Maxime","family":"Barat","sequence":"first","affiliation":[{"name":"Department of Radiology, H\u00f4pital Cochin, AP-HP, Paris, France"},{"name":"Universit\u00e9 Paris Cit\u00e9, Facult\u00e9 de M\u00e9decine, France"},{"name":"G\u00e9nomique et Signalisation 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