Assessment of pituitary microadenomas: Comparison between 2D and 3D MR sequences

The aim of this study was to compare the diagnostic value and image quality of two different T 1 -weighted MR sequences in the evaluation of PRL-secreting pituitary microadenomas. Twenty-four patients with a clinical diagnosis of pituitary microprolactinoma were prospectively examined with both a 2D...

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Veröffentlicht in:Magnetic resonance imaging 1997, Vol.15 (1), p.21-27
Hauptverfasser: Magnaldi, Silvia, Frezza, Francesca, Longo, Renata, Ukmar, Maja, Razavi, Iradj Shariat, Pozzi-Mucelli, Roberto S.
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container_end_page 27
container_issue 1
container_start_page 21
container_title Magnetic resonance imaging
container_volume 15
creator Magnaldi, Silvia
Frezza, Francesca
Longo, Renata
Ukmar, Maja
Razavi, Iradj Shariat
Pozzi-Mucelli, Roberto S.
description The aim of this study was to compare the diagnostic value and image quality of two different T 1 -weighted MR sequences in the evaluation of PRL-secreting pituitary microadenomas. Twenty-four patients with a clinical diagnosis of pituitary microprolactinoma were prospectively examined with both a 2D SE and a 3D turbo-SE T 1 -weighted coronal sequence, before and after intravenous contrast medium administration. Evaluation of MR images was done only on postcontrast images and considered the number of slices in which the lesions were visible and image quality, which was evaluated by both a subjective score and objective parameters (signal-to-noise and contrast-to-noise ratios). Pituitary microprolactinomas are visible in a higher number of slices in 3D TSE sequences; the subjective scores for image quality and signal-to-noise ratios were similar in both 2D and 3D sequences; the contrast-to-noise ratio was always higher in 3D sequences. In patients with hyperprolactinemia, the authors recommend using coronal 3D TSE T 1 -weighted sequences for evaluation of the pituitary region. 2D SE T 1 -weighted sequences may be considered if a shorter examination time is required (i.e., for claustrophobic patients) and in assessment or follow-up of microadenomas when a larger size lesion is clinically suspected.
doi_str_mv 10.1016/S0730-725X(95)02008-H
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In patients with hyperprolactinemia, the authors recommend using coronal 3D TSE T 1 -weighted sequences for evaluation of the pituitary region. 2D SE T 1 -weighted sequences may be considered if a shorter examination time is required (i.e., for claustrophobic patients) and in assessment or follow-up of microadenomas when a larger size lesion is clinically suspected.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Contrast Media - administration &amp; dosage</subject><subject>Endocrinopathies</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gadolinium - administration &amp; dosage</subject><subject>Gadolinium DTPA</subject><subject>Humans</subject><subject>Hyperprolactinemia - diagnosis</subject><subject>Hypothalamus. Hypophysis. 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Hypophysis. Epiphysis (diseases)</topic><topic>Image Enhancement - methods</topic><topic>Injections, Intravenous</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Magnetic resonance, comparative studies</topic><topic>Magnetic resonance, technique</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases. Target tissue resistance. Benign neoplasms</topic><topic>Organometallic Compounds - administration &amp; dosage</topic><topic>Pentetic Acid - administration &amp; dosage</topic><topic>Pentetic Acid - analogs &amp; derivatives</topic><topic>Phobic Disorders</topic><topic>Pituitary gland, magnetic resonance</topic><topic>Pituitary gland, neoplasms</topic><topic>Pituitary Neoplasms - diagnosis</topic><topic>Prolactinoma - diagnosis</topic><topic>Prospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Magnaldi, Silvia</creatorcontrib><creatorcontrib>Frezza, Francesca</creatorcontrib><creatorcontrib>Longo, Renata</creatorcontrib><creatorcontrib>Ukmar, Maja</creatorcontrib><creatorcontrib>Razavi, Iradj Shariat</creatorcontrib><creatorcontrib>Pozzi-Mucelli, Roberto S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Magnetic resonance imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Magnaldi, Silvia</au><au>Frezza, Francesca</au><au>Longo, Renata</au><au>Ukmar, Maja</au><au>Razavi, Iradj Shariat</au><au>Pozzi-Mucelli, Roberto S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of pituitary microadenomas: Comparison between 2D and 3D MR sequences</atitle><jtitle>Magnetic resonance imaging</jtitle><addtitle>Magn Reson Imaging</addtitle><date>1997</date><risdate>1997</risdate><volume>15</volume><issue>1</issue><spage>21</spage><epage>27</epage><pages>21-27</pages><issn>0730-725X</issn><eissn>1873-5894</eissn><coden>MRIMDQ</coden><abstract>The aim of this study was to compare the diagnostic value and image quality of two different T 1 -weighted MR sequences in the evaluation of PRL-secreting pituitary microadenomas. 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In patients with hyperprolactinemia, the authors recommend using coronal 3D TSE T 1 -weighted sequences for evaluation of the pituitary region. 2D SE T 1 -weighted sequences may be considered if a shorter examination time is required (i.e., for claustrophobic patients) and in assessment or follow-up of microadenomas when a larger size lesion is clinically suspected.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>9084021</pmid><doi>10.1016/S0730-725X(95)02008-H</doi><tpages>7</tpages></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Contrast Media - administration & dosage
Endocrinopathies
Evaluation Studies as Topic
Female
Follow-Up Studies
Gadolinium - administration & dosage
Gadolinium DTPA
Humans
Hyperprolactinemia - diagnosis
Hypothalamus. Hypophysis. Epiphysis (diseases)
Image Enhancement - methods
Injections, Intravenous
Magnetic Resonance Imaging - methods
Magnetic resonance, comparative studies
Magnetic resonance, technique
Male
Medical sciences
Middle Aged
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Organometallic Compounds - administration & dosage
Pentetic Acid - administration & dosage
Pentetic Acid - analogs & derivatives
Phobic Disorders
Pituitary gland, magnetic resonance
Pituitary gland, neoplasms
Pituitary Neoplasms - diagnosis
Prolactinoma - diagnosis
Prospective Studies
Time Factors
title Assessment of pituitary microadenomas: Comparison between 2D and 3D MR sequences
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