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Pre-operative MRI predictors of hormonal remission status post pituitary adenoma resection

Clinical Imaging Jan 31, 2019

Braileanu M, et al. - Using contrast-enhanced (CE)-T1 weighted image (WI), T2WI, CE-Constructive Interference in Steady State (CISS), and CE-Volumetric Interpolated Breath-hold Examination (VIBE) MRI sequences, researchers evaluated image quality and identified imaging predictors of postoperative hormonal remission of functioning pituitary adenomas. Study participants included 34 patients with pre-operative CE-T1WI, T2WI, CE-CISS, and CE-VIBE pituitary MRI sequences. Findings suggested that CE-CISS has higher image quality vs CE-T1WI. The results of this institutional retrospective review indicate that the extent of pituitary adenoma cavernous sinus invasion as measured by degrees of internal carotid artery (ICA) contact and Knosp score was correlated with postoperative endocrine outcomes. Inclusion of CE-CISS can be useful for pre-surgical planning because of its improved image quality.

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