Modern imaging in Cushing's disease

被引：14

作者：

Bashari, W. A. ^{[1
,2
]}

Gillett, D. ^{[1
,2
,3
]}

MacFarlane, J. ^{[1
,2
]}

Powlson, A. S. ^{[1
,2
]}

Kolias, A. G. ^{[4
,5
]}

Mannion, R. ^{[5
]}

Scoffings, D. J. ^{[6
]}

Mendichovszky, I. A. ^{[3
,6
]}

Jones, J. ^{[6
]}

Cheow, H. K. ^{[3
,6
]}

Koulouri, O. ^{[1
,2
]}

Gurnell, M. ^{[1
,2
]}

机构：

[1] Univ Cambridge, Cambridge Endocrine Mol Imaging Grp, Metab Res Labs, Wellcome MRC Inst Metab Sci, Cambridge Biomed Campus, Cambridge CB2 0QQ, England

[2] Addenbrookes Hosp, Natl Inst Hlth Res, Cambridge Biomed Res Ctr, Cambridge Biomed Campus, Cambridge CB2 0QQ, England

[3] Addenbrookes Hosp, Dept Nucl Med, Cambridge Biomed Campus, Cambridge CB2 0QQ, England

[4] Univ Cambridge, Dept Neurosci, Cambridge Biomed Campus, Cambridge CB2 0QQ, England

[5] Addenbrookes Hosp, Dept Neurosurg, Cambridge Biomed Campus, Cambridge CB2 0QQ, England

[6] Addenbrookes Hosp, Dept Radiol, Cambridge Biomed Campus, Cambridge CB2 0QQ, England

来源：

PITUITARY | 2022年 / 25卷 / 05期

基金：

英国惠康基金;

关键词：

Pituitary Cushing's; MRI; Molecular; functional imaging; PET; MICROADENOMAS;

D O I：

10.1007/s11102-022-01236-w

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Management of Cushing's disease is informed by dedicated imaging of the sella and parasellar regions. Although magnetic resonance imaging (MRI) remains the investigation of choice, a significant proportion (30-50%) of corticotroph tumours are so small as to render MRI indeterminate or negative when using standard clinical sequences. In this context, alternative MR protocols [e.g. 3D gradient (recalled) echo, with acquisition of volumetric data] may allow detection of tumors that have not been previously visualized. The use of hybrid molecular imaging (e.g. C-11-methionine positron emission tomography coregistered with volumetric MRI) has also been proposed as an additional modality for localizing microadenomas.

引用

页码：709 / 712

页数：4

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