Trattnig Siegfried, Ba-Ssalamah Ahmed, Pinker Katja, Nöbauer-Huhmann Iris, Wolfsberger Stefan, Knosp Engelbert
Universitätsklinik für Radiodiagnostik, Universität Wien, Wien, Osterreich.
Wien Klin Wochenschr. 2003;115 Suppl 2:23-7.
Macrotumors of the sella region usually involve the suprasellar and less commonly the parasellar space. The suprasellar extension of pituitary adenoma, meningeoma, craniopharyngioma, and hypothalamic or chiasmatic glioma count for the most frequent neoplastic entities. In macroadenomas of the pituitary gland invasion of parasellar spaces may occur in 6-10%. Imaging techniques are directed to increase the likelihood of surgical cure and to detect aggressive tumour invasion into surrounding tissues. A dedicated classification basing on indirect MRI signs of tumour extension has been established. With high-resolution high-field (3T) MRI the sella region may be displayed to provide better information compared to lower field strengths.
鞍区的大肿瘤通常累及鞍上区域,较少累及鞍旁间隙。垂体腺瘤、脑膜瘤、颅咽管瘤以及下丘脑或视交叉神经胶质瘤的鞍上扩展是最常见的肿瘤类型。垂体大腺瘤侵犯鞍旁间隙的发生率为6% - 10%。影像学技术旨在提高手术治愈的可能性,并检测肿瘤向周围组织的侵袭性侵犯。基于肿瘤扩展的间接MRI征象已建立了专门的分类方法。与低场强MRI相比,高分辨率高场强(3T)MRI能够更好地显示鞍区,提供更多信息。