CT and MR compared in the study of hypophysis

Juliani, G.; Avataneo, T.; Potenzoni, F.; Sorrentino, T.

La Radiologia Medica 77(1-2): 51-64

1989


ISSN/ISBN: 0033-8362
PMID: 2928565
Document Number: 330453
Normal CT and MR anatomy was studied in two series (53 and 25 cases respectively) of young volunteers of both sexes, asymptomatic and certainly without lesions of the pituitary gland. 115 other pathological cases (73 hyperprolactinemias, 8 acromegalies, 15 Cushing syndromes, 2 hyperthyroidisms, 17 nonsecreting adenomas) were examined using both CT and MRI. Both an accurate review of the relative literature and the results of our own series prove that MR is superior to CT in diagnosing pituitary microadenomas (3.2% not diagnosed with MRI and 25.8% not diagnosed with CT), in the follow-up of prolactinomas subjected to medical therapy and in the study of extrasellar involvement of pituitary adenomas, particularly with regard to the demonstration of compression of the optic chiasma.

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